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A Healthier Mass Initiative




A HealthyMass Initiative
Welcome &
  Introductions




A HealthyMass Initiative   2
Agenda
•  Mass in Motion

•  Working on Wellness Initiative

•  Question & Answer




                    A HealthyMass Initiative   3
Mass in Motion




A HealthyMass Initiative   4
Mass in Motion

A statewide obesity prevention and Wellness
   Initiative designed to
•  decrease the number and percentage of
   both adults and children who are overweight and
   Obese in Massachusetts
                          and

•  decrease the prevalence of chronic disease
   associated with a specific focus on addressing
   unhealthy eating and lack of physical activity
                   A HealthyMass Initiative
Mass in Motion Objectives

•  Make the promotion of wellness and the
   prevention of overweight and obesity a top public
   health priority

•  Create conditions that encourage, nurture, and
   promote wellness




                    A HealthyMass Initiative
Mass in Mo(on 
•  Call to Action
•  Burden documents
•  Statewide Regulations
    –  Calorie Posting
    –  BMI in Schools
    –  60 minutes of PA in childcare sites
•  Executive Order 509: Healthy Food
   Procurement
•  Supporting legislation
•  Statewide Communications Campaign
•  Social Media Outlets
•  Expansion of Worksite Wellness Initiative
•  Municipal Wellness & Leadership Grants

                        A HealthyMass Initiative
Working on Wellness
     Initiative

A wellness initiative for employers




      A HealthyMass Initiative    8
Why Focus on Employers?
•  The impact of worksite wellness programs on adults and their
   families can be significant considering 66% of adults, or
   3,122,010 people, are in the Massachusetts workforce.

•  Currently about 7.34 % of the Massachusetts workforce is 65
   years or older. The rising cost of healthcare coupled with an
   aging workforce places an additional burden on the employer
   community.

•  The number of overweight teens is increasing and ultimately this
   population will enter the workforce with chronic conditions. The
   combination of obesity, type 2 diabetes, heart disease, and
   stroke places a burden of ill health and lost productivity on
   employers.
                         A HealthyMass Initiative                  9
Mission & Vision

•         Vision: All worksites in Massachusetts
     will provide social, cultural and physical
     environments that support optimum employee
     health and well-being

•        Mission: To promote worksite wellness
     through information, training, regulation and
     technical assistance

                     A HealthyMass Initiative        10
Goals
•  Short-term
    –  Build an infrastructure that is sustainable and expandable
    –  Initiate a program that begins to make our employees, their
       families and their communities healthier
•  Intermediate
    –  Promote healthier worksites – positive investments for
       employees/employers
    –  Consistent, positive and measurable impact on HR issues
       such as absenteeism, productivity, recruitment, retention
•  Long-term
    –  Improve the overall health status of our employees
    –  Establish healthier communities, health systems,
       improvement population health (employers, communities)
    –  Reduce costs

                         A HealthyMass Initiative                    11
DPH Assistance
DPH will work with selected sites to:
•  Obtain a mandate from leadership for worksite wellness
•  Designate a Wellness Champion and convene a wellness team
   representing all levels of the organization;
•  Conduct a baseline assessment
•  Plan wellness program (review data, participate in training,
   select interventions)
•  Implement components of wellness program
•  Re-assess status of employees, environment, impact (6 months,
   12 months)




                        A HealthyMass Initiative
DPH Role
•    Provide leadership and oversight
•    Provide technical assistance and training to sites
•    Provide conference calls with faculty experts to participating
     sites
•    Promote participation in the Working on Wellness model
•    Conduct assessment data (baseline, 6, 12 months)
•    Identify program sustainability and expansion opportunities
•    Promote the process and outcomes of the initiative
•    Program to local, state and national forums and the media




                         A HealthyMass Initiative                 13
Program Development Cycle
                      Obtain Mandate for
                      Wellness Initiative

       Implement                                  Compose
         Plan                                   Wellness Team




                                                      Research &
       Plan                                           Discovery/
     Approval                                       Identify Needs




                   Plan               Formulate
                Development             Goals

                     A HealthyMass Initiative
Expected Outcomes

Ideally, employers participating in the initiative
will achieve successful results in one or more of
the following areas at the end of one year:
•  Changes in policy, systems or physical
     environment
•  Changes in employee behaviors and/or
     satisfaction with wellness program
•  Other long-term measures for success
     (costs, absenteeism, etc.)
                  A HealthyMass Initiative       15
Training Program
•    Program initiation (complete steps 1-3)
•    Training Workshop (complete steps 4-6)
•    6 Month Outcomes meeting (review steps
     1-7)
•    Monthly teleconferences (content, shared
     learning)
•    Final Outcomes meeting (results, plan for
     sustainability, ongoing communication and
     technical assistance)
                  A HealthyMass Initiative       16
Employer Groups

•  Phase I: Began in June 2008



•  Phase II: Began in January 2009



•  Phase III: Began in March 2010


                 A HealthyMass Initiative   17
Participating Employer Groups

•  28 Employers (~30,000 employees)
    –  9 State agencies
    –  2 Public businesses
    –  14 Private businesses
    –  3 Municipality partnerships

•  * 2 employers did drop out of the initiative during the
   year because of a corporate reorganization and
   downsizing due to reductions in budget and staff

                      A HealthyMass Initiative               18
Employee Population
Business Size   Working on                 Massachusetts
(number of      Wellness Sites             Worksites with
employees)                                 10 or more
                                           employees
11-24           0 (0%)                     29%
25-49           4 (14%)                    21%
50-99           3 (11%)                    7%
100-249         7 (25%)                    5%
250-499         5 (18%)                    1%
500-999         5 (18%)                    <1%
1000+           4 (14%)                    <1%
Unknown                                    37%

                A HealthyMass Initiative                    19
Massachusetts Health Risks
Risk Factor *                               Massachusetts
Obese                                       18%
Living with Asthma                          9%
High blood pressure                         24%
High cholesterol                            33%
Diabetes                                    6%
Smoking                                     19%
Physical inactivity                         45%
Low consumption of fruits and               71%
vegetables
• Adults 18 and older
• Source: MA BRFSS 2000-2006


                               A HealthyMass Initiative     20
Top Health Risks
            Identified by Employees
•    High Cholesterol
•    Overweight/Obesity
•    High Blood Pressure
•    Smoking
•    Mental Health




                   A HealthyMass Initiative   21
Top Interests Identified
                 by Employees
•    Weight loss/weight management
•    Physical activity/exercise classes
•    Stress management
•    Back care
•    Financial wellness
•    Health screenings



                     A HealthyMass Initiative   22
Examples of Implemented Policies

•  Written healthy vending machine policy
•  Healthy food for meetings and catered events policy
•  Incentives/rewards for healthy habits
•  Flexible work arrangements
•  Policy allowing staff to participate in wellness
   activities on work time
•  Stay home when sick policy
•  Incentives for participating in smoking cessation
   programs


                    A HealthyMass Initiative             23
Examples of Implemented
           Environmental Changes
•    Improvements to the stairs
•    On-site exercise classes
•    Healthy snacks in vending machines
•    On-site exercise facility
•    On-site smoking cessation classes
•    On-site walking paths with mile markers
•    Point of purchase nutrition information in the cafeteria, at
     company meetings, and in vending machine
•    Improved showers/locker room areas
•    On-site healthy food options
•    Free nicotine replacement therapy for staff
•    Implemented emergency response plan with AED s on each
     floor                   A HealthyMass Initiative               24
Programmatic Highlights
•  Monthly educational seminars and lunch and learn
   events
•  Running, walking and Walk and Wheel clubs
•  Monthly wellness newsletters
•  On-site massage therapy
•  On-site exercise programs (yoga, strength training,
   dance classes, Zumba, Qi Gong,)
•  Weight Watchers at Work® programs
•  Monthly blood pressure clinics
•  On-site smoking cessation classes
                     A HealthyMass Initiative            25
Programmatic Highlights Continued

•  On-site CPR/AED training and certification
•   Ask the Registered Dietitian Blog
•  Take the stairs campaign
•  On-site health screenings
•  Pedometer challenges, exercise competitions, and
   biggest loser competitions
•  Healthy pot luck events
•  Links to community resources that provide health
   services
•  Nutrition and exercise e-mails to all staff
                    A HealthyMass Initiative          26
Planned Next Steps




  A HealthyMass Initiative   27
Planned Next Steps

•  Phase IV - April 2011

•  Target employers from priority Mass in Motion
   municipal wellness and community grants

•  Begin to form workplace collaborative in
   priority communities


                  A HealthyMass Initiative    28
Questions



A HealthyMass Initiative   29
Contact Information

                     Lisa Erck
   Consultant- Working on Wellness Initiative
             Lisa.Erck@state.ma.us


               Maria Bettencourt
Wellness Director- Prevention & Wellness Division
         Maria.Bettencourt@state.ma.us


                  A HealthyMass Initiative      30
Thank you!




A HealthyMass Initiative

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Working on Wellness

  • 1. A Healthier Mass Initiative A HealthyMass Initiative
  • 2. Welcome & Introductions A HealthyMass Initiative 2
  • 3. Agenda •  Mass in Motion •  Working on Wellness Initiative •  Question & Answer A HealthyMass Initiative 3
  • 4. Mass in Motion A HealthyMass Initiative 4
  • 5. Mass in Motion A statewide obesity prevention and Wellness Initiative designed to •  decrease the number and percentage of both adults and children who are overweight and Obese in Massachusetts and •  decrease the prevalence of chronic disease associated with a specific focus on addressing unhealthy eating and lack of physical activity A HealthyMass Initiative
  • 6. Mass in Motion Objectives •  Make the promotion of wellness and the prevention of overweight and obesity a top public health priority •  Create conditions that encourage, nurture, and promote wellness A HealthyMass Initiative
  • 7. Mass in Mo(on  •  Call to Action •  Burden documents •  Statewide Regulations –  Calorie Posting –  BMI in Schools –  60 minutes of PA in childcare sites •  Executive Order 509: Healthy Food Procurement •  Supporting legislation •  Statewide Communications Campaign •  Social Media Outlets •  Expansion of Worksite Wellness Initiative •  Municipal Wellness & Leadership Grants A HealthyMass Initiative
  • 8. Working on Wellness Initiative A wellness initiative for employers A HealthyMass Initiative 8
  • 9. Why Focus on Employers? •  The impact of worksite wellness programs on adults and their families can be significant considering 66% of adults, or 3,122,010 people, are in the Massachusetts workforce. •  Currently about 7.34 % of the Massachusetts workforce is 65 years or older. The rising cost of healthcare coupled with an aging workforce places an additional burden on the employer community. •  The number of overweight teens is increasing and ultimately this population will enter the workforce with chronic conditions. The combination of obesity, type 2 diabetes, heart disease, and stroke places a burden of ill health and lost productivity on employers. A HealthyMass Initiative 9
  • 10. Mission & Vision •  Vision: All worksites in Massachusetts will provide social, cultural and physical environments that support optimum employee health and well-being •  Mission: To promote worksite wellness through information, training, regulation and technical assistance A HealthyMass Initiative 10
  • 11. Goals •  Short-term –  Build an infrastructure that is sustainable and expandable –  Initiate a program that begins to make our employees, their families and their communities healthier •  Intermediate –  Promote healthier worksites – positive investments for employees/employers –  Consistent, positive and measurable impact on HR issues such as absenteeism, productivity, recruitment, retention •  Long-term –  Improve the overall health status of our employees –  Establish healthier communities, health systems, improvement population health (employers, communities) –  Reduce costs A HealthyMass Initiative 11
  • 12. DPH Assistance DPH will work with selected sites to: •  Obtain a mandate from leadership for worksite wellness •  Designate a Wellness Champion and convene a wellness team representing all levels of the organization; •  Conduct a baseline assessment •  Plan wellness program (review data, participate in training, select interventions) •  Implement components of wellness program •  Re-assess status of employees, environment, impact (6 months, 12 months) A HealthyMass Initiative
  • 13. DPH Role •  Provide leadership and oversight •  Provide technical assistance and training to sites •  Provide conference calls with faculty experts to participating sites •  Promote participation in the Working on Wellness model •  Conduct assessment data (baseline, 6, 12 months) •  Identify program sustainability and expansion opportunities •  Promote the process and outcomes of the initiative •  Program to local, state and national forums and the media A HealthyMass Initiative 13
  • 14. Program Development Cycle Obtain Mandate for Wellness Initiative Implement Compose Plan Wellness Team Research & Plan Discovery/ Approval Identify Needs Plan Formulate Development Goals A HealthyMass Initiative
  • 15. Expected Outcomes Ideally, employers participating in the initiative will achieve successful results in one or more of the following areas at the end of one year: •  Changes in policy, systems or physical environment •  Changes in employee behaviors and/or satisfaction with wellness program •  Other long-term measures for success (costs, absenteeism, etc.) A HealthyMass Initiative 15
  • 16. Training Program •  Program initiation (complete steps 1-3) •  Training Workshop (complete steps 4-6) •  6 Month Outcomes meeting (review steps 1-7) •  Monthly teleconferences (content, shared learning) •  Final Outcomes meeting (results, plan for sustainability, ongoing communication and technical assistance) A HealthyMass Initiative 16
  • 17. Employer Groups •  Phase I: Began in June 2008 •  Phase II: Began in January 2009 •  Phase III: Began in March 2010 A HealthyMass Initiative 17
  • 18. Participating Employer Groups •  28 Employers (~30,000 employees) –  9 State agencies –  2 Public businesses –  14 Private businesses –  3 Municipality partnerships •  * 2 employers did drop out of the initiative during the year because of a corporate reorganization and downsizing due to reductions in budget and staff A HealthyMass Initiative 18
  • 19. Employee Population Business Size Working on Massachusetts (number of Wellness Sites Worksites with employees) 10 or more employees 11-24 0 (0%) 29% 25-49 4 (14%) 21% 50-99 3 (11%) 7% 100-249 7 (25%) 5% 250-499 5 (18%) 1% 500-999 5 (18%) <1% 1000+ 4 (14%) <1% Unknown 37% A HealthyMass Initiative 19
  • 20. Massachusetts Health Risks Risk Factor * Massachusetts Obese 18% Living with Asthma 9% High blood pressure 24% High cholesterol 33% Diabetes 6% Smoking 19% Physical inactivity 45% Low consumption of fruits and 71% vegetables • Adults 18 and older • Source: MA BRFSS 2000-2006 A HealthyMass Initiative 20
  • 21. Top Health Risks Identified by Employees •  High Cholesterol •  Overweight/Obesity •  High Blood Pressure •  Smoking •  Mental Health A HealthyMass Initiative 21
  • 22. Top Interests Identified by Employees •  Weight loss/weight management •  Physical activity/exercise classes •  Stress management •  Back care •  Financial wellness •  Health screenings A HealthyMass Initiative 22
  • 23. Examples of Implemented Policies •  Written healthy vending machine policy •  Healthy food for meetings and catered events policy •  Incentives/rewards for healthy habits •  Flexible work arrangements •  Policy allowing staff to participate in wellness activities on work time •  Stay home when sick policy •  Incentives for participating in smoking cessation programs A HealthyMass Initiative 23
  • 24. Examples of Implemented Environmental Changes •  Improvements to the stairs •  On-site exercise classes •  Healthy snacks in vending machines •  On-site exercise facility •  On-site smoking cessation classes •  On-site walking paths with mile markers •  Point of purchase nutrition information in the cafeteria, at company meetings, and in vending machine •  Improved showers/locker room areas •  On-site healthy food options •  Free nicotine replacement therapy for staff •  Implemented emergency response plan with AED s on each floor A HealthyMass Initiative 24
  • 25. Programmatic Highlights •  Monthly educational seminars and lunch and learn events •  Running, walking and Walk and Wheel clubs •  Monthly wellness newsletters •  On-site massage therapy •  On-site exercise programs (yoga, strength training, dance classes, Zumba, Qi Gong,) •  Weight Watchers at Work® programs •  Monthly blood pressure clinics •  On-site smoking cessation classes A HealthyMass Initiative 25
  • 26. Programmatic Highlights Continued •  On-site CPR/AED training and certification •  Ask the Registered Dietitian Blog •  Take the stairs campaign •  On-site health screenings •  Pedometer challenges, exercise competitions, and biggest loser competitions •  Healthy pot luck events •  Links to community resources that provide health services •  Nutrition and exercise e-mails to all staff A HealthyMass Initiative 26
  • 27. Planned Next Steps A HealthyMass Initiative 27
  • 28. Planned Next Steps •  Phase IV - April 2011 •  Target employers from priority Mass in Motion municipal wellness and community grants •  Begin to form workplace collaborative in priority communities A HealthyMass Initiative 28
  • 30. Contact Information Lisa Erck Consultant- Working on Wellness Initiative Lisa.Erck@state.ma.us Maria Bettencourt Wellness Director- Prevention & Wellness Division Maria.Bettencourt@state.ma.us A HealthyMass Initiative 30