1. The Fruits and Nuts of Workplace Wellness Efforts in Kansas WorkWellKS

2. The Working Parts of WorkWell KS
KLC
The Working Parts of WorkWell KS
Kansas Leadership Center
Blue Cross
Blue Shield of
Kansas
Blue Cross Blue Shield of Kansas
Kansas Health Foundation
Wichita Business Coalition on Health Care
University of Kansas School of Medicine-Wichita
Kansas Department of Health and Environment

3. So the healthy behavior is easy
Intent of Initiative
So the healthy behavior is easy

4. WorkWell KS Goal To create healthier worksites in Kansas
through worksite implementation of policies, systems, and environmental best practices to sustainably promote:
integration of worksite wellness into the worksite's infrastructure
physical activity
access to and consumption of healthy foods and beverages
tobacco prevention and cessation
well-being

5. The Problem(s)
WorkWellKS

6. 3 Four 80
3 Risk Factors (tobacco, poor nutrition, physical inactivity) Contribute to Four chronic diseases (heart disease, type 2 diabetes, lung disease, some cancers) Which, in turn, contribute to approximately 80% of all deaths in the United States
(KDHE, 2012; KFF, 2016)

7. Be Healthy!
Since all modifiable: Message is – live healthy lives!

9. Physical Inactivity
5.3 million deaths worldwide can be attributed to inactivity each year (Lee et al., 2012)
191,000 – 750,000 deaths in the United States attributed to inactivity annually (Danaei et al, 2009; Mokdad et al., 2004; Booth et al., 2000)

10. Physical Inactivity
5.3 million deaths worldwide can be attributed to inactivity each year (Lee et al., 2012)
191,000 – 750,000 deaths in the United States attributed to inactivity annually (Danaei et al, 2009; Mokdad et al., 2004; Booth et al., 2000)

11. Physical Inactivity Guidelines for Adults Performance
2 hours and 30 minutes /week of moderate-intensity aerobic physical activity (+ muscle strengthening 2 days/week)
1 hour and 15 minutes a week of vigorous-intensity aerobic physical activity (+ muscle strengthening 2 days/week)
(US Department of Health and Human Services, 2008)
Half of US adults report achieving the recommended amount of moderate physical activity (CDC, 2015)
26% of US adults report achieving the recommended amount of vigorous physical activity (American Council on Exercise, 2011)
Old– performance 48% and CDC 2008
Edit-performance 49.8% and CDC 2015
Accessed: August 25, 2016

12. Benefits of Physical Activity
Strong scientific evidence that physical activity lowers one’s risk of:
Early death
Heart disease
Stroke
Type 2 diabetes
High blood pressure
Colon and breast cancer
Metabolic syndrome
U.S. Department of Health and Human Services Physical Activity Guidelines for Americans. Accessed November 16, 2011. 12

13. Nutrition Adults in the United States need approximately:
2 cups of fruits
2-3 cups of vegetables
6-8 ounces of whole grains
5-6 ounces of lean proteins
3 cups of dairy

14. Intake Recommendations
Nutrition
Intake Recommendations
2 cups of fruits
2-3 cups of vegetables
Actual Consumption
86.9% do not meet fruit recommendations
91.1% do not meet vegetable intake recommendations
MMWR, 2015

15. Tobacco Tobacco use kills 6 million people each year (WHO, 2016)
Tobacco kills up to half of all users (CDC, 2015)
For each person who dies from smoking-related disease, there are 30 more who have at least one serious illness (CDC, 2015)
Tobacco causes cancer, heart disease, stroke, and lung diseases (CDC, 2015)
Old - Tobacco kills 5.4 million people per year WHO 2013
New - Tobacco kills 6 million people per year WHO Accessed August 25, 2016.
Old – there are 20 more who CDC, 2013
New – There are 30 more who CDC, Accessed August 25, 2016.

16. Healthcare, Costs, and the Worksite
WorkWellKS

17. The Full Cost of Healthcare
Healthcare costs go beyond insurance – this applies to everyone
(Integrated Benefits Institute, 2016)

18. Direct Healthcare Costs
2000
2005
2010
2015
Per Capita Healthcare Expenditures
$4,818
$6,776
$8,299
$9,990
Annual Healthcare Spending
$1.4 trillion
$2 trillion
$2.6 trillion
$3.2 trillion
(Peterson-Kaiser Health System Tracker, 2016)

19. What Are We Paying For?
(CMS, 2016)

20. Who Is Paying?
Employer-sponsored health benefits cover 60% of non-elderly Americans (Sonier et al., 2013)

21. What Is Driving These Costs?
One component - our workforce is aging.
(BLS, 2015)
Increase in the number of workers:
Estimated Increase of workers:
25 to 54 years old
8.2%
-2.8%
4.10%
55 + years old
48%
46.6%
19.5%

22. Why Worksite Wellness?
WorkWellKS

23. Benefits of Wellness at the Worksite
Decreased healthcare costs
Favorable return on investment
Increased productivity
Reduced absenteeism
Improved overall morale/staff retention

24. Benefits of Wellness at the Worksite
26% reduction in health costs
32% reduction in workers’ compensation
27% reduction in sick leave and absenteeism
Those with high modifiable behavior risk factors are 1.75 times more likely to have higher absenteeism rates than the those with less risk (Serxner, 2001)
For each dollar spent on worksite wellness, expenditures related to absenteeism are reduced by $2.73 (Baicker, 2010)
Over time, not immediately

25. Return on Investment
Based on a review of 28 different research articles on ROI, the average return was $3.48 saved per $1.00 invested (Aldana, 2001)
The Task Force on Community Preventive Services has reported an average return on investment of $3.20 (Soler et al., 2010)
A meta-analysis of the literature has shown a savings of $3.27 in reduced medical costs for every dollar invested in wellness (Baicker et al., 2010)

26. Traditional Approach to Worksite Wellness
WorkWellKS

27. Traditional Worksite Wellness
Worksite wellness has historically centered on behavior change using education
Focus on individual employee behavior change
(Golaszewski, 2008)
“Be healthy!” (ending sidewalk)

28. How Do We Change?
WorkWellKS

29. How Do We Change? Behavior is complex.
Behavior change is even more complex!
Knowledge is insufficient to prompt behavior change!
How do we alter our behaviors?

30. Social Ecologic Model

31. Paradigm Shift
Employees will change behaviors as a reflection of the changing characteristics of their worksites.
Create a healthy work environment.
Organizational health promotion.

32. The WorkWellKS Philosophy

33. WorkWell KS Philosophy
Change the culture of worksites.
Begin with the employer, not the employee.
Not “good” and “bad.” Not “right” and “wrong.”
What are our goals, what does the literature suggest is effective?
To fully realize the potential of the workforce

34. The WorkWellKS Strategic Framework

35. To fully realize the potential of the workforce

36. 1
BUILD THE FOUNDATION
Exercising Leadership, Data, Wellness Committee, Incentives, Communication
To fully realize the potential of the workforce

37. FOCUS ON ONE HEALTH PRIORITY1
BUILD THE FOUNDATION
Exercising Leadership, Data, Wellness Committee, Incentives, Communication 2
FOCUS ON ONE HEALTH PRIORITY
Physical Activity, Food and Beverage, Tobacco, Well-Being
To fully realize the potential of the workforce

38. To fully realize the potential of the workforce

39. FOCUS ON ONE HEALTH PRIORITY1
BUILD THE FOUNDATION
Exercising Leadership, Data, Wellness Committee, Incentives, Communication 2
FOCUS ON ONE HEALTH PRIORITY
Food and Beverage 3
DEVELOP A COMPREHENSIVE PLAN
To fully realize the potential of the workforce
Information, Programs, Benefit Design,
Policy, Environment

40. To fully realize the potential of the workforce

41. NO FOUNDATION, NO ADDITIVE IMPACT
To fully realize the potential of the workforce X

42. ADDITIVE IMPACT
To fully realize the potential of the workforce

43. WorkWell KS Trends
WorkWellKS

44. Successful Worksite Wellness
Executive level commitment
Team participation in trainings
Strong foundation
Focus on
One topic at a time
Comprehensive
Ongoing

45. Successful Worksite Wellness
Implementation of best practices
Planning guidance
Access to technical assistance/support
Culture change – change the employer (worksite), not the employee
Strong focus on policy, systems and environment

46. Some WWKS Models
WorkWellKS

47. Primary Approach Community/regionally based Foundation first
One local champion coordinates
Foundation first
Encourage team participation in workshops
Participants work on plans during workshop
One health priority at a time
Helps worksites focus on making changes

48. Other Approaches
Community coalitions engage their communities in ways that enable healthy eating, tobacco-free, and active living to become ways of life
Community- based, worksites on same schedule
Progression plan with requirements
Coordinator to help keep worksites focused
Funding for worksites

49. Other Approaches One Worksite Approach
Strategically worked with worksite over the course of one year
Engaged upper management
Foundation first
Takeaways

50. Other Approaches Targeted Technical Assistance Approach One topic
Individualized technical assistance provided after workshop for designated period of time
Included individual assessments as required component

51. Identifying Wins
WorkWellKS

52. Phase I

53. Phase II 2018 results are only through April 2018
To fully realize the potential of the workforce

54. Pathways Worksites 2018 results are only through April 2018
Number of Pathways Workshops, Worksites, and Attendees
Number of Pathways Employees and Dependents
To fully realize the potential of the workforce

55. The Reach of WWKS
To fully realize the potential of the workforce

56. Your Path Forward: How You Make Progress
WorkWellKS

57. Reminders Executive engagement is critical
Always build foundation first
Focus on one topic at a time
Be comprehensive - all strategies are important

58. We Will
Focus on what moves the needle the most and where worksites tend to experience most resistance

59. Environment Why would changing the worksite environment matter?
Chameleon theory
Why are environmental changes so important?
Sustainability
Impact
Culture change

60. Physical Activity Environment
What does your worksite look like regarding physical activity, sedentary behavior?
What is/was your greatest physical activity, sedentary challenge?
What are environmental physical activity, sedentary behavior interventions?

61. Tobacco Environment
What does your worksite look like regarding tobacco?
What is/was your greatest tobacco challenge?
What are environmental tobacco interventions?

62. Food & Beverage Environment
What does your worksite look like regarding food and beverage?
What is/was your greatest food and beverage challenge?
What are environmental food and beverage interventions?

63. Policy What is a policy? Why are polices so important?
Written standards that guide behaviors
Why are polices so important?
Sustainability
Impact
Culture change
Enforceable

64. Physical Activity Policy
What is/was your greatest physical activity, sedentary challenge?
What are physical activity, sedentary behavior policy interventions?

65. Tobacco Policy What is/was your greatest tobacco challenge?
What are tobacco policy interventions?

66. Food & Beverage Policy
What is/was your greatest food and beverage challenge?
What are food and beverage policies?

67. WorkWell KS Resources WorkWellKS.com Policy examples Recorded webinars
Tool development materials
Posters
Workshops
Technical Assistance

68. WorkWellKS.com WorkWell KS Contacts
Elizabeth Ablah, PhD, MPH Associate Professor
Elizabeth Grilliot, MPH
Research Assistant
Allison Honn, MBA Program Manager
Aubrey Wiechman WorkWell KS Coordinator
WorkWellKS.com

69. Thank You!
WorkWellKS

70. Questions?
WorkWellKS