Creating a Culture of Wellness in Municipal Workplaces: Moving - - PowerPoint PPT Presentation

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Creating a Culture of Wellness in Municipal Workplaces: Moving - - PowerPoint PPT Presentation

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Creating a Culture of Wellness in Municipal Workplaces: Moving Beyond the Health Fair & the Fun Run June 6, 2013 AGENDA Welcome and Introductions Marisa Jones, Mid-Atlantic HEAL Cities and Towns Campaign Why Worksite Wellness? Dawn Robbins,

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Creating a Culture of Wellness in Municipal Workplaces: Moving Beyond the Health Fair & the Fun Run June 6, 2013

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AGENDA

Welcome and Introductions

Marisa Jones, Mid-Atlantic HEAL Cities and Towns Campaign

Why Worksite Wellness?

Dawn Robbins, Oregon Public Health Institute

Union Participation in Wellness

Tamar Schnepp, Kaiser Permanente

Worksite Wellness Policies & a Culture of Health

Charlotte Dickson, CA HEAL Cities Campaign

Questions

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Creating a Culture of Wellness in Municipal Workplaces:

Beyond Health Fairs and Fun Runs ¡

June ¡6, ¡2013, ¡HEAL ¡Na2on ¡Webinar ¡ Dawn ¡Robbins, ¡OPHI ¡

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Roadmap ¡for ¡Today ¡

  • Worksite ¡Wellness: ¡a ¡worthwhile ¡

investment ¡

  • What ¡works? ¡
  • How ¡do ¡I ¡begin? ¡
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Health ¡Insurance ¡Premium ¡Increases ¡ Outpace ¡Infla2on ¡and ¡Growth ¡in ¡U.S. ¡ Workers’ ¡Earnings ¡1999–2012 ¡

Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2012. Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of Annual Inflation (April to April), 1999-2012; Bureau of Labor Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey, 1999-2012 (April to April).

38% 109% 172% 38% 113% 180% 11% 29% 47% 8% 24% 38% 0% 20% 40% 60% 80% 100% 120% 140% 160% 180% 200% 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Health Insurance Premiums Workers' Contribution to Premiums Workers' Earnings Overall Inflation

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If ¡food ¡were ¡health ¡care… ¡

…and prices had risen since the 1930s at the same rate, you would pay:

  • 1 dozen eggs

$126.72

  • 1 roll toilet paper

38.24

  • 1 dozen oranges

170.48

  • 1 pound bananas

25.34

  • 1 pound of coffee

101.39

Total for 5 items: $462.17

Source: American Institute for Preventive Medicine 2007, adjusted to 2012. rate increases according to Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2012.

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Medical ¡Costs: ¡Tip ¡of ¡the ¡Iceberg ¡

Indirect Medical Costs = Two-to-Three Times Direct Medical Costs

Indirect ¡Medical ¡Costs ¡

  • Missed ¡Work ¡
  • Presenteeism ¡
  • Short-­‑term ¡Disability ¡
  • Long-­‑term ¡Disability ¡
  • Workers’ ¡Compensa2on ¡

Indirect ¡Medical ¡ Costs Direct ¡Medical ¡Costs ¡

  • Medical ¡
  • Pharmaceu2cal ¡

Source: William B. Baun, EPD, CWP, FAWHP University of Texas MD Anderson Cancer Center

Medical ¡ ¡ Costs ¡

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  • 7 out of 10 deaths
  • $1.5 trillion in health

care costs

  • Countless hours of

missed work

Sources: CDC Chronic Diseases and Health Promotion; Institute of Medicine, Living Well with Chronic Illness, 2012.

Toll ¡of ¡Chronic ¡Disease ¡ ¡

75% 25% 0% 0%

Cost of chronic conditions

Health care costs for those with chronic conditions Health care costs for those without chronic conditions

25%

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Top ¡Two ¡Causes ¡of ¡Preventable ¡ Disease ¡and ¡Death ¡

Obesity ¡

  • One ¡in ¡three ¡adults ¡is ¡obese ¡
  • Cost: ¡$147 ¡billion ¡($1,429 ¡addi2onal ¡costs ¡per ¡person ¡per ¡year) ¡
  • One-­‑third ¡of ¡the ¡increase ¡in ¡health ¡care ¡spending ¡between ¡1998 ¡and ¡2005 ¡is ¡due ¡to ¡

the ¡obesity ¡epidemic ¡

Tobacco ¡Use ¡ ¡

  • Every ¡year, ¡443,000 ¡Americans ¡die ¡from ¡smoking ¡
  • For ¡every ¡tobacco-­‑related ¡death, ¡another ¡20 ¡people ¡are ¡sick ¡
  • Cost: ¡$193 ¡billion ¡in ¡direct ¡medical ¡costs ¡and ¡lost ¡produc2vity ¡

What ¡is ¡the ¡health ¡culture ¡at ¡work ¡around ¡healthy ¡ea3ng, ¡ac3ve ¡living ¡and ¡tobacco? ¡

  • Source: ¡Centers ¡for ¡Disease ¡Control ¡& ¡Preven2on ¡
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Why ¡Wellness ¡at ¡Work? ¡

Did you know that …

  • 69% of US smokers say they want to quit.
  • 77% of American adults want to lose or maintain weight.
  • Employees spend nearly half their waking hours at work.
  • Environment shapes habits.
  • As municipal budgets shrink, your community would rather invest in needed city

services than employee medical care.

Source: Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion 2012 Food & Health Survey: Consumer Attitudes toward Food Safety, Nutrition and Health

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Wellness ¡at ¡Work: ¡ An ¡Economic ¡Impera2ve ¡

  • Attract and retain healthy employees
  • Energize employees
  • Chip away at rising health care costs

Sources: “Employee Perspectives on Health Care.” Part II: Employee Engagement. Towers Watson. February 2011; CDC

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Wellness ¡at ¡Work: ¡ An ¡Economic ¡Impera2ve ¡

Source: ¡Chapman ¡LS. ¡ ¡The ¡Art ¡of ¡Health ¡Promo2on: ¡Meta-­‑evalua2on ¡ ¡

  • f ¡worksite ¡health ¡promo2on ¡economic ¡return ¡studies: ¡2005 ¡update. ¡ ¡ ¡

Am ¡J ¡Health ¡Promo2on, ¡19 ¡(6), ¡July/Aug ¡2005 ¡

Lowers ¡health ¡ care ¡costs ¡by ¡26% ¡ Reduces ¡sick ¡leave ¡ ¡ by ¡27% ¡ Reduces ¡workers’ ¡ compensa2on ¡costs ¡ by ¡32% ¡

A ¡comprehensive, ¡strategically ¡designed ¡ investment ¡in ¡employees’ ¡health ¡pays ¡off. ¡ Return on Investment

For every $1 spent on wellness programs, an average of $5 (range of $2–19) is saved.

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Wellness ¡at ¡Work: ¡

A comprehensive, integrated worksite wellness program ¡

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  • To eat well
  • Move more
  • Be tobacco free
  • Take charge of their health

YES!

Can ¡You ¡Make ¡it ¡Easier ¡ ¡ for ¡City ¡Employees? ¡ ¡

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Four key steps to wellness@work

1. Inspire 2. Engage 3. Inquire 4. Act

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Inquire

  • Work with your wellness committee to continually ask, listen, and

learn

  • Assess your worksite environment
  • Take the assessment at wellnessatworkoregon.org
  • Talk to employees about their interests and needs
  • Review health and safety costs and claims
  • Monitor employee participation and make changes along the way
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Visit: WellnessatWorkOregon.org

Click here for free assessment!

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What ¡is ¡a ¡Culture ¡of ¡Health? ¡

“The ¡way ¡we ¡do ¡things ¡around ¡here.” ¡

“In ¡a ¡culture ¡of ¡health, ¡employee ¡well-­‑being ¡ and ¡organiza2onal ¡success ¡are ¡inextricably ¡ linked.” ¡

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Involving Unions in Wellness

Tamar Schnepp, MPH, Labor Management Partnership

JUNE 6, 2013

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Content Overview

  • Union Participation in Wellness – Examples
  • Union Participation in Wellness – Making the Difference
  • Wellness and the Union Core Mission
  • Engaging Union Leaders and Union Audiences
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Union Participation in Wellness - Examples

Santa Clara Schools – Total Health Assessment (HRA) participation

Joint labor actions

“A Case Study in Wellness & Cost Management in the Public Sector” (Highlighted at IFEBP conference, 2012)

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A joint pilot with CalPers, CA HR, and SEIU Local1000

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Union Participation in Wellness

  • What unions can bring:
  • Trusted negotiators &

communicators

  • Insight into employee perceptions
  • Sustainable structures

Moving forward without unions:

  • Higher risk of backlash
  • Higher risk of resistance and rejection
  • Lower levels of participation in activities
  • Potential of less diversity
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Wellness and the Union Core Mission

Union Risks Union Opportunities Wages & Benefits

Higher contribution for health benefits associated with wellness (Carrot vs. Stick)

Rights at Work

Employee/member perceptions that programs and incentives are shaming or punitive.

Union Member Satisfaction

Angry members that demand action from the union

Social Justice

Do wellness initiatives add stress to working people?

Other Priorities Other issues are more pressing Wages & Benefits

Initiatives that decrease healthcare costs and Increase money available for wages and benefits

Rights at Work

Opportunities for increased member satisfaction at work

Union Member Satisfaction

Wellness can bring a new level of member leadership

Social Justice

Working families suffer the most from chronic health problems - Can the union be part of the solution?

Other Priorities Wellness initiatives support pressing priorities Union Leadership Priorities and Interests

WHO: (1) Elected union leaders and staff (2) Rank and file leaders WHAT: Responsive to the membership issues, membership complaints, and membership interests. HOW: Union leaders lead through participatory process, education, trust, influence, and persuasion.

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Ideas for Engaging Union Leaders & Members

  • Approaching Union Leaders
  • Assume caring
  • Talk about opportunities & acknowledge the

risks

  • Promote union participation
  • Present a vision of partnership

Talking to Union Audiences

  • Assume caring
  • Avoid blaming or shaming
  • Acknowledge their value and their real barriers
  • Emphasize the need for partnership and support
  • Invite employees to support each other
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Wellness Policies and a Culture of Health

Charlotte Dickson

Director, California HEAL Cities Campaign

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Building health into your workplace culture

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Building health into your workplace culture

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The workplace is second to home

  • 60% of waking day spent at workplace
  • Food, snacks, beverages!
  • Friends, real time social networks
  • Physical activity – or more likely inactivity

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What drives behavior change?

Motivation 30%

Skills & Tools 25%

Awareness & Education 5%

Policy & Environment 40%

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Personal Behaviors

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No and Low Cost HEAL Policies

  • Physical activity breaks
  • Walking meetings
  • Open stairwells
  • Biking and walking between facilities
  • Nutrition standards for vending machines
  • Nutrition standards for events, meetings, concessions &

programs

  • Breastfeeding accommodation

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Evidence from California

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Number of cigarettes

1964 5,000 4,000 3,000 2,000 1,000 1955 1970 1980 1990 2002 US adults (18+ years)

Per Capita Cigarette Consumption 1955-2002

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We can do the same for chronic disease

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CONTACTS

Mid-Atlantic HEAL Cities and Towns Campaign Marisa Jones mjones@institutephi.org California HEAL Cities Campaign Charlotte Dickson cd@publichealthadvocacy.org Oregon HEAL Cities Campaign Beth Kaye bethkaye@orphi.org Colorado HEAL Cities Campaign Julie George juliegeorge@livewellcolorado.org