HEALTHY IU WILL EMPOWER, EDUCATE, AND OFFER ENVIRONMENTAL TOOLS TO ENCOURAGE MEMBERS OF THE IU COMMUNITY TO LIVE THEIR

1. HEALTHY IU WILL EMPOWER, EDUCATE, AND OFFER ENVIRONMENTAL TOOLS TO ENCOURAGE MEMBERS OF THE IU COMMUNITY TO LIVE THEIR BEST LIFE.

2. Healthy IU Steering Committee • Kathryn George Bayless: Asst. Dean & Exec. Director, Campus Rec Sports • Linda F. Brown: Health Psychology, Mindfulness-Based Therapies and Clinical Psychologist in Private Practice • Jenny Rebecca Fleetwood: Work-Life Balance Coordinator, Human Resources • James M. Gladden: Dean, IU School of Physical Education & Tourism Mgmt. • Elin Christine Grimes: Registered Dietitian and Nutrition Counselor • Tracy L. James: Senior News & Media Specialist, IU Communications • Carol Kennedy-Armbruster : Sr. Lecturer, Kinesiology, School of Public Health • Marilyn H. Kuhn: Chief Operating Officer, Lilly Family School of Philanthropy • MaryFrances McCourt: Senior Vice President & Chief Financial Officer • Sara Elaine Peterson: Director - Human Resources & Employee Development, Campus Facility Services • Daniel U. Rives : Associate Vice President for University Human Resources • Lisa K Staten: Associate Professor, Director, Social and Behavioral Sciences Department • Richard A. Strong: Director, Environmental Health & Safety • John Paul Tweedie : Senior Director of Administration & Finance • Stephen F. Wintermeyer: Assoc. Professor of Clinical Medicine, Adjunct Assoc. Professor of Public Health • Philemon Kiprono Yebei: Director, Budget Administration, IUK • Patricia W. Hollingsworth: Director, Healthy IU

3. Progress To Date- Educational Programs FY 13 & 14 • Health Screenings - 10,165 participants screened in both years saw a 15% improvement in risk reduction. • Learn Over Lunch Awareness Building Programs – (Workstation Workout, Ergonomics, Stress Management ) - 1,765 participants • Long Term Behavior Change programs (Diabetes Prevention Program, Mindful Way to Stress Reduction, Nutritional Counseling) – 1,293 participants • Walking Challenges with Pedometer - 2038 participants • Fairbanks School of Public Health Workplace Wellness Survey – 5523 participants

4. Progress To Date • Environmental Changes • Blood Pressure Machines Installed – 26,394 BPs taken • Departmental Bikes Used in Facilities Service • Departmental scales • Increased re-fillable water stations • Marked indoor walking routes • Provided 264 movement trackers to focus groups in across several administrative departments • “I did the Mindful Meditation series also, and it was extremely invaluable to my health and well-being! I am grateful for the opportunities and look forward to using the Fitbit and keeping the progress going in this very positive direction! Thanks!”

5. Impact of Employee Well-being Implications for Employees at High to Moderate Risk • Greater probability of chronic health condition(s) • Higher out-of-pocket medical and pharmaceutical costs • Greater pain and suffering • Lower quality of life • Lower personal effectiveness on and off the job Implication for Employees at Low Risk • More independence/health • Lower medical costs • Greater energy and vitality • Increased life and job satisfaction • Re: screening: “That was the wake-up call, I thought, I need to do something about this. I didn’t care until then” - Akash Shah

6. Impact of Employee Well-being • Implications for Employers with Employees at High and Moderate Risk • Higher prevalence of chronic health conditions • Higher direct medical costs • Higher absenteeism • Higher disability and workers’ compensation costs • Lower productivity due to higher presenteeism • Implications for Employers with Employees at Low Risk • Healthier, productive workforce • Lower direct and indirect health-related costs “I was one of those kids in high school who hated gym, but when the Diabetes Prevention Program introduced exercise in week five and we learned how to incorporate being active into our everyday lives, it made sense. "Now I walk at work and make a point of finding other ways to not be so sedentary.” - Rob Aspy

7. Fairbanks School of Public Health FindingsSpring, 2013 Distribution of Risk 33% (5523) of full time faculty and staff completed the survey Statistical adjustment was applied to ensure results were representative of all full-time employees Survey similar to CDC Behavior Risk Factor Surveillance System Survey was anonymous and confidential Reassessment planned for Spring 2015 to measure risk migration • 24% • Medium Risk • (3-4 Risks)

8. Strengths • The majority of full-time employees report that • IU is supportive of their health • Management believes health and safety are important • Coworkers are supportive of efforts to be healthy • Workplaces are perceived to be safe • They make healthy food choices when those options are available Perceived health, physical activity levels, preventive services use, and smoking rates are also encouraging.

9. Opportunities • While some rates of chronic disease are more favorable than national rates, there is still opportunity for improvement and prevention • 40% have high cholesterol • 26% have hypertension • An additional 11% have pre-hypertension • 29% are obese • An additional 32% are overweight • 6% have diabetes • An additional 6% have pre-diabetes

10. Opportunities Stress & Mental Health

11. Opportunities Employee Interests Indicated on Survey

12. Steering Committee Compass for Recommendations Healthy IU Values: Quality through respect for the uniqueness of each individual & campus Transparency in Health IU design, delivery & evaluation Individual responsibility for personal health & well-being Collaboration & optimal use of resources Utilization of IU campus resources to foster learning for all Environments, systems and policies supportive of positive lifestyle Data: Fairbanks School of Public Health Workplace Wellness Survey CDC Scorecard Ensure information meaningful, comprehensive and evidenced based

13. Program Components

14. Program Components

15. Program Components

16. Program Component

17. Program Components

18. Program Components

19. Program Components

20. High Priority Objectives to be Implemented by August 2015 • Expand the Diabetes Prevention Program to all campuses • Implement enhancements to the built environment which both promote and remove barriers related to physical activity • Mark 1, 3 and 5 mile routes with way finders on each campus • Install signage to encourage stair use • Expand healthier food & beverage options on all campuses • Continue Steering Committee with special attention toward mental well-being. • Expand Marketing & Communications

21. Additional Objectives to be Implemented by August, 2015

22. Additional Objectives to be Implemented by August, 2015

23. Performance Metrics • Workplace Wellness Follow-up Survey via Fairbanks School of Public Health • Program Specific Performance • Participation • Customer Service Survey • Measured Health Outcome • IU Bloomington Evaluation • Student Evaluation of pilot programs example: fit bit pilot through the IUB School of Public Health • Benchmark and track Healthy IU progress using CDC Scorecard and similar tools such as Healthiest Employers in Indiana or Indiana Chambers’ Workplace Wellness assessments. • Compare participation rates and program scope with other Big Ten Universities. “Participants typically improve their eating habits during and after the DPP program but have trouble staying active”, instructor Gina Plummer said. “The trackers motivated people dramatically,” she said. “Some continued to lose more weight as a result of using the trackers. They called them the ‘silent Ginas’ since they no longer had me with them during the weekly core program, but now they had the trackers.”