3. Healthy North Dakota
Vision & Mission
• Vision: Healthy North Dakota –
Healthy People, Healthy Communities
• Mission: Inspire and support North
Dakotans to improve physical, mental and
emotional health for all by building
innovative statewide partnerships.
11. Healthy North Dakota’s Role
•Identify and fill gaps in prevention efforts
•Facilitate integration among prevention groups
•Communicate prevention messaging
•Coordinate emerging health partners
12. Participating Organizations
• Healthy North Dakota (convener)
• Blue Cross/Blue Shield of North Dakota
• N.D. Chamber
• N.D. Healthcare Association
• N.D. Long Term Care Association
• N.D. Public Employees Retirement System
• N.D. Medical Association
• N.D. Department of Health
• Office of the Governor of North Dakota
• Community HealthCare Association of the Dakotas
• Native American MCH Program and Spirit Lake Health Tracks
• UND School of Medicine and Health Sciences
• Altru Health System
• Bethel Lutheran Home
• Golden Heart EMS
• Investors Real Estate Trust
• Medcenter One Health System
• Meritcare Health System
• Mid Dakota Clinic
• Local Public Health Units - Upper Missouri District Health Unit
• West River Regional Medical Center
14. Vision 2020: North Dakotans are the Healthiest Americans
North Dakota Healthcare Delivery System
Strategic Map: 2007 – 2011
Implement Key Strategies
to Improve Health Outcomes
Implement Selected Increase Ownership Build Future Secure Implement Align Financial
Prevention and and Personal Health Services the Required Appropriate Resources with
Wellness Initiatives Responsibility Infrastructure Human Resources Medical Technology Health Outcomes
Reduce the Promote Implementation Create Effective, Provide Competitive Implement Critical Secure Adequate
Prevalence of and of Worksite Sustainable Models for Compensation to Health Information Government Funding to
Increase in Obesity Wellness Programs Rural Service Delivery Gain Recruiting Parity Technology (HIT) Eliminate Cost Shifting
Reduce Implement Targeted Implement Consistent Strengthen Workforce Develop Plan for Implement Individual
Tobacco Use Programs Focused on Statewide EMS Education to Meet Appropriate Deployment Cost-Sharing Incentives
in North Dakota Individual Behaviors Response System Critical Needs of Medical Technology and Disincentives
Reduce North Dakota’s Implement Targeted Develop Strategies Create and Implement Implement Accessible, Ensure Sustainability
Leading Causes School-based for Sustainable Incentives for Portable Personal of Employer-Based
of Trauma/Injury Initiatives Long-term Care Physician Retention Health Record (PHR) Health Insurance
Reduce Implement Targeted Strengthen Coordination Cross-Train Physicians Implement Digital
Alcohol and Community-Based Between Public Health & in Public Management of
Substance Abuse Initiatives the Medical Community Health Practices Imaging Technology
Foster Comprehensive Implement
Approaches to Chronic Comprehensive Public
Disease Management Education Campaign
Address Special Populations/Geographic/Demographic Issues
Strengthen Innovation/Collaboration
Implement Outcomes Analysis and Measures to Assess Quality of Care and Effectiveness of Resource Allocation
17. Why Worksite Wellness in
North Dakota?
• Second in the nation in the percentage of
young children with both parents in the
work force
US Census Bureau 2008
• 85 percent of businesses in North Dakota
have fewer than 20 employees
Small Business Association 2006
• $2.1 billion loss in North Dakota due to lost
workdays and decreased productivity
Milken Institute 2007
18. Why Worksite Wellness in
North Dakota?
• Over 80% of North Dakota employers
believe in the benefits of worksite wellness
programs but want more support and
guidance on worksite wellness
North Dakota Department of Health Worksite Wellness Study 2002
• Three-quarters of North Dakotans
recognize that preventive care saves
money in the long run
Statewide Consumer Survey 2008
19. Why the Worksite?
• Employees spend the
majority of their waking
hours at the worksite
• Average U.S. worker spends 50.2
hrs per week at their job
• Therefore employers
can have a major
impact on the health of
their employees and
families
20. Recent Trends…..
• Unhealthy lifestyles are leading to rising rates of
chronic disease, increased health care costs and
reduced worker productivity.
• Employee health benefits are the fastest growing
cost component for employers
• Annual health care costs have been rising
dramatically for the past decade
• Since 2000, the average employee contribution to
company provided health insurance has increased
more than 143%
21. Impact in North Dakota
• $2.1 billion loss in ND due to lost workdays and
decreased productivity
• Milken Foundation 2007
• Modifiable lifestyle choices cost North Dakotans
over $550 million annually in medical
expenditures
• Milken Foundation 2008
• Physically active people can save up to $500
per year in medical costs
• Milken Foundation 2007
22. Physical inactivity
is costing ND
$980,448,191
Medical care costs $136,902,191
Workers comp costs $2,128,432
Lost productivity $841,418,191
If 5% of ND became
more physically active
could save an estimated
$49,022,441
22
23. Healthy North Dakota’s Worksite
Wellness Program
• Coordination of statewide worksite
wellness resources and best practices
– Identification of quality indicators
– Incubator for testing new concepts
• Multi-business approach
• Component Interventions
– Visibility and Recognition Programs
24. Healthy North Dakota
Worksite Wellness Partners
• North Dakota Cancer Coalition
• Dakota Diabetes Coalition
• North Dakota Injury Coalition
• Healthy North Dakota Early Childhood Alliance
• Healthy North Dakota Breastfeeding Committee
• Coordinated School Health Partners
• ND Tobacco Quitline and Qutinet
• North Dakota Oral Health Coalition
• Heart Disease and Stroke Advisory Committee
• Office for the Elimination of Health Disparities Workgroup
• Healthy Eating and Physical Activity Partnership (HEPA)
25. Year One Key Projects
• Statewide Survey
• Web Based Resource Guide
• Toolkit
• Statewide Summit
• Education
26. Statewide Survey
• Partners
– ND State Chamber
– Local Chambers
– Workforce Safety &
Insurance
– ND Department of Health
– ND PERS
1100+ Respondents
30. Education
• HND WW training curriculum
– Cooper Institute
– Community engagement
principles
– MPH credits
– Annual Statewide Summit
– Gearing Up training
– Committee Training
– Management Boot Camp
33. Comprehensive Worksite Wellness Approach
Least Complex Most Complex
Pre-contemplation Contemplation Preparation Action Maintenance
Activities
Awareness Education/Motivation Intervention
No visible change Change might occur Behavior change
Larger Reach Medium Reach Smaller Reach
(Least investment) (moderate investment) (higher investment)
Posters Screenings Ongoing classes
Paycheck stuffers Videos Recreational sports
Email messages Seminars/classes (one time) High risk intervention
Newsletters Challenges Case management
Self-care book Health Coaching
Injury prevention
Evaluation
Formative Process Outcome
(Background) (Methods) (Impact)
Interest surveys Cost/Program analysis Disease management
HRAs Behavior change Risk reduction
Claims Analysis
34. Comprehensive Worksite
Wellness Program Results
• 27% improvement in sick leave and
absenteeism
• 26% improvement in healthcare costs
• 32% improvement in worker’s
compensation and disability management
claims
The Art of Health Promotion Meta-evaluation,
American Journal of Health Promotion,
July/August 2005
