1. Testing the provision of comprehensive worksite
wellness services in micro-businesses

2. Carol Zimmerman Anne Marie Snell

3.  The Healthy Small Business Project
 Business Demographics
 Program Goals
 Program Overview
 The Results
 Organizational Changes
 Individual Changes
 Employee Satisfaction
 Return on Investment
 Current Projects

4.  A grant from the New York State
Department of Health and Health
Research, Inc.
 Test pilot a business model for
providing affordable comprehensive
worksite wellness programs to small
businesses (75 or less employees).

5.  Total of 283 employees (nine businesses)
 Follow industry best practices
 Use online technology
 Cost of $15/employee (estimated value of
$150/employee)
 Signed MOU for participation
 1 full year of programming

6. Industry Sectors: (1) Agriculture/Mining, (2) Local
Governments, (3) Service, (2) Wholesale/Retail/Sales,
(1)Health Care
Unionized: The two local governments employ a unionized
population of 26-50% each
Full Time Employment: 80.48%
Female: 42.47%
Caucasian: 95.89%
Under Age of 40: 60.27%
Wage range from $17,160 to $45,000 year
Average Wage: $28,557

7. Pepsi Cola
Ogdensburg Potsdam
Mapleview Bottlers Building
Dairy Farm Blocks Day
Care
Hospice and Potsdam
Palliative Food
Care Cooperative
Hoose,
Town of
Knight &
Madrid
Associates
Healthy
Small
Blevins Auto Town of
Group
Business Waddington
Wellness
Committee

9.  By June 30, 2012, at least 25% of employees
completing an HRA will reduce at least one
chronic risk factor.
 By May 15, 2012, the micro business model will
show a positive return on investment.
 By March 31, 2012, the project will validate the
proposed price per employee ($150) to provide
comprehensive worksite wellness services to
micro employers.

11. Pepsi Cola
Ogdensburg Potsdam
Mapleview Bottlers Building
Dairy Farm Blocks Day
Care
Hospice and Potsdam
Palliative Food
Care Cooperative
Hoose,
Town of
Knight &
Madrid
Associates
Healthy
Small
Blevins Auto Town of
Group
Business Waddington
Wellness
Committee

13.  Senior Level Involvement
 Well Workplace Checklist
 Wellness Team
 Policy Development and
Environmental Changes
 Contemplate Consumer
Driven Health Plans
 Evaluation

14. Educational Programs
Incentive Campaigns
CSA Availability
Farmer Market Availability
Community Garden Space

15. Interest Surveys
Health Risk Assessments
Health Screening
Referral Services
Utilization of Community
Health Programs
One on One Wellness
Coaching

16.  Articles in local media highlighting
importance of worksite wellness
 Communication with state and
county legislators highlighting
importance of worksite wellness
 Press Releases in local media
highlighting business and personal
success stories
 One Educational Presentation for
Chamber members and service
organizations

19. 90.00
80.00
70.00
60.00
50.00
40.00
30.00
20.00
10.00
0.00
Senior Level Wellness Teams Data Collection Operating Plan Programming Supportive Evaluation
Support Environments
Average Score 2011 Average Score 2012

20. Environmental Approaches to
Environmental Approaches to
Physical Activity - 2011
Nutrition and Weight - 2011 Very Good Excellent
Excellent
Very Good 0% 0% 0%
14%
Good Good
14% 29%
Needs Needs
Improving Attention
72% 71%
Environmental Approaches to Environmental Approaches to
Nutrition and Weight - 2012 Physical Activity - 2012
Excellent Needs
Needs
Very Excellent Very Good 0% Attention
Attention
Good 14% 0% 14%
0%
0%
Good
86%
Good
86%

21. Culture Assessment Results
Percent Change in Employee Agreement
Saftey belt use normal 9.12%
Healthy Foods normal during workday 52.38%
Exercise is normal during workday 37.70%
Wellness Team in place 254.10%
Smoke-free environment promoted 2.19%
Low-fat/healthy food options available 76.33%
People support others 25.83%
Healthy lifestyles publicly recognized 59.61%
Healthy lifestyles are rewarded 87.78%
Leaders model good health 31.72%
A strong wellness program is in place 80.27%
I am encouraged to lead healthy lifestyle 29.41%

23. Percent of Employees Decreasing High Risk Factors
50%
25%
GOAL RESULT

24. Percent of Employees with High Risk Factors
25.00%
20.00%
15.00%
2011
2012
10.00%
5.00%
0.00%
0 1 2 3 4 5 or more

25. Body Mass Index
50.00%
45.00%
40.00%
35.00%
30.00%
2011
25.00% 2012
20.00%
15.00%
10.00%
5.00%
0.00%
BMI Underweight BMI Normal BMI Overweight BMI Obese

26. 1 or less sick days
Pre
0-1
Post
38.00% 40.00% 42.00% 44.00% 46.00% 48.00% 50.00%

27. Change in Blood Pressure
50.00%
45.00%
40.00%
35.00%
30.00%
2011
25.00% 2012
20.00%
15.00%
10.00%
5.00%
0.00%
Normal Pre-Hypertensive Hypertensive

28. Uses Tobacco
26.50%
26.00%
25.50%
25.00%
24.50%
24.00%
23.50%
23.00%
22.50%
22.00%
21.50%
2011 2012

29. Health Risk Assessment Progress
Percent increase in good to excellent rating
Doing well overall wellness 99.15%
Happy and Content 4.12%
Good Aerobic Exercise Score 68.12%
Nonsmoker, avoids tobacco 4.60%
Good Substance Use Status 10.58%
Good Coping and Stress Status 8.38%
Good Fitness Status 54.50%
Good Nutrition Status 61.00%
Low Cancer risk 109.58%

31. Employee Satisfaction Survey
My supervisor/business owner was supportive of me participating in 67.74%
the program
If the program is offered next year, I plan on participating 61.29%
The program contributes to better employee morale 40.32%
The program should be expanded to spouses and family members of 35.48%
employees
The program has helped improve the amount and kind of support I 30.65%
get from my coworkers
The program has helped me improve my attitude toward my 32.26%
employer
The program has helped me to be more productive at work 29.03%
I have made at least one significant health behavior change since 58.06%
participating in the program
The program has helped me become more ready to make positive 61.29%
health behavior changes
The program has helped me feel more confident about making 59.68%
decisions about my health
The program has helped me improve my overall health 54.84%

33. Community rated
Paid Time Off vs. Sick Time
Pregnancies
Directly associating any savings with the program

34. Sources of Employers' Health Related
Costs
6% 1% 1%
7% Presenteeism
Medical
27%
58%
Absenteeism
Short-Term
Disability
Source: Promoting Well-Being, Wellness Strategies to Improve Health, Performance and the Bottom Line, D.
Chenoweth, SHRM 2012

35. Risk Condition Absenteeism Presenteeism Total %
Depression 2.61% 14.51% 23.20%
Overweight/Obesity 1.40% 8.30% 9.7%
Cigarette Smoking 2.84% 4.78% 7.62%
High Blood Pressure 0.37% 5.70% 6.07%
Physical Inactivity .28% 4.59% 4.87%
Source: Promoting Well-Being, Wellness Strategies to Improve Health, Performance and the Bottom Line, D.
Chenoweth, SHRM 2012

36. When comparing the peer-reviewed research
costs associated with risks and presenteeism costs
to the Healthy Small Business population, the
following savings were shown:
Fewer Smokers: $22,336
Reduced Obesity: $10,009
Total: $32,345
Cost of the Program: $26,437

38.  Cost estimated for non grouping employers
was $160-$540 per employee per year for
businesses employing 10-72 employees.
 Cost estimated for grouping employers was
$150 per employee per year.
 Preliminary results show actual costs for
grouping employers to be $137.62 per
employee per year.

40.  Current Contracts
 (4) Returning Businesses
 Project Dissemination
 Mentorship
 Technical Assistance to NYS Contractors
 NYSACHO
 HP Live Webinar
 Alternative Funding Sources

42. Contact Information
Carol Zimmerman
(315)261-4760 ext 223
carol@gethealthyslc.org
Ann Marie Snell
(315)261-4760 ext 222
anne@gethealthyslc.org