1. Health Management Worksite Wellness May 20, 2014 Presented By:Scott Pritchard, MS Public Employees Benefits Washington State Health Care Authority

2. Why Invest in Wellness? Contribute to controlling the Medical cost Trend Workforce Readiness (Productivity) Recruitment and Retention 2

3. Health vs Healthcare Determinants of Health 3

4. Partnership Partnership: State Health Plan –Healthcare, Behavior Change Tools, Data Worksite Wellness Program –Physical Activity, Food Selection, Tobacco Use, Preventive Care Employee –Engagement in Management of Health Status 4

5. Example: Worksite based program Healthy Worksite Initiative Goals –Measure and Improve Population Risk Status –Develop an infrastructure roadmap for Agency to improve workforce health Methods –Integrate a Health Profile with onsite Biometrics –Evidence-based risk reduction interventions –Used IHI Collaborative methodology to collect data –Selected for national presentation IHI Quality Forum Developing a Culture of Wellness, A State Government Approach 5

6. Employees With Health Risk 6

7. Employees Unaware of Health Risk % of Group at Risk Who Did Not Know 7

8. Healthy Worksite Initiative: Summary of Findings Measure GoalInitialFinal Achieved? (Statistically Significant*) Employee Participation* ≥40 % 27%40%YES Overweight/ Obese ↓ 67%66%No Diabetes Risk Factors (≥1) ↓ 84%78%YES Cholesterol/Lipid Levels (≥3) ↓ 42%36%YES Elevated Blood Pressure ↓ 68%63%No Tobacco Consumption ↓ 12%11%No Absenteeism ↓ 20%15%YES Use of Preventive Services** ↑ -- No Presenteeism ↓ 3%2%No Quality of Life ↑ 62%70%YES Culture of Wellness *** ↑ --82%YES Depression ↓ 60%50%YES Alcohol ↓ 20%17%No Physical Activity ↑ 46%54%YES Fruits/Vegetable Consumption † ↑ 40%45%YES 8

9. New Tools Environment and Policy vs Individual Change Social Networking –Connected, Predictably Irrational Behavioral Economics –Nudge Technology –Mobile –Feedback –Online Groups 9

10. Questions Scott Pritchard, MS Health Management 360-725-1210 scott.pritchard@hca.wa.gov 10