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Worksite Wellness
   in Arkansas
            Presented by
Helen Weir (ADH) & Rhonda Hill (ACHI)


          October 21, 2010
Economic Burden of Chronic Disease

       • U.S. spends $2.2 trillion on health care
         annually

       • .75 cents of every dollar is spent on
         managing chronic conditions

       • One-third of the cost alone
         is due to obesity
Economic Burden of Chronic Disease


        Reported Cases in Arkansas, (projected 2009
        and as % of population)
       Cancers (all):             149,896    5.2%
       Diabetes:                  146,964    5.1%
       Heart Disease:             249,276    8.7%
       Hypertension:              470,771    16.5%
       Stroke:                    33,491     1.2%
       Emotional Disturbances:    305,331    10.7%
       Pulmonary Conditions:      542,322    19.0%
Economic Burden of Chronic Disease


       Economic impact in Arkansas, projected 2009
       (Annual Cost in Billions)
       Treatment Expenditures:                 $3.65
       Lost Productivity:                      $17.2
       Total Costs:                           $20.85
Social Ecological Model
Collaboration & Partnership

       Arkansas Department of Health
       Arkansas Center for Health Improvement


       Arkansas Coalition for Obesity Prevention (ArCOP)
Arkansas Coalition for Obesity Prevention

       • Grassroots, statewide collaboration that
         stemmed from 2007 Southern Regional Obesity
         Summit
       • Identified that we were all working toward the
         same goal – yet separately
       • Pooled resources, work plans, and overarching
         goals and objectives
       • 200 + members with over 75 partnering entities
ArCOP

        Mission: to improve the health of all Arkansas
          communities by increasing physical activity and
          healthy eating to reduce and prevent obesity.
        Vision: all Arkansans value and practice healthy
          lifestyles through created and supported
          opportunities of increasing physical activity and
          healthy eating.
        Goal: Increase the percentage of Arkansans of all
          ages who have access to healthy and affordable
          food and who engage in regular physical activity.
Coalition Partners
        American Cancer Society                          Community Health Centers of Arkansas
        American Heart Association                       Daughters of Charity Services of Arkansas - SE AR
        Arkansas Academy of Pediatrics                   Delta AHEC
        Arkansas Advocates for Children and Family       Delta OPRU, ARS, USDA
        Arkansas Blue Cross and Blue Shield              Evangelistic Ministries
        Arkansas Center for Health Improvement           Frueauff Foundation
        Arkansas Children‟s Hospital                     Heifer International
        Arkansas Community Foundation                    Hendrix University
        Arkansas Coordinated School Health               JB Hunt Transport Services
        Arkansas Department of Education                 Kutak Rock Firm
        Arkansas Department of Health                    LifeSynch
        Arkansas Department of Human Services            Metroplan
        Arkansas Foundation for Medical Care             Midwest Dairy Council
        Arkansas Governor's Office                       North Arkansas Partnership for Health Education
        Arkansas Head Start State Collaboration Office   North Little Rock First United Methodist Church
        Arkansas Head Start TA Network                   PE4Life Academy (Rogers, AR)
        Arkansas Hunger Alliance                         Pfizer
        Arkansas Injury Prevention Center,               Phoenix Youth and Family Services
        Arkansas Minority Health Commission              Pulaski Technical College
        Arkansas Parks and Tourism                       Results Fitness 24/7
        Arkansas State Highway and                       Robert Wood Johnson Foundation, Center to Prevent
         Transportation Department                       Childhood Obesity
        Arkansas State & Public School                   Safe Routes to School Program
         Employee Life & Health Insurance Plan           St. Francis House Community Clinic (Northwest AR)
        Arkansas State University                        United States Department of Agriculture, ARS
        Baptist Health                                   University of Arkansas Division of Agriculture
        Blue & You Foundation for a Healthier Arkansas   University of Arkansas at Little Rock
        Central Arkansas Transit Authority               University of Arkansas for Medical Sciences
        Clinton School of Public Service                 University of Arkansas at Pine Bluff
        ComMetrics Inc.
Examples of Non-Traditional Partners

       •   Metroplan
       •   CATA
       •   JB Hunt Transportation Services
       •   NLR First United Methodist Church
       •   Evangelistic Ministries
       •   US Department of Agriculture
       •   AR Hwy and Transportation
       •   AR Parks and Tourism
       •   AR Game and Fish
       •   AARP
ArCOP Workgroups


                       Access to Healthy Foods                                    Built Environment
                    Determine existing needs statewide and among         Collaborate with city and town planners to
                       various sub-populations regarding access to           promote physical activity by developing
                       healthy foods                                         pedestrian and bicycle friendly neighborhoods
                    Identify existing programs that support access to       that offer convenient, pleasant, and safe non-
                       healthy foods and determine additional                motorized links between residences, schools,
                       programming and service needs                         shopping, and recreational facilities
      WORKGROUPS



                    Identify programmatic barriers and determine         Encourage active lifestyles by incorporating well
                       strategies and resources needed for                   designed, mixed-use development that permits
                       successful implementation                             high quality of life with reduced need for
                                                                             vehicles to conduct daily activities

                            Worksite Wellness                                            Health Care
                    Empower employers to combat obesity in the           Engage with providers and insurers to improve
                       workplace                                             quality of life and reduce total long-term costs
                    Collaborate with local, state, and national             of health care due to obesity and related
                       resources to identify best practices for              chronic disease
                       workplace obesity intervention programs in an      Collaborate with health care providers, employers
                       effort to decrease obesity and other chronic          and other organizations who are purchasers of
                       diseases across Arkansas                              coverage and insurance companies or other
                                                                             payers to ensure coverage for obesity

                                               Early Childhood and Schools
                           Collaborate with parents and communities to create a unified environment that promotes
                                                       healthy eating and physical activity
ArCOP Workgroups (cont.)

      • Policy Development
      • Social Marketing
      • Evaluation
      • Executive Team
Worksite Wellness Work Plan

       Goal: Increase the percentage of Arkansans of all
       ages who have access to healthy and affordable
       food and who engage in regular physical activity.

       Strategy: Improve worksite health environments.
Worksite Wellness Work Plan

       Objectives:
       • Establish an electronic clearinghouse for model
         worksite wellness programs and resources.
       • Double the size of the Arkansas worksite
         stakeholder group.
       • Hold 5 regional worksite health summits.
       • Create healthy worksite award.
       • Encourage development of policy/system
         change to support healthy worksite
         environments.
Regional Summits


     • Five Regional Summits+ one
     • Marketing
     • Partner involvement
     • Lessons learned
     • Evaluation results
ArCOP – Growing Healthy Communities
Resources

     • AHELP New web site for State of Arkansas
       workforce
       http://ahelp.arkansas.gov
     • Sister web site for state employees, businesses
       and departments at worksites interested in
       establishing or enriching the programs for the
       health of the workforce. Partnership participation
       in setting up resources ArCOP.
       http://worksitewellness.arkansas.gov
Arkansas Healthy Employee Lifestyle Program
(AHELP)
        Comprehensive worksite wellness program
        Web-tracking behavioral intervention (points
        assigned)
           Cardiovascular, aerobic physical activity
           Fruits and veggies
           No tobacco
        Act 724 of 2005 granted up to three days off
        with satisfactory participation per calendar year
        UNC Centers for Excellence features AHELP
        as an “Emerging Intervention for Obesity
        Prevention http://www.center-trt.org
HRA Response Rates Across 5 Years




                                *ASE only
Average Annual Total* Costs Linked to Any Tobacco Use
compared with Non-tobacco Use by Age Group


                                                                                                                                   $1,863




                                                                                                                          $8,261
                                                                                                                                    (29%)
           $9,000
           $8,000




                                                                                                                 $6,398
                               Non-tobacco user




                                                                                                        $5,615
           $7,000              Tobacco user




                                                                                               $4,522
           $6,000




                                                                                      $3,936
                                                                             $3,598
           $5,000




                                                                    $3,078
                                                           $2,738
           $4,000                        $2,394
                                                  $2,291
                               $1,630
                    $1,625




           $3,000
           $2,000
           $1,000
              $0
                    18 - 24             25 - 34            35 - 44           45 - 54           55 - 64           65 - 74
                             *Includes medical (inpatient and outpatient) and pharmacy costs for state employees.
Average Annual Total* Costs Linked to 5+ days/wk of
  physical activity compared with No weekly activity by Age
  Group




                                                                                                                                           $12,789
                                                                                                                                                     $5,546
                                                                                                                                                      (77%)




                                                                                                                        $11,447
                       $14,000
                                       5+days/wk of physical activity
                       $12,000         No weekly physical activity

                       $10,000




                                                                                                                                  $7,243
                                                                                                      $6,838
                         $8,000




                                                                                                               $4,389
                                                                                    $4,106

                                                                                             $3,336
                         $6,000
                                                                  $3,127

                                                                           $2,631
                                                         $2,045
                                       $1,578




                         $4,000
                                                $1,086




                         $2,000

                              $0
                                     18 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74

*Includes medical (inpatient and outpatient) and pharmacy costs for state employees.
Average Annual Total* Costs Linked to Normal Body Mass
  Index compared to Obese BMI by Age Groups




                                                                                                                                      $8,143
                     $9,000                                                                                                                $2,172
                                            Normal Weight BMI                                                                               (36%)
                     $8,000
                                            Obese BMI




                                                                                                                             $5,971
                                                                                                                    $5,685
                     $7,000




                                                                                                           $4,762
                                                                                                  $4,450
                     $6,000




                                                                                $3,470
                     $5,000




                                                                                         $3,200
                                                              $2,522

                                                                       $2,504
                     $4,000                          $2,302
                                   $1,622
                                            $1,605




                     $3,000
                     $2,000
                     $1,000
                           $0
                                  18 - 24            25 - 34           35 - 44           45 - 54           55 - 64           65 - 74

*Includes medical (inpatient and outpatient) and pharmacy costs for state employees.
ROI of Worksite Wellness Programs in
Economically Challenging Times
                        Top 5 Strategies
       1.Tap into your insurance plan‟s willingness to pay
       for wellness.
       2.Create a benefit design so wellness can be cost
       neutral.
       3.Implement worksite policies & environmental
       changes that support healthy living.
       4.Use the right wellness messages to enhance
       engagement & increase participation.
       5.Make use of your free community resources.
                                         WELCOA-2009
Small Business Interventions

         10 Essential Things That Small Business
         Leaders Can Do To Promote Better Health
      1.Issue letter of support to employees
      2.Designate a company wellness leader
      3.Conduct employee health interest survey
      4.Provide Health Screenings/Health Risk Assessments
      opportunities
      5.Physical activity campaign


                                           WELCOA-2009
Small Business Interventions (cont‟d)

          10 Essential Things That Small Business
           Leaders Can Do To Promote Better Health
      6. Hold Lunch „n Learns
      7. Establish an in-house library or electronic resource
         center
      8. Disseminate a quarterly newsletter
      9. Implement health promoting policies
      10. Promote community health efforts
        Small businesses: Steps toward increasing the health &
             well-being of their most valuable asset………..
                  Their employees and their families
The Power of Prevention

           Epidemic of Unparalleled Proportions
      ________substantiated by hard facts
      • More than 1.7 million Americans die of a
      chronic disease each year
                     Five chronic diseases
        •Heart Disease
        •Cancer
        •Stroke
        •Chronic Lung Disease
        •Diabetes                    CDC-Chronic Disease
Reasons for Prevention


      Cancer- $171.6 billion, of this amount, $60.9 billion
              was due to direct medical costs and
                $39.8 billion to lost productivity
      Obesity- estimated $117 billion, of this amount,
        $61 billion due to direct medical costs and
                 $56 billion to lost productivity
      CV Disease and Stroke- $351.8 billion , of this
        amount, $209.3 billion due to direct medical
        costs and $142.5 billion to lost productivity
                                                        CDC
Prevention


         Chronic disease risk factors also place huge
          economic demands on our nation and state

                     Lost Productivity:
                 Smoking-more than $80 billion
       Poor Nutrition- $ 9 billion related to heart disease,
                   cancer, stroke, and diabetes


      What did it cost your business?
                                                 CDC
Prevention

       Three modifiable health-damaging
                    behaviors
                  Tobacco Use
             Lack of Physical Activity
               Poor Eating Habits
        33% of all U.S. deaths can be
         attributed to these behaviors
ArCOP – Worksite Wellness

      • Strategy
        – Improve worksite health environments
      • Objectives
        – Establish an electronic clearinghouse for
          model worksite wellness programs and
          resources (12/31/09)
        – Double the size of the Arkansas
          worksite/employer stakeholder group from
          10 to 20 members (6/30/2010)
        – Hold 5 regional worksite health summits
          (6/30/2010)
        – Create healthy worksite award (12/31/2010)
        – IN PROCESS/ONGOING Encourage
          development of policy/system change to
Healthy Workforce
The workplace is an ideal environment for cultivating a
  healthy life style


    45% of a persons waking hours are spent in the
      workplace
    82% of the U.S. population is linked in someway to a
      worksite


    Worksites can be environments that promote health or
     that create barriers to health



           Healthy Workforce 2010, Partners
                 for Prevention (2001)
Arkansas Worksite Wellness
   Healthy Arkansas Initiative 2004


   Arkansas Department of Health and Arkansas
     Department of Human Services pilot intervention
     Healthy Employee Lifestyle Program (HELP)
Arkansas Workforce Wellness
   Representative Linda Chesterfield sponsored
     Act 724 of 2005 giving an incentive for healthy
     behaviors and actions for State of Arkansas
     employees
     - Up to 3 days leave for satisfactory participation in the
     AHELP web tracking program of physical activity, fruits
     and vegetables, and no tobacco use.
     - In addition, annual HRA and age-appropriate screenings
     give points in the system.

   Arkansas Healthy Employee Lifestyle Program
     (AHELP) Roll-Out to all state agencies, boards,
     and commissions
               Arkansas Law, Act 724 of 2005
Arkansas WorkforceWellness
 Arkansas Worksite Wellness
   • AHELP goals:
     • Reduce the number of employees who use tobacco
     • Improve the nutritional choices available to employees
     • Increase the number of employees getting age-
       appropriate health screenings
     • Increase the number of employees who participate in
       physical activity
     • Increase the number of employees who are at healthy
       weight
Arkansas WorkforceWellness
 Arkansas Worksite Wellness
   • Based on Health Risk Assessments (HRAs) completed
     between February 2005 and March 2006*:
        • Cholesterol - 12% increase in percent of participating
          employees in the lowest risk category
        • Physical Activity/Exercise - 12% decrease in percent of
          participating employees in the “high risk” or “borderline risk”
          category
        • Nutrition - 26% increase in percent of participating employees
          in the lowest risk group




    * Arkansas Department of Health and Human Services
Arkansas WorkforceWellness
 Arkansas Worksite Wellness
   • As of June 2008, there were 2427 registered
     participants in AHELP
   • Since AHELP‟s inception in April 2005:
      • 648 participants have earned and redeemed the
        incentive of 1-hour off in time from work
      • 39 participants earned 1-day leave
      • 40 participants earned 2-days leave
      • 108 additional participants earned 3-days leave
      • 6 available passes for 2-days at an Arkansas
        State Parks Lodge earned

   • In 2006 alone, over 440 other prizes redeemed
Arkansas Workforce Wellness
   Resources will be available soon on the New
    Website for Lifestage Health Branch
   Adults in Worksites:




               www.AHELP.arkansas.gov

               Contact: Helen Weir, Administrator
               Helen.Weir@arkansas.gov
Arkansas Tools for a
  Healthy Workforce
Arkansas Department of Health with their multiple
  partnerships and collaborations
Other state partnerships through the guidance of
  Center for Disease Control and Prevention
  (CDC)
Proven strategies, promising strategies and expert
  opinion strategies
Tools
CDC Evidence-Based Focus Areas:
  Increase fruit & vegetable consumption
  Decrease sweetened beverage consumption
  Decrease food portion size (portion control)
  Increase physical activity
  Increase Breastfeeding
    Increase smoking cessation in adults
  Increase the proportion of worksites with formal No-
    Smoking policies




        Healthy Workforce 2010; Partners
              for Prevention (2001)
Healthy Habits
Nutrition
Eat for Color: Green, Orange/yellow, Red,
  Blue/purple, and White
   Eat 5 to 9 servings of fruits and vegetables every
     day
   May lower your risk of certain cancers, heart
    disease, and stroke.
   Helps manage your weight




                www.5Aday.gov
Healthy Habits for Arkansas
  Physical Activity
    Adults:
       Moderate PA for at least 30 minutes on 5 or
    more days of the week or
       Vigorous PA 3 or more days per week for 20
    minutes or more each time
         New Guidelines 2008




              cdc.gov/nccdphp/dnpa/physical
Physical Activity
Why is PA important?
Reduces your risk of:
   Heart disease and stroke, cancer, diabetes and high
     blood pressure
   Helps control weight
   Keeps bones, muscles and joints healthy
   Reduces falls in older adults
   reduces symptoms of anxiety & depression




                cdc.gov/dnpa
Healthy Habits
Tobacco:
Don‟t Smoke, Chew, or Dip
There is no safe tobacco.
      • If you use tobacco QUIT
      • If you don‟t….. don‟t start

                QUIT NOW !
                Call it quits
                1-866-NOW-QUIT




           Arkansas Department of Health
                    SOS Facts
Tobacco
Arkansas Statewide Tobacco Programs and
  Services (AR Stops)
SOS Quitline
SOS Works- Fax-back Referral Program
Arkansas Tobacco Cessation Network
Resources
Heart-Healthy and Stroke-Free Worksites
   Successful Business Strategies to Prevent Heart
     Disease and Stroke
   Reducing the Risk of Heart Disease and Stroke: A
     six-step Guide for Employers
   Arkansas Department of Health-
      • Heart and Stroke Prevention Program
      • Diabetes Program




              www.cdc.gov/CVH
Arkansas Department of Health
         Lifestage Health Branch &
Heart Disease and Stroke Prevention Section
            Adults in Worksites
           Helen Weir, RN, BSN
         helen.weir@arkansas.gov
Magnolia

     + Community response is increasing
     + Increase in individuals attending GHC Coalition
       meetings
     + Mayor and representatives for the Chamber of
       Commerce are participating
     − GHC is a BIG project
     − Keeping people engaged and enthusiastic
      Suggestion: Look beyond traditional partners -
       youth groups and organizations, faith-based
       groups mission programs, 4-H programs, Future
       Farmers, etc.
Batesville

       + Water bottles are now included in park vending
         machines
       + White River Community Garden has been
         established and individuals are decorating plots
         + All plots were rented shortly after grand opening

       + Mayor was asked to participate in the national
         2010 Obesity Conference (ATL)
       − Keeping people involved and showing up for
         events
       Suggestions: Look beyond traditional partners.
         Share in tasks.
Little Rock – Arkansas Baptist College

       + Menu policy has been developed for use in the
         Arkansas Baptist College (ABC) cafeteria to offer
         healthier options
       + A Fresh Market is scheduled to open in July
       + Partnering with AR Children‟s Hospital to
         implement a community garden
          + Hired a full-time gardener

       − Getting community Health Advisory Board
         recruited and engaged. They have already
         enlisted some community members to serve on
         the board.
Harrison

      + City sponsored a community garden plot of land
        centrally located
           + Public declaration by Mayor
           + City will provide water to the site
           + Storage building was purchased to store our
             tillers, gardening materials, etc.

      + Community champion identified
      − Slow everyone down enough to establish and
        adopt policies and procedures that will help
        sustain the concept
      − Find a long-term entity to take “ownership”

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State of Wellness: Arkansas

  • 1. Worksite Wellness in Arkansas Presented by Helen Weir (ADH) & Rhonda Hill (ACHI) October 21, 2010
  • 2. Economic Burden of Chronic Disease • U.S. spends $2.2 trillion on health care annually • .75 cents of every dollar is spent on managing chronic conditions • One-third of the cost alone is due to obesity
  • 3. Economic Burden of Chronic Disease Reported Cases in Arkansas, (projected 2009 and as % of population) Cancers (all): 149,896 5.2% Diabetes: 146,964 5.1% Heart Disease: 249,276 8.7% Hypertension: 470,771 16.5% Stroke: 33,491 1.2% Emotional Disturbances: 305,331 10.7% Pulmonary Conditions: 542,322 19.0%
  • 4. Economic Burden of Chronic Disease Economic impact in Arkansas, projected 2009 (Annual Cost in Billions) Treatment Expenditures: $3.65 Lost Productivity: $17.2 Total Costs: $20.85
  • 6. Collaboration & Partnership Arkansas Department of Health Arkansas Center for Health Improvement Arkansas Coalition for Obesity Prevention (ArCOP)
  • 7. Arkansas Coalition for Obesity Prevention • Grassroots, statewide collaboration that stemmed from 2007 Southern Regional Obesity Summit • Identified that we were all working toward the same goal – yet separately • Pooled resources, work plans, and overarching goals and objectives • 200 + members with over 75 partnering entities
  • 8. ArCOP Mission: to improve the health of all Arkansas communities by increasing physical activity and healthy eating to reduce and prevent obesity. Vision: all Arkansans value and practice healthy lifestyles through created and supported opportunities of increasing physical activity and healthy eating. Goal: Increase the percentage of Arkansans of all ages who have access to healthy and affordable food and who engage in regular physical activity.
  • 9. Coalition Partners American Cancer Society Community Health Centers of Arkansas American Heart Association Daughters of Charity Services of Arkansas - SE AR Arkansas Academy of Pediatrics Delta AHEC Arkansas Advocates for Children and Family Delta OPRU, ARS, USDA Arkansas Blue Cross and Blue Shield Evangelistic Ministries Arkansas Center for Health Improvement Frueauff Foundation Arkansas Children‟s Hospital Heifer International Arkansas Community Foundation Hendrix University Arkansas Coordinated School Health JB Hunt Transport Services Arkansas Department of Education Kutak Rock Firm Arkansas Department of Health LifeSynch Arkansas Department of Human Services Metroplan Arkansas Foundation for Medical Care Midwest Dairy Council Arkansas Governor's Office North Arkansas Partnership for Health Education Arkansas Head Start State Collaboration Office North Little Rock First United Methodist Church Arkansas Head Start TA Network PE4Life Academy (Rogers, AR) Arkansas Hunger Alliance Pfizer Arkansas Injury Prevention Center, Phoenix Youth and Family Services Arkansas Minority Health Commission Pulaski Technical College Arkansas Parks and Tourism Results Fitness 24/7 Arkansas State Highway and Robert Wood Johnson Foundation, Center to Prevent Transportation Department Childhood Obesity Arkansas State & Public School Safe Routes to School Program Employee Life & Health Insurance Plan St. Francis House Community Clinic (Northwest AR) Arkansas State University United States Department of Agriculture, ARS Baptist Health University of Arkansas Division of Agriculture Blue & You Foundation for a Healthier Arkansas University of Arkansas at Little Rock Central Arkansas Transit Authority University of Arkansas for Medical Sciences Clinton School of Public Service University of Arkansas at Pine Bluff ComMetrics Inc.
  • 10. Examples of Non-Traditional Partners • Metroplan • CATA • JB Hunt Transportation Services • NLR First United Methodist Church • Evangelistic Ministries • US Department of Agriculture • AR Hwy and Transportation • AR Parks and Tourism • AR Game and Fish • AARP
  • 11. ArCOP Workgroups Access to Healthy Foods Built Environment  Determine existing needs statewide and among  Collaborate with city and town planners to various sub-populations regarding access to promote physical activity by developing healthy foods pedestrian and bicycle friendly neighborhoods  Identify existing programs that support access to that offer convenient, pleasant, and safe non- healthy foods and determine additional motorized links between residences, schools, programming and service needs shopping, and recreational facilities WORKGROUPS  Identify programmatic barriers and determine  Encourage active lifestyles by incorporating well strategies and resources needed for designed, mixed-use development that permits successful implementation high quality of life with reduced need for vehicles to conduct daily activities Worksite Wellness Health Care  Empower employers to combat obesity in the  Engage with providers and insurers to improve workplace quality of life and reduce total long-term costs  Collaborate with local, state, and national of health care due to obesity and related resources to identify best practices for chronic disease workplace obesity intervention programs in an  Collaborate with health care providers, employers effort to decrease obesity and other chronic and other organizations who are purchasers of diseases across Arkansas coverage and insurance companies or other payers to ensure coverage for obesity Early Childhood and Schools  Collaborate with parents and communities to create a unified environment that promotes healthy eating and physical activity
  • 12. ArCOP Workgroups (cont.) • Policy Development • Social Marketing • Evaluation • Executive Team
  • 13. Worksite Wellness Work Plan Goal: Increase the percentage of Arkansans of all ages who have access to healthy and affordable food and who engage in regular physical activity. Strategy: Improve worksite health environments.
  • 14. Worksite Wellness Work Plan Objectives: • Establish an electronic clearinghouse for model worksite wellness programs and resources. • Double the size of the Arkansas worksite stakeholder group. • Hold 5 regional worksite health summits. • Create healthy worksite award. • Encourage development of policy/system change to support healthy worksite environments.
  • 15. Regional Summits • Five Regional Summits+ one • Marketing • Partner involvement • Lessons learned • Evaluation results
  • 16. ArCOP – Growing Healthy Communities
  • 17. Resources • AHELP New web site for State of Arkansas workforce http://ahelp.arkansas.gov • Sister web site for state employees, businesses and departments at worksites interested in establishing or enriching the programs for the health of the workforce. Partnership participation in setting up resources ArCOP. http://worksitewellness.arkansas.gov
  • 18. Arkansas Healthy Employee Lifestyle Program (AHELP) Comprehensive worksite wellness program Web-tracking behavioral intervention (points assigned) Cardiovascular, aerobic physical activity Fruits and veggies No tobacco Act 724 of 2005 granted up to three days off with satisfactory participation per calendar year UNC Centers for Excellence features AHELP as an “Emerging Intervention for Obesity Prevention http://www.center-trt.org
  • 19. HRA Response Rates Across 5 Years *ASE only
  • 20. Average Annual Total* Costs Linked to Any Tobacco Use compared with Non-tobacco Use by Age Group $1,863 $8,261 (29%) $9,000 $8,000 $6,398 Non-tobacco user $5,615 $7,000 Tobacco user $4,522 $6,000 $3,936 $3,598 $5,000 $3,078 $2,738 $4,000 $2,394 $2,291 $1,630 $1,625 $3,000 $2,000 $1,000 $0 18 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 *Includes medical (inpatient and outpatient) and pharmacy costs for state employees.
  • 21. Average Annual Total* Costs Linked to 5+ days/wk of physical activity compared with No weekly activity by Age Group $12,789 $5,546 (77%) $11,447 $14,000 5+days/wk of physical activity $12,000 No weekly physical activity $10,000 $7,243 $6,838 $8,000 $4,389 $4,106 $3,336 $6,000 $3,127 $2,631 $2,045 $1,578 $4,000 $1,086 $2,000 $0 18 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 *Includes medical (inpatient and outpatient) and pharmacy costs for state employees.
  • 22. Average Annual Total* Costs Linked to Normal Body Mass Index compared to Obese BMI by Age Groups $8,143 $9,000 $2,172 Normal Weight BMI (36%) $8,000 Obese BMI $5,971 $5,685 $7,000 $4,762 $4,450 $6,000 $3,470 $5,000 $3,200 $2,522 $2,504 $4,000 $2,302 $1,622 $1,605 $3,000 $2,000 $1,000 $0 18 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 *Includes medical (inpatient and outpatient) and pharmacy costs for state employees.
  • 23. ROI of Worksite Wellness Programs in Economically Challenging Times Top 5 Strategies 1.Tap into your insurance plan‟s willingness to pay for wellness. 2.Create a benefit design so wellness can be cost neutral. 3.Implement worksite policies & environmental changes that support healthy living. 4.Use the right wellness messages to enhance engagement & increase participation. 5.Make use of your free community resources. WELCOA-2009
  • 24. Small Business Interventions 10 Essential Things That Small Business Leaders Can Do To Promote Better Health 1.Issue letter of support to employees 2.Designate a company wellness leader 3.Conduct employee health interest survey 4.Provide Health Screenings/Health Risk Assessments opportunities 5.Physical activity campaign WELCOA-2009
  • 25. Small Business Interventions (cont‟d) 10 Essential Things That Small Business Leaders Can Do To Promote Better Health 6. Hold Lunch „n Learns 7. Establish an in-house library or electronic resource center 8. Disseminate a quarterly newsletter 9. Implement health promoting policies 10. Promote community health efforts Small businesses: Steps toward increasing the health & well-being of their most valuable asset……….. Their employees and their families
  • 26. The Power of Prevention Epidemic of Unparalleled Proportions ________substantiated by hard facts • More than 1.7 million Americans die of a chronic disease each year Five chronic diseases •Heart Disease •Cancer •Stroke •Chronic Lung Disease •Diabetes CDC-Chronic Disease
  • 27. Reasons for Prevention Cancer- $171.6 billion, of this amount, $60.9 billion was due to direct medical costs and $39.8 billion to lost productivity Obesity- estimated $117 billion, of this amount, $61 billion due to direct medical costs and $56 billion to lost productivity CV Disease and Stroke- $351.8 billion , of this amount, $209.3 billion due to direct medical costs and $142.5 billion to lost productivity CDC
  • 28. Prevention Chronic disease risk factors also place huge economic demands on our nation and state Lost Productivity: Smoking-more than $80 billion Poor Nutrition- $ 9 billion related to heart disease, cancer, stroke, and diabetes What did it cost your business? CDC
  • 29. Prevention Three modifiable health-damaging behaviors Tobacco Use Lack of Physical Activity Poor Eating Habits 33% of all U.S. deaths can be attributed to these behaviors
  • 30. ArCOP – Worksite Wellness • Strategy – Improve worksite health environments • Objectives – Establish an electronic clearinghouse for model worksite wellness programs and resources (12/31/09) – Double the size of the Arkansas worksite/employer stakeholder group from 10 to 20 members (6/30/2010) – Hold 5 regional worksite health summits (6/30/2010) – Create healthy worksite award (12/31/2010) – IN PROCESS/ONGOING Encourage development of policy/system change to
  • 31. Healthy Workforce The workplace is an ideal environment for cultivating a healthy life style 45% of a persons waking hours are spent in the workplace 82% of the U.S. population is linked in someway to a worksite Worksites can be environments that promote health or that create barriers to health Healthy Workforce 2010, Partners for Prevention (2001)
  • 32. Arkansas Worksite Wellness Healthy Arkansas Initiative 2004 Arkansas Department of Health and Arkansas Department of Human Services pilot intervention Healthy Employee Lifestyle Program (HELP)
  • 33. Arkansas Workforce Wellness Representative Linda Chesterfield sponsored Act 724 of 2005 giving an incentive for healthy behaviors and actions for State of Arkansas employees - Up to 3 days leave for satisfactory participation in the AHELP web tracking program of physical activity, fruits and vegetables, and no tobacco use. - In addition, annual HRA and age-appropriate screenings give points in the system. Arkansas Healthy Employee Lifestyle Program (AHELP) Roll-Out to all state agencies, boards, and commissions Arkansas Law, Act 724 of 2005
  • 34. Arkansas WorkforceWellness Arkansas Worksite Wellness • AHELP goals: • Reduce the number of employees who use tobacco • Improve the nutritional choices available to employees • Increase the number of employees getting age- appropriate health screenings • Increase the number of employees who participate in physical activity • Increase the number of employees who are at healthy weight
  • 35. Arkansas WorkforceWellness Arkansas Worksite Wellness • Based on Health Risk Assessments (HRAs) completed between February 2005 and March 2006*: • Cholesterol - 12% increase in percent of participating employees in the lowest risk category • Physical Activity/Exercise - 12% decrease in percent of participating employees in the “high risk” or “borderline risk” category • Nutrition - 26% increase in percent of participating employees in the lowest risk group * Arkansas Department of Health and Human Services
  • 36. Arkansas WorkforceWellness Arkansas Worksite Wellness • As of June 2008, there were 2427 registered participants in AHELP • Since AHELP‟s inception in April 2005: • 648 participants have earned and redeemed the incentive of 1-hour off in time from work • 39 participants earned 1-day leave • 40 participants earned 2-days leave • 108 additional participants earned 3-days leave • 6 available passes for 2-days at an Arkansas State Parks Lodge earned • In 2006 alone, over 440 other prizes redeemed
  • 37. Arkansas Workforce Wellness Resources will be available soon on the New Website for Lifestage Health Branch Adults in Worksites: www.AHELP.arkansas.gov Contact: Helen Weir, Administrator Helen.Weir@arkansas.gov
  • 38. Arkansas Tools for a Healthy Workforce Arkansas Department of Health with their multiple partnerships and collaborations Other state partnerships through the guidance of Center for Disease Control and Prevention (CDC) Proven strategies, promising strategies and expert opinion strategies
  • 39. Tools CDC Evidence-Based Focus Areas: Increase fruit & vegetable consumption Decrease sweetened beverage consumption Decrease food portion size (portion control) Increase physical activity Increase Breastfeeding Increase smoking cessation in adults Increase the proportion of worksites with formal No- Smoking policies Healthy Workforce 2010; Partners for Prevention (2001)
  • 40. Healthy Habits Nutrition Eat for Color: Green, Orange/yellow, Red, Blue/purple, and White Eat 5 to 9 servings of fruits and vegetables every day May lower your risk of certain cancers, heart disease, and stroke. Helps manage your weight www.5Aday.gov
  • 41. Healthy Habits for Arkansas Physical Activity Adults: Moderate PA for at least 30 minutes on 5 or more days of the week or Vigorous PA 3 or more days per week for 20 minutes or more each time New Guidelines 2008 cdc.gov/nccdphp/dnpa/physical
  • 42. Physical Activity Why is PA important? Reduces your risk of: Heart disease and stroke, cancer, diabetes and high blood pressure Helps control weight Keeps bones, muscles and joints healthy Reduces falls in older adults reduces symptoms of anxiety & depression cdc.gov/dnpa
  • 43. Healthy Habits Tobacco: Don‟t Smoke, Chew, or Dip There is no safe tobacco. • If you use tobacco QUIT • If you don‟t….. don‟t start QUIT NOW ! Call it quits 1-866-NOW-QUIT Arkansas Department of Health SOS Facts
  • 44. Tobacco Arkansas Statewide Tobacco Programs and Services (AR Stops) SOS Quitline SOS Works- Fax-back Referral Program Arkansas Tobacco Cessation Network
  • 45. Resources Heart-Healthy and Stroke-Free Worksites Successful Business Strategies to Prevent Heart Disease and Stroke Reducing the Risk of Heart Disease and Stroke: A six-step Guide for Employers Arkansas Department of Health- • Heart and Stroke Prevention Program • Diabetes Program www.cdc.gov/CVH
  • 46. Arkansas Department of Health Lifestage Health Branch & Heart Disease and Stroke Prevention Section Adults in Worksites Helen Weir, RN, BSN helen.weir@arkansas.gov
  • 47. Magnolia + Community response is increasing + Increase in individuals attending GHC Coalition meetings + Mayor and representatives for the Chamber of Commerce are participating − GHC is a BIG project − Keeping people engaged and enthusiastic Suggestion: Look beyond traditional partners - youth groups and organizations, faith-based groups mission programs, 4-H programs, Future Farmers, etc.
  • 48. Batesville + Water bottles are now included in park vending machines + White River Community Garden has been established and individuals are decorating plots + All plots were rented shortly after grand opening + Mayor was asked to participate in the national 2010 Obesity Conference (ATL) − Keeping people involved and showing up for events Suggestions: Look beyond traditional partners. Share in tasks.
  • 49. Little Rock – Arkansas Baptist College + Menu policy has been developed for use in the Arkansas Baptist College (ABC) cafeteria to offer healthier options + A Fresh Market is scheduled to open in July + Partnering with AR Children‟s Hospital to implement a community garden + Hired a full-time gardener − Getting community Health Advisory Board recruited and engaged. They have already enlisted some community members to serve on the board.
  • 50. Harrison + City sponsored a community garden plot of land centrally located + Public declaration by Mayor + City will provide water to the site + Storage building was purchased to store our tillers, gardening materials, etc. + Community champion identified − Slow everyone down enough to establish and adopt policies and procedures that will help sustain the concept − Find a long-term entity to take “ownership”