Michaela Conley: view complete webinar archive at: http://healthpromotionlive.com

1. Wisconsin
Worksite Wellness
Resource Kit
HELLO
My name is:
Jon Morgan
1

2. Who Am I?
Jon Morgan, MS
Physical Activity Coordinator
Division of Public Health
Voice: (608) 266-9781
Fax: (608) 266-3125
jonathon.morgan@wisconsin.gov
2

3. Why the worksite…
Waking Hours in Various Settings (17 total hours possible)
HealthCare
10 seconds
In Transit 1
Work or
Community
School or
3
Childcare
Family/ 8
Home
5
3

4. “Evolution” ???
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5. Parallel Path of Healthcare Costs & Obesity Rates
(Annual cost per person & % obese population)
The Timing is Right! Obesity Rate
$1 26%
$1
$5711
Cost/Obesity Rate
$1
Healthcare Cost Rate
11%
$1
$0 $2752
Two-thirds of the increase in health care spending is
due to increased prevalence of treating chronic
$0
disease.
Source: CDC BRFSS
data
Source: Organization
$0
for Economic Co-
03
01
02
98
99
00
97
94
95
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90
91
92
93
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20
20
19
19
19
19
20
19
19
19
19
19
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operation and
Development. OECD
Health Data 2006 Years
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6. Why try and
improve wellness in
the worksite?
Or ….
If it doesn’t make cents,
it doesn’t make sense!
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7. Return on Investment
Most studies show a return on
investment (ROI) of $2 to $5 for
every $1 invested.
ROI usually includes:
Absenteeism
Medical & Pharmacy costs
Presenteeism
Worker’s Comp and disability time
7

8. Initial Consideration –
What’s Your Role?
Which comes 1st? Or
1) Identify what you can do so you have
visibility, credibility and a role.
2) Figure out who are the partners and
facilitators are that you need and
that might need you.
3) Figure out what they need and
whether you can provide it.
8

9. Our Role vs. Partner Role
Resources/ Direct
Education / General Outreach,
Awareness Technical TA,
Assistance Consulting
1) You need to provide them with something
(Awareness is not enough –What can give them that they
don’t already have that will help make it happen?)
2) You may only get 1 shot – so be ready before you “launch”!
9

10. Worksite Wellness Timeline
NPA Program Established 2004
State Plan - Business subcomm #1= kit 2006
Worksite Survey Spring 2006
Completed by 581 WMC members
Resource Kit Completed - 8,000+ downloads August 2006
Produced by NPA program & committee. Version 1
Comprehensive Cancer Grants 2006-2007
6 mini-grants to test look/feel of the Kit in 16 sites
NGA Grants - $100K 2006-2007
1) Gov Summit
2) Plan for state employee wellness
3) 11 mini-grants ($4K each) to test effectiveness in
17 worksites
Version 2 of Resource Kit Completed Fall 2007
Governor’s Worksite Award Winter 2007
Regional & Targeted Trainings 2008, ‘09 & ‘10
Toolkit – Version #3 Fall 2010
10

11. Resource Kit
Development
Based on Worksite
Survey Results (N=581)
&
Pilot Testing (33 sites)
11

12. Survey Questions
Asked Questions in Four Areas:
1. General info
Size & type of Company
2. Companies without a program
Why not?
Stage of consideration for a program
What would influence starting a program
Ranking of key program components
12

13. Survey Questions (cont)
3. Companies with a Program
Reason why?
Funding/staff
Participation rates
List of key program components
Communication methods
On-site resources
Policies
4. Needs
Kit components?
How-to pieces for what areas?
Format? 13

14. Worksite Wellness Pilot Projects
Healthy Lifestyles Project (#1)
June 2006 -June 2007: tested look/feel
Healthy Wisconsin Worksite
Project (#2)
December 2006-September 2007:
tested effectiveness
14

15. Objectives
1st Pilot: Support 6 coalitions to partner
with 1-5 worksites to implement
worksite wellness programs (with
Cancer program)
Pilot test the Wisconsin Worksite Wellness
Resource Kit
2nd Pilot: Support 11 coalitions to partner
with 1-5 worksites to implement
worksite wellness programs
Using evidence-based strategies
Use the Wisconsin Worksite Wellness
Resource Kit
Pre-post assessment checklist

16. Coalitions Funded
Fit City Madison
Healthy People Wood County 1st Pilot
Coulee Region Childhood Obesity Coalition
Burnett County Nutrition Coalition
Healthy Eating, Active Living of Marathon County
Sheboygan County Coalition for Kids’ Activity & Nutrition
Healthy Hearts Project Oconto County
Rock County Healthy Living Coalition
Brown County Healthy Weight Coalition for Youth
Waupaca County NuAct Coalition
Waukesha Wellness Advocates 2nd Pilot
Green Lake Area Health & Wellness Coalition
Healthiest Manitowoc County 2010
University of Wisconsin – River Falls Health and Wellness
Coalition
Merrill Area Healthy Lifestyle Network
Altoona on the Go
Polk County Nutrition & Physical Activity Coalition

17. Worksite Partners
1st Pilot = 16 worksite partners
Printing Company
Healthcare Providers/Medical Center
Manufacturing
Technical College/University Dept.
County Government
School District
Head Start
2nd Pilot = 17 worksite partners
County Government
City Government
Manufacturering
Schools/Technical College/University
Hospital/healthcare clinic
Nursing Home
Head Start

18. Page 1: Strategies
18

19. Findings
Pilot 1 Pilot 2
# of employees reached = 3,527 10,092
# policy changes made = 27 37
# environmental changes = 45 56
Toolkit usefulness = all used the kit and
found it somewhat useful to extremely
useful
Partnership Model was effective
Sustainability listed by most

20. Policy Changes
Health insurance discounts
Healthy food at meetings
HRA's
Vending contracts Both Pilots
Breastfeeding policies
Worksite wellness policy
Flex scheduling for PA, breastfeeding
Health Club discounts
Healthy lifestyle cash or gift incentives
Pilot 1: Competitive pricing
Pilot 2: Time and space for breaks & lunch
Nutrition guidelines for cafeteria, vending
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21. Environmental Changes
Walking routes/maps
Bike racks
Point of decision prompts Both Pilots
Vending foods/beverages
Competitive pricing
Labeling
CSA drop off / on-site gardening
Fitness facility/equipment
Nutrition education
Make water available
Breastfeeding room, refrigerator,
breast pumps
Pilot 2: Shower facilities 21

22. Resource Kit Pilot Sites –
Lessons Learned
Effectiveness of the coalition-worksite
partner model
For coalitions:
Increased their visibility in the
community.
The coalition strengthened existing
partnerships or created new
partnerships with partner worksites.
For worksites:
promoted networking among the partner
worksites.
Worksites received technical assistance
22

23. Lessons Learned:
Implementation and effectiveness of
evidence-based interventions
Policy
Policy changes are most easily
implemented with wellness
representatives in administrative roles.
Policy changes should be realistic.
Timing and persistence are crucial. May
have to come back later to implement.
Environment
Most popular environmental changes =
healthy foods at company functions.
Point-of-decision prompts were also
initiated by many worksites.
Most Wellness Programs Gravitated to 23
Activities

24. Measuring Change
Worksite assessment checklist of
strategies
=
One of the suggested ways to
measure success
=
Pick list for grant reporting measures
=
Criteria for Worksite Award Program 24

25. Delivering the Message/Resource:
An Intermediary is Key
Public Health
Coalitions
Human
Resource Dept
Individual
Resource Occupational Worksites
Kit Health Nurses Wellness
Programs
Health Provider
or Insurers
Chambers of
Commerce 25

26. 2008
6 Workshops
April – July
(350 Attendees)
2009
Eau Claire
2 Trainer
Stevens Point Workshops:
Stevens Point
Pittsville Green Bay
St. Point - June 2
Madison - June 10
Appleton 2 General &
LaCrosse
West Bend 2 HR specific
2010
Madison
Madison Waukesha Fall Workshops
Madison
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27. Worksite Wellness Resource Kit…
Already doing outreach - What’s in it for
me in working with clients?
It’s a potential foot in the door
Tool to add to your list of
services
Based on proven practices =
Higher success rate
It can easily be integrated into
what you’re already doing, for
example ….
Just because…..
it’s the right thing to do!
And ………It’s FREE! 27

28. Worksite
Wellness
Resource Kit
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29. Who Is Already Using The Kit?
The States of: Additional Users:
Kentucky Well City Milwaukee
Washington WellSteps.com
Michigan Zywave
Florida CDC
Indiana (15) Victoria, Australia – we’ve
Vermont gone International!
West Virginia
New Mexico
Hawaii
Colorado
South Carolina
Maryland
Missouri
Nebraska
North Dakota
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30. WI Worksite Wellness Resource Kit
What it’s designed to do …..
Step-by-step process for comprehensive
worksite wellness
General description of program
components and links to best resources
Focus is on chronic disease prevention
What it doesn’t do …..
Detailed content on “programming”
Focus on safety & injury prevention
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31. Worksite Toolkit Outline
Introduction
Step 1: Why Worksite Health? Benefits of a
Program
Step 2: How to get started
Step 3: Initial Assessment & Employee Survey
Step 4: Program Content for My Worksite
Step 5: Making Decisions on Where to Focus
Worksite Initiatives
Step 6: Evaluating My Wellness Program – Is
it doing any good?
Appendices: Additional resources 31

32. 32

33. Worksite Toolkit
Step 1: Why Worksite Health?
6-Step High Level Introduction
Why start a program
Health benefits & cost
Return on Investment (ROI)
Key data
33

34. 34

35. Worksite Toolkit
Step 2: How to get started
How-to Section
Developing a wellness team
Cost overview
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36. 36

37. Worksite Toolkit
Step 3: Initial Assessment &
Employee Survey
How-to on conducting a worksite assessment
1) (68 item tool*) - wellness assessment
on current worksite:
Policies
Environment
Activities
2) Ask your audience
(Sample employee survey)
3) Other available data *
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38. Worksite Assessment
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39. Worksite Assessment - Results
After 1 Year Evaluation 29 18 21 39

40. Employee Survey
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41. 41

42. What is Worksite Wellness? ….
……Depends on who you ask.
A three pronged complete program =
Health Fairs
Lunch & Learns
Payroll Stuffers They don’t
know what
or
they don’t
Program Activities know
Policy Change
Environmental Change 42

43. Things (environment, et.al.) Have Changed
…high tech digital recreation
43

44. -Offer incentive-based exercise
campaigns (President’s Challenge).
-Offer physical activity-focused
coaching.
Social-Ecological Model
Physical Activity
-Offer flexible work hours to allow
-Provide showers onsite. for physical activity during the day.
-Provide a room where group fitness Supervisors must support this as
classes can take place. standard work practice.
-Post maps of onsite trails or nearby -Promote walk-and-talk meetings
walking routes. when appropriate
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45. Worksite Toolkit
Step 4: Programming for My Worksite
2-3 page summaries of key strategies &
resources
General Wellness Components
Health Risk Appraisal / Health Screening *
o Healthcare provider or insurer, on-line
Physical Activity / Active Living
o Local YMCA, fitness clubs
Nutrition / Healthy Eating
Mental Health *
Tobacco Use
o Healthcare provider or insurer, WI Quit line 45

46. Page 1: Strategies
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47. Page 2: Resources
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48. 48

49. Worksite Toolkit
Chapter 5: Where to Focus Your Efforts
Programming options for greatest impact
o Campaigns vs. Policy & Environment changes
o Levels of change
o Employee readiness
Recommendation worksheet *
Action plan worksheet
Maintaining Interest & Motivation
o Incentives
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50. Levels of Chance for Maximum Impact
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51. “Scoring” Recommendations for
Possible Implementation
1 5 scale with higher as better 51

52. Action Plan
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53. 53

54. Worksite Toolkit
Chapter 6: Evaluating My Wellness Program –
Is it doing any good?
Types of evaluation objectives
o Process (with samples)
o Outcome (with samples)
Sample pre & post evaluation
measures
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55. Sample Evaluation Measures
Process Measures are:
Participation rates (Number of staff enrolled and participating).
Web site hits
Observation or counts (ex. track number walking at noon)
Participant satisfaction (via survey, focus groups, etc.)
Policy or environmental changes/tracking (compare Worksite
Wellness Assessment Checklist at 1 year)
Outcome Evaluation is more difficult & takes longer to show up in
your data.
Pre/Post test surveys – Measure changes in attitude, knowledge
and current wellness habits over a specified time period
Quizzes
Vending items being chosen (arrange with vendor to track
selections)
Cafeteria menu options
Health Indicators / reduced risk factors. Comparison of company
aggregate screening measures such as blood pressure,
cholesterol, body weight, BMI, etc. before and after a specified
program or campaign. 55
Corporate costs and return on investment.

56. Evaluation Samples
56

57. Worksite Toolkit
Appendices: Additional resources
Disease Management (1-2 page overview)
Arthritis
Cancer
Diabetes
Heart Disease & Stroke
Mental Health *
Samples of Blank Documents
Worksite assessment *
Employee pre-survey
Worksite worksheet of priorities
Worksite action plan
Additional Resources/Tips Pages
Wellness at home *
Sample policies *
Coordinator’s guide * 57

58. What Are We Currently Working on &
Next Steps
Toolkit Version #3
Expand Regional Trainer List
Increase “Favorites” listing
Promote Governor’s Worksite Award
Fall Workshops targeted to Trainers
58

59. Version 3
New & Improved
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60. Regional Trainers
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61. Regional Trainers
Until ….
we control
the State!
Ha, Ha, Ha
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62. Resources: NPA Web Site
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63. “Favorites Program”
An Opportunity to Share
Define type of program
Policy
Environmental change
Behavior change
What is the focus?
HRA
Physical activity
Nutrition
Mental health
Tobacco use
What went well, what didn’t go well?
How did you get good participation?
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64. Program Favorites-Page 1
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65. Worksite Award
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66. So What?
Evaluation:
• 3200 hard copies of the kit distributed
• 30,000 downloads kit
• over 250,000 hits
• 15 workshops, 700+ participants;
• Percent of workshop participants who rated the workshop as either good or
excellent = 92%
• Number of winners of Governor’s Worksite Wellness Award (2008-10 = 59)
• Annual survey of kit users (N=157 response subset from email list of 700+):
• 1264 worksites reached: 133 own worksites + 1131 outreach worksites
• 204,813 employees reached based on number of worksites and their employees
using the kit (117,088) plus number of employees served by outreach
agents using the kit (87,725).
• 76% rated kit content as “very useful” or “extremely useful” 66

67. “Wisconsin Worksite Wellness
Resource Kit” –
How Can I Get A Copy?
On the Web at:
http://dhfs.wisconsin.gov/health/physic
alactivity/Sites/Worksitekit.htm
Or you can Google “WI Physical
Activity”
Via hard copy
Fill Out Online Order Form
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68. That’s All Folks
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69. Questions?
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