1. City of Killeen Wellness Initiative June 2009

2. Health Care Concerns Affordability and availability of care April 2009- Kaiser Health Tracking Poll: 6 in 10 Americans say that they or a member of their household have delayed or skipped health care in the past year.

3. National Health Care Since 1999, employment-based health insurance premiums have increased 120 %, compared to cumulative inflation of 44% Health insurance expenses - fastest growing cost component for employers. Average out-of-pocket costs for employees for deductibles, co-payments for medications, and co-insurance for physician and hospital visits rose 115 % during the same period.

4. City of Killeen Employee Health Insurance Since 1999, health insurance premiums have increased 73. 9%, compared to national increase of 120% Average out-of-pocket costs for employees for deductibles & co-insurance for physician and hospital visits increased. –Co-pays increased from $15 - $20

5. Employer Provided Health Care Employer-sponsors provide health insurance to the vast majority of workers and their families. Increasing costs in health insurance premiums pose challenges for employers Challenge -deciding how to continue to provide employee coverage.

6. Increasing Health Care Costs Chronic diseases account for about 70% of all U.S. deaths (Center for Preventive Medicine, 2009) Addressing health problems in the early stages, easier to treat & treatment is more effective. Preventive screenings, testing and follow-up are essential

7. Strategy A healthy workforce is a key ingredient in controlling health care costs

8. Equation for Success Mind Body Spirit Health Employee Healthier employees + Fewer Health Risks = Decreased Medical Costs Healthy Balance

9. Wellness Initiative Improving the health of each individual. Designed to promote health, wellness and lifestyle changes among employees and family members. Strategic Approach - Comprehensive Program Design

10. Mission & Vision Mission Providing comprehensive initiatives that encourage employee health, well-being, safety and work-life balance. Vision Employees successfully attain & maintain a work ::life balance.

11. Focus Areas Access to Care Disease Mgmt Health Screening –Vision & Hearing –Immunizations Mental Health Morale/Motivation Nutrition Education Prevention –Infectious Disease –Violence & Injury –Safety at Work Physical Activity/ Fitness Stress Management Substance Abuse Tobacco Cessation

12. Objectives I.Systematic approach  Clearly articulated focus /strategy  Mission /Vision/Objectives/Performance measures II.An organizational culture of wellness.  Culture Shift  Communication  Education & Awareness

13. Objectives III.Improved individual health  Education & Awareness  Prevention  Manage Chronic Illnesses IV. Partnerships with Employee  Culture shift  Lifestyle choices :: health care  Personal responsibility

14. Implementation - Phase I Education & Awareness Encourage Physical Activity Health Assessment Survey

15. Phase I- Education & Awareness Introduce Initiative -“Kickoff “ City Beat / Email /Flyers Staff Meetings NEO / In Processing Contest - Name Program X (Logo)

16. Phase I - Encourage Physical Activity CDC recommends for adults at least: –2 hours and 30 minutes (150 minutes) of moderate-intensity aerobic activity (i.e., brisk walking) every week and muscle-strengthening activities on 2 or more days a week that work all major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms). moderate-intensity aerobic activitymuscle-strengthening activities Initiatives –Gym Membership Discounts –Corporate Challenge –Team Activities Walking, Softball, etc

17. Phase I - Health Assessments Baseline for City Workforce Identify Focus for Wellness Initiatives Employee Participation Participants – Reduced premiums Non Participants – Not eligible for reduction

18. Summary & Questions Mission Providing comprehensive initiatives that encourage employee health, well- being, safety and work-life balance. Vision Employees successfully attain & maintain a work ::life balance.