Why Employee Wellness?
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Why Employee Wellness?. Health Costs Challenge Business & Government. Source: CMS. > Spending Leads To > Premiums. Mid-1990s: premiums fell sharply 2001 – 2004: premiums grew at double digit rates. Source: KFF/HRET; Bureau of Labor Statistics; U.S. Consumer Price Index.

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Why employee wellness

Why Employee Wellness?


Health costs challenge business government

Health Costs Challenge Business & Government

Source: CMS


Spending leads to premiums

> Spending Leads To > Premiums

  • Mid-1990s: premiums fell sharply

  • 2001 – 2004: premiums grew at double digit rates

Source: KFF/HRET; Bureau of Labor Statistics; U.S. Consumer Price Index


Health benefit costs per active employee

Health Benefit Costs, Per Active Employee

Source, Mercer HR Consulting, “Health Benefit Costs Slow for A Third Year ...”, Nov. 20, 2005


Why are healthcare premiums increasing

Why Are Healthcare Premiums Increasing?

Source: PricewaterhouseCoopers

The Factors Fueling Rising Healthcare Costs 2006


Reasons why utilization is increasing

Reasons Why Utilization Is Increasing


Increasing prevalence of chronic disease

Increasing Prevalence of Chronic Disease

Projected Number of People with Chronic Conditions (in millions)

Source: Wu, Shin-Yi, and Green, Anthony, “Projection of Chronic Illness Prevalence and Cost Inflation,”

RAND Corp., October 2000


The obesity burden

The Obesity Burden

  • 64%: Increase in diabetes patients, 1987-2002

  • 1,000%: Increase in obesity-related costs, 1987-2002

  • $1,244: Annual health care spending difference, normal weight v. obese adults.

    Source: Health Affairs, June 2005

% of U.S. Health Spending

On Obesity-linked Conditions


Un wellness costs in billions

“Un-Wellness” Costs (in Billions)

Source: Health Promotion Advocates, from CDC, NIH, National Institute of Diabetes and Digestive and Kidney Diseases, and Journal of Occupational Medicine.


Why employee wellness

$5,520

$3,460

$3,039

$2,199

Edington, AJHP. 15(5):341-349, 2001

Excess Medical Costs Due to Excess Risks


Why employee wellness

Excess On-The-Job Loss Due to Excess Risks

14.7%

Burton, Chen, Conti, Schultz, Pransky, Edington. JOEM. 47(8):769-777. 2005


Why employee wellness

HRA Participants

Non-Participants

(N=4,649)

Low Risk

0-2 Risks

(N=685)

Medium Risk

3-4 Risks

(N=520)

High Risk

5+ Risks

(N=366)

WC Claims

STD Claims

Absence Record

Disability Claim

25.4%

23.4%

49.9%

61.3%

30.2%

30.8%

63.1%

72.5%

30.2%

29.6%

41.0%

64.4%

38.0%

46.7%

69.7%

81.7%

Percentage of Employees with a

Disability Claim by Risk Status

Wright, Beard, Edington. JOEM. 44(12):1126-1134, 2002


What can schools do

What Can Schools Do?

Create awareness of need

Create a sense of urgency

Empower with resources

Build and support a culture of wellness

  • Policies

  • Environment

  • Include everyone


What can schools do1

What Can Schools Do?


Devastating consequences of doing nothing

Devastating Consequences of Doing Nothing

  • Today’s generation of American children may be the first in modern history to live shorter lives than their parents

U.S. Surgeon General Richard Carmona

March 2, 2004


Obesity trends among u s adults brfss 1985

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1985

(*BMI 30, or about 30 lbs overweight for 5’4” person)


Obesity trends among u s adults brfss 1986

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1986


Obesity trends among u s adults brfss 1987

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1987


Obesity trends among u s adults brfss 1988

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1988


Obesity trends among u s adults brfss 1989

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1989


Obesity trends among u s adults brfss 1990

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1990


Obesity trends among u s adults brfss 1991

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1991


Obesity trends among u s adults brfss 1992

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1992


Obesity trends among u s adults brfss 1993

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1993


Obesity trends among u s adults brfss 1994

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1994


Obesity trends among u s adults brfss 1995

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1995


Obesity trends among u s adults brfss 1996

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1996


Obesity trends among u s adults brfss 1997

No Data <10% 10%–14% 15%–19% ≥20

Obesity Trends* Among U.S. AdultsBRFSS, 1997


Obesity trends among u s adults brfss 1998

No Data <10% 10%–14% 15%–19% ≥20

Obesity Trends* Among U.S. AdultsBRFSS, 1998


Obesity trends among u s adults brfss 1999

No Data <10% 10%–14% 15%–19% ≥20

Obesity Trends* Among U.S. AdultsBRFSS, 1999


Obesity trends among u s adults brfss 2000

No Data <10% 10%–14% 15%–19% ≥20

Obesity Trends* Among U.S. AdultsBRFSS, 2000


Obesity trends among u s adults brfss 2001

Obesity Trends* Among U.S. AdultsBRFSS, 2001

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%


Why employee wellness

Obesity Trends* Among U.S. AdultsBRFSS, 2002

(*BMI 30, or ~ 30 lbs overweight for 5’4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%


Obesity trends among u s adults brfss 2003

Obesity* Trends Among U.S. AdultsBRFSS, 2003

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%


Why employee wellness

Diabetes Trends* Among Adults in the U.S.(Includes Gestational Diabetes)BRFSS 1990

Source: Mokdad et al., Diabetes Care 2000;23:1278-83.


Why employee wellness

Diabetes Trends* Among Adults in the U.S.BRFSS 1991-92

Source: Mokdad et al., Diabetes Care 2000;23:1278-83.


Why employee wellness

Diabetes Trends* Among Adults in the U.S.BRFSS 1993-94

Source: Mokdad et al., Diabetes Care 2000;23:1278-83.


Why employee wellness

Diabetes Trends* Among Adults in the U.S.BRFSS 1995-96

Source: Mokdad et al., Diabetes Care 2000;23:1278-83.


Why employee wellness

Diabetes Trends* Among Adults in the U.S.BRFSS 1995

Source: Mokdad et al., Diabetes Care 2000;23:1278-83.


Why employee wellness

Diabetes Trends* Among Adults in the U.S.BRFSS 1997-98

Source: Mokdad et al., Diabetes Care 2000;23:1278-83.


Why employee wellness

Diabetes Trends* Among Adults in the U.S.BRFSS 1999

Source: Mokdad et al., Diabetes Care 2001;24:412.


Why employee wellness

Diabetes Trends* Among Adults in the U.S.BRFSS 2000

Source: Mokdad et al., J Am Med Assoc 2001;286:10.


Why employee wellness

Diabetes Trends* Among Adults in the U.S.BRFSS 2001

Source: Mokdad et al., J Am Med Assoc 2001;286:10.


Why employee wellness

3 Keys to Success

  • Keep It Simple: Focus on a few key issues; aim for high participation rates

  • Communicate Effectively: Build infrastructure for future success

  • Reward Healthy Behaviors: Celebrate success


Why employee wellness

Where to Begin

  • Know your needs

  • Set realistic goals and objectives

  • Evaluate your resources

  • Involve the “right” people

  • Develop a long-term strategy

  • It’s all in the execution – DO SOMETHING


Why employee wellness

Know Your Population’s Needs

Physical activity

Healthy eating

Weight management


Why employee wellness

Set Realistic Goals and Objectives

  • GOALS

  • Faculty and staff will be more active

  • Faculty and staff will improve eating habits

  • OBJECTIVES

  • At least 40% of faculty and staff will complete 8-week physical activity challenge

  • Healthy food items will be labeled in cafeteria and vending machines


Why employee wellness

Evaluate Your Resources

  • In Your School

  • Ways to communicate

  • Health teachers, physical education teachers, food service professionals, school nurses, others

  • Resources provided by Bower Foundation

  • In Your Community

  • Non-profit health agencies

  • Local hospitals

  • Home extension service


Why employee wellness

Involve the “Right” People

  • People who want to be involved

  • Those with access to resources

  • Decision makers

  • Representative Committee

    • Meet monthly

    • Identify opportunities

    • Coordinate baby steps

    • Build infrastructure


Why employee wellness

Develop a 3-Year Strategy

  • YEAR 1

  • Start with small simple steps

  • Focus on participation, and measure it

  • Focus on FUN

  • YEAR 2

  • Build on success

  • Focus on outcomes, and measure them

  • YEAR 3

  • Continue to build on success

  • Tell your school’s story to others


Why employee wellness

DO SOMETHING

Even little things make a difference when done consistently over time.

Don’t let what you can do keep you from doing what you can do.

Success breeds success.


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