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Worksite Wellness: Forming Powerful
                Partnerships




Cabinet for Health and Family Services
Agenda

Part 1: Why the employer interest?
Part 2: Background/History
Part 3: How the initiative was created?
Part 4: Initiative components
Part 5: Opportunities/Accomplishments
Part 6: Lessons learned

Cabinet for Health and Family Services
Part 1: Why the Employer Interest?




Cabinet for Health and Family Services
Why Is Business So Interested ?


Preventable illness makes up about
 70% of all illness and the associated
 costs.
        NEJM, 1993




Cabinet for Health and Family Services
How Worksite Wellness Can Have Impact

 Between 30% to 70% of health care
 costs are potentially preventable through
 a healthier lifestyle and a reduction in
 health risks.
(Source: Anderson,D., Whitmer W. Goetzel, (2000) Sept/Oct., The Relationship Between Modifiable Health Risks and Group
   Levels of Health Care Expenditures. AJHP 15 (1) 45-52




Cabinet for Health and Family Services
$1,500-$3,500 in Excess Claims for Each
                Additional Health Risk

   $12,000                                                                          $11,900

   $11,000                                                                $10,500
   $10,000                                                       $9,000
    $9,000                                              $7,800
    $8,000                                     $6,500
    $7,000
    $6,000                            $5,000
    $5,000                 $4,000
    $4,000
    $3,000       $2,400

    $2,000
    $1,000
        $0
                  0         1             2     3        4        5        6         7+

 Cabinet for Health and Family Services
Source: (WellSteps) Dee Edington, Health Management Research Center
Part 2: Background/History




Cabinet for Health and Family Services
Partnership For A Fit Kentucky
History
       In 2003 CDC funded the Kentucky Department for
        Public Health for Nutrition and Physical Activity
        Programs to Prevent Obesity and Other Chronic
        Diseases.

                      A state steering team representing all
                       regions of Kentucky and experts in the
                       field of nutrition and physical activity
                       formed the Partnership For A Fit Kentucky
                       to guide the grant.


Cabinet for Health and Family Services
Partnership for a Fit Kentucky
• The Partnership for a Fit Kentucky is a
  public/private partnership which supports the
  Kentucky Department for Public Health’s
  CDC Obesity Prevention Grant.

• Focus: promoting nutrition and physically
  active communities, a clearinghouse
  Kentucky’s initiatives

• Link resources, network programs, provide
  tools that work, and strengthen partnerships
  in order to develop cutting edge initiatives.
Cabinet for Health and Family Services
Priorities of the Regional Coalitions
11 regional coalitions were developed to help
  implement the goals of Kentucky’s State
  Action Plan. The most frequent priorities:

• Increase the number of policies, practice, and
  incentives that promote physical activity and nutrition
  in schools.
• Increase the number of worksites offering
  worksite wellness programs and
  incentives.
Cabinet for Health and Family Services
Part 3: How the Kentucky Worksite
        Wellness Initiative Was Created




Cabinet for Health and Family Services
It all started at a Starbucks
In Louisville………….




Director of the CDC grant and CEO of
  Kentucky Chamber of Commerce




Cabinet for Health and Family Services
Kentucky Chamber of Commerce
• Association for the business community of
  the state of Kentucky.
• Represents over 13,000 business leaders.
• Main goal of the organization is to ensure that
  the state offers a good climate for business




Cabinet for Health and Family Services
Kentucky Worksite Wellness Initiative

• Formal Partnership between
      – Kentucky Chamber
      – Kentucky Department for Public Health
      – Partnership for a Fit Kentucky

• 2006 Worksite Wellness position
  created


Cabinet for Health and Family Services
Kentucky Chamber Contributions
•   Annual funds
•   Office space
•   Communications
•   Speaking opportunities
•   Position on Health policy committee
•   Support of worksite wellness in the state



Cabinet for Health and Family Services
Part 4: Kentucky Worksite Wellness
              Initiative Components




Cabinet for Health and Family Services
Kentucky Worksite Wellness Initiative

• Program Focus: Education and training in
  worksite wellness program implementation
  and development.

• Program Goal: Increase the number of
  Kentucky organizations that provide
  comprehensive worksite wellness programs.



Cabinet for Health and Family Services
Program Process Objectives
 Survey best practices in Kentucky

 Review national best practices

 Develop website information

 Develop training materials and benchmarks

 Recommend data needed to monitor and evaluate programs

 Conduct training sessions

• Develop a recognition program
Cabinet for Health and Family Services
State-wide Chamber Survey Results
• 36% say they have a program (64% do not)
• Greatest health risks?
    – Overweight/Obesity 22%
    – Stress             21%
    – Tobacco            20%
• What would be most helpful?
    – Return on investment
    – How to start a program & program components
    – Health information and resources
Cabinet for Health and Family Services
Resources


•    Awareness and Education
•    Trainings
•    Worksite Wellness toolkit
•    Worksite Wellness coalitions
     www.fitky.org


Cabinet for Health and Family Services
First Kentucky Worksite Wellness Conference

•   August 2008
•   100 participants
•   National Speaker
•   Worksite wellness toolkit
•   Fast Guide
•   Booth opportunities for health programs
•   Second conference in February, 2010


 Cabinet for Health and Family Services
Kentucky Models
• Northern Kentucky Wellness Committee

• Kentucky Chamber of Commerce program

• Bowling Green Chamber of Commerce

• KET Wellness program

• Local Chambers of Commerce
Cabinet for Health and Family Services
Part 5: Opportunities/Accomplishments




Cabinet for Health and Family Services
Opportunities/Accomplishments
• Communications in Kentucky Chamber
  business publications
• Opportunities to attend/speak at chamber
  events
• Conducted 85 presentations/sessions
• Provided models
• Provided first state wellness conference
• Conducted trainings

Cabinet for Health and Family Services
Cabinet for Health and Family Services
Health Promotion Practitioner




Cabinet for Health and Family Services
Part 6: Lessons Learned




Cabinet for Health and Family Services
Opportunities/Accomplishments
                                         • Coordinator serves as liaison
                                         for public health and business
                                         association
                                         • Coordinator serves on the
                                         Chamber Health Care Policy
                                         Committee
                                         • Chamber CEO speaks on
                                         the importance of worksite
                                         wellness
                                         • Worksite wellness is more
                                         visible and more supported.

Cabinet for Health and Family Services
Kentucky Company Example
              Health Risk Assessment Participation                     Health
                                                                       Improved
                                                                       Costs
  100                                         93    99.6    99   97
                             85                                        down
   90                79                  83
                                                                       nearly
   80
   70                                                                  $1 million
   60                                                                  in one
           49                                                          year
   50
   40
   30
   20
   10
    0
           '97      '98     '99      '00      '01   '02    '03   '04

                               % Completed

Cabinet for Health and Family Services
Team Health Goals Met
Health
Improved
              950
Costs                                                              803 853
down          850                                            798
nearly        750                                      680
$1            650                                609
million in    550
one year      450
              350
              250
                              98           147
              150                     56
                       10
               50
              -50
                      '97 '98 '99 '00 '01 '02 '03 '04 '05

                                            Individuals
  Cabinet for Health and Family Services
Identifying Key Needs: A Process that Works
1.    Gain commitment
2.    Create a wellness committee
                                         Have
3.    Assess the needs
                                         a
4.    Programming options
          Develop an action plan        Plan
          Market and implement          rather
5. Make Decisions                        than
6. Evaluate the outcomes                 programs


Cabinet for Health and Family Services
Kentucky Chamber Wellness Program

Planning began mid year 2007
      Wellness leader
      Wellness committee
      Reviewed PFTKY toolkit
      Determined Budget
      Selected vendor
      Planned program
Program kick- off October 2007
Screenings & HRA November 2007
Programs planned for 2008
      Fitness challenge
      Wellness newsletter to staff member's homes
      Monthly special projects

Cabinet for Health and Family Services
Kentucky Chamber 2009 Health Care Agenda

 • “Promote Wellness for all Kentucky
   Citizens”
 • “…Support legislation that provides
   incentives for wellness programs….”

 • “Supports government programs & policies
   that educate and provide assistance”

 • “…Educate children in schools about
   healthy eating and physical activity…”
Cabinet for Health and Family Services
New Worksite Wellness Toolkit



                                         1000 downloads within
                                         48 hours
                                         35 states
                                         2 countries


         http://www.kychamber.com
Cabinet for Health and Family Services
Summary
            •Seek out nontraditional partners

            •Bring something to the table
                                               Expertise
                                  Case study
                                  Resources
            •Develop relationships

            •Create something new!
Cabinet for Health and Family Services
QUESTIONS?




          Teresa Lovely CHES
          Business Coordinator for Worksite Wellness
          Teresa.lovely@ky.gov
Cabinet for Health and Family Services

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Teresa Lovely, Worksite Wellness: Forming Powerful Partnerships

  • 1. Worksite Wellness: Forming Powerful Partnerships Cabinet for Health and Family Services
  • 2. Agenda Part 1: Why the employer interest? Part 2: Background/History Part 3: How the initiative was created? Part 4: Initiative components Part 5: Opportunities/Accomplishments Part 6: Lessons learned Cabinet for Health and Family Services
  • 3. Part 1: Why the Employer Interest? Cabinet for Health and Family Services
  • 4. Why Is Business So Interested ? Preventable illness makes up about 70% of all illness and the associated costs. NEJM, 1993 Cabinet for Health and Family Services
  • 5. How Worksite Wellness Can Have Impact Between 30% to 70% of health care costs are potentially preventable through a healthier lifestyle and a reduction in health risks. (Source: Anderson,D., Whitmer W. Goetzel, (2000) Sept/Oct., The Relationship Between Modifiable Health Risks and Group Levels of Health Care Expenditures. AJHP 15 (1) 45-52 Cabinet for Health and Family Services
  • 6. $1,500-$3,500 in Excess Claims for Each Additional Health Risk $12,000 $11,900 $11,000 $10,500 $10,000 $9,000 $9,000 $7,800 $8,000 $6,500 $7,000 $6,000 $5,000 $5,000 $4,000 $4,000 $3,000 $2,400 $2,000 $1,000 $0 0 1 2 3 4 5 6 7+ Cabinet for Health and Family Services Source: (WellSteps) Dee Edington, Health Management Research Center
  • 7. Part 2: Background/History Cabinet for Health and Family Services
  • 8. Partnership For A Fit Kentucky History  In 2003 CDC funded the Kentucky Department for Public Health for Nutrition and Physical Activity Programs to Prevent Obesity and Other Chronic Diseases.  A state steering team representing all regions of Kentucky and experts in the field of nutrition and physical activity formed the Partnership For A Fit Kentucky to guide the grant. Cabinet for Health and Family Services
  • 9. Partnership for a Fit Kentucky • The Partnership for a Fit Kentucky is a public/private partnership which supports the Kentucky Department for Public Health’s CDC Obesity Prevention Grant. • Focus: promoting nutrition and physically active communities, a clearinghouse Kentucky’s initiatives • Link resources, network programs, provide tools that work, and strengthen partnerships in order to develop cutting edge initiatives. Cabinet for Health and Family Services
  • 10. Priorities of the Regional Coalitions 11 regional coalitions were developed to help implement the goals of Kentucky’s State Action Plan. The most frequent priorities: • Increase the number of policies, practice, and incentives that promote physical activity and nutrition in schools. • Increase the number of worksites offering worksite wellness programs and incentives. Cabinet for Health and Family Services
  • 11. Part 3: How the Kentucky Worksite Wellness Initiative Was Created Cabinet for Health and Family Services
  • 12. It all started at a Starbucks In Louisville…………. Director of the CDC grant and CEO of Kentucky Chamber of Commerce Cabinet for Health and Family Services
  • 13. Kentucky Chamber of Commerce • Association for the business community of the state of Kentucky. • Represents over 13,000 business leaders. • Main goal of the organization is to ensure that the state offers a good climate for business Cabinet for Health and Family Services
  • 14. Kentucky Worksite Wellness Initiative • Formal Partnership between – Kentucky Chamber – Kentucky Department for Public Health – Partnership for a Fit Kentucky • 2006 Worksite Wellness position created Cabinet for Health and Family Services
  • 15. Kentucky Chamber Contributions • Annual funds • Office space • Communications • Speaking opportunities • Position on Health policy committee • Support of worksite wellness in the state Cabinet for Health and Family Services
  • 16. Part 4: Kentucky Worksite Wellness Initiative Components Cabinet for Health and Family Services
  • 17. Kentucky Worksite Wellness Initiative • Program Focus: Education and training in worksite wellness program implementation and development. • Program Goal: Increase the number of Kentucky organizations that provide comprehensive worksite wellness programs. Cabinet for Health and Family Services
  • 18. Program Process Objectives  Survey best practices in Kentucky  Review national best practices  Develop website information  Develop training materials and benchmarks  Recommend data needed to monitor and evaluate programs  Conduct training sessions • Develop a recognition program Cabinet for Health and Family Services
  • 19. State-wide Chamber Survey Results • 36% say they have a program (64% do not) • Greatest health risks? – Overweight/Obesity 22% – Stress 21% – Tobacco 20% • What would be most helpful? – Return on investment – How to start a program & program components – Health information and resources Cabinet for Health and Family Services
  • 20. Resources • Awareness and Education • Trainings • Worksite Wellness toolkit • Worksite Wellness coalitions www.fitky.org Cabinet for Health and Family Services
  • 21. First Kentucky Worksite Wellness Conference • August 2008 • 100 participants • National Speaker • Worksite wellness toolkit • Fast Guide • Booth opportunities for health programs • Second conference in February, 2010 Cabinet for Health and Family Services
  • 22. Kentucky Models • Northern Kentucky Wellness Committee • Kentucky Chamber of Commerce program • Bowling Green Chamber of Commerce • KET Wellness program • Local Chambers of Commerce Cabinet for Health and Family Services
  • 23. Part 5: Opportunities/Accomplishments Cabinet for Health and Family Services
  • 24. Opportunities/Accomplishments • Communications in Kentucky Chamber business publications • Opportunities to attend/speak at chamber events • Conducted 85 presentations/sessions • Provided models • Provided first state wellness conference • Conducted trainings Cabinet for Health and Family Services
  • 25. Cabinet for Health and Family Services
  • 26. Health Promotion Practitioner Cabinet for Health and Family Services
  • 27. Part 6: Lessons Learned Cabinet for Health and Family Services
  • 28. Opportunities/Accomplishments • Coordinator serves as liaison for public health and business association • Coordinator serves on the Chamber Health Care Policy Committee • Chamber CEO speaks on the importance of worksite wellness • Worksite wellness is more visible and more supported. Cabinet for Health and Family Services
  • 29. Kentucky Company Example Health Risk Assessment Participation Health Improved Costs 100 93 99.6 99 97 85 down 90 79 83 nearly 80 70 $1 million 60 in one 49 year 50 40 30 20 10 0 '97 '98 '99 '00 '01 '02 '03 '04 % Completed Cabinet for Health and Family Services
  • 30. Team Health Goals Met Health Improved 950 Costs 803 853 down 850 798 nearly 750 680 $1 650 609 million in 550 one year 450 350 250 98 147 150 56 10 50 -50 '97 '98 '99 '00 '01 '02 '03 '04 '05 Individuals Cabinet for Health and Family Services
  • 31. Identifying Key Needs: A Process that Works 1. Gain commitment 2. Create a wellness committee Have 3. Assess the needs a 4. Programming options  Develop an action plan Plan  Market and implement rather 5. Make Decisions than 6. Evaluate the outcomes programs Cabinet for Health and Family Services
  • 32. Kentucky Chamber Wellness Program Planning began mid year 2007 Wellness leader Wellness committee Reviewed PFTKY toolkit Determined Budget Selected vendor Planned program Program kick- off October 2007 Screenings & HRA November 2007 Programs planned for 2008 Fitness challenge Wellness newsletter to staff member's homes Monthly special projects Cabinet for Health and Family Services
  • 33. Kentucky Chamber 2009 Health Care Agenda • “Promote Wellness for all Kentucky Citizens” • “…Support legislation that provides incentives for wellness programs….” • “Supports government programs & policies that educate and provide assistance” • “…Educate children in schools about healthy eating and physical activity…” Cabinet for Health and Family Services
  • 34. New Worksite Wellness Toolkit 1000 downloads within 48 hours 35 states 2 countries http://www.kychamber.com Cabinet for Health and Family Services
  • 35. Summary •Seek out nontraditional partners •Bring something to the table Expertise Case study Resources •Develop relationships •Create something new! Cabinet for Health and Family Services
  • 36. QUESTIONS? Teresa Lovely CHES Business Coordinator for Worksite Wellness Teresa.lovely@ky.gov Cabinet for Health and Family Services