2. We are under exercised as a nation. We look
instead of play. We ride instead of walk.
Our existence deprives us of the minimum of
physical activity essential for healthy living.
John F. Kennedy
December 5, 1961
A Call to Action
3. Promoting Fitness at Work
The goal of worksite wellness program is
to reduce the number of lifestyle
diseases adding to employer and
employee healthcare costs.
• Management viewpoint
4. Promoting Fitness at Work
The goal of worksite wellness program is
to encourage employees to adopt
healthy lifestyle behaviors to achieve
and/or maintain a high quality of life.
• Health Professional viewpoint
5. Promoting Fitness at Work
The goal of worksite wellness program is
for my employer to help me learn healthy
habits and new activities that can help
me and my family live a healthier life.
• Employee viewpoint
7. Promoting Fitness at Work
The goal of worksite wellness program is to
make me humiliate myself by dancing in the
break room, get sweaty in my work clothes,
discuss my weight with my coworkers, make
me lie about what I really ate for dinner last
night and ultimately to remove all of the “good
stuff” from of the vending machines.
• Viewpoint of many – you know who you are.
8. Promoting Fitness at Work
You took the
Snickers out of
the vending
machine?!
Welcome to
Wellness!
Go eat an apple.
10. What are the Basic Needs?
A designated staff person or team
Program appropriate resources
Financial resources
Patience and enthusiasm
Commitment from management
I’m an IT
technician.
How did I get
put in charge
of wellness?
11. Not so basic needs:
Health Promotion Management
Needs Interventions
Health Risks Policy Changes
Injury risk Education
Chronic Illness Environmental Support
Absenteeism Incentives
Medical Costs Administrative Changes
Productivity Work Culture Changes
12. Programs to Choose
Two main types of fitness promotion
programs for the workplace:
• Participation Only
• Results Based
13. Participation Based Programs
No goals or results are required
Incentives offered to participate
In some cases, there are
disincentives for not participating
14. Results Based Programs
Incentives offered for
attaining a specific goal
An outcome must be
achieved, this makes RBP’s
more heavily regulated.
16. Program Differences
PARTICIPATION BASED RESULTS BASED
Very accessible Reasonably accessible depending on
program goal
Minimal data to track Data must be collected and managed
Fun and generally good for staff moral Fun and generally good for staff moral
Fairly inexpensive Program goal determines cost
Good for all businesses - especially
those just getting started
Good for businesses with strong
management support
Good for gathering employee input Good for gather input and data
17. Employee Data
The Health Risk Assessment
• A health risk assessment is an assessment
tool or questionnaire designed to identify
health risks and outline information to assist
people in making healthful changes that
impact their health and prevent chronic
disease.
• Popular tool for both participation and results
based programs.
18. Health Risk Assessments
HRA’s gather valuable
information about employees:
data must be held in strict
confidence.
Employers must also ensure
that HRA’s are compliant with
all regulations.
19. Legal Notes
Laws governing wellness programs:
• Health Insurance Portability and
Accountability Act (HIPAA)
• Americans with Disabilities Act (ADA)
• California Fair Employment and
Housing Act (FEHA)
• Genetic Information Nondiscrimination
Act (GINA)
20. Conduct a Worksite Wellness or
Health & Fitness Audit
What are we doing well?
• Policies/Handbooks
• Health insurance
• Newsletters
What can we do better?
• Vending machines
• Flexible schedules
• Healthier celebrations
• What in our work
environment supports health
21. Survey Employees
What do employee’s want?
• Onsite fitness classes?
• Subsidized gym memberships?
• Lunchtime classes on nutrition
and healthy lifestyle?
• Pleasant and inviting break areas?
• Company softball team?
• What do they perceived as barriers?
22. Review the Literature
Average 28% reduction in sick leave
absenteeism.
Average 26% reduction in health costs.
Average 30% reduction in workers'
compensation and disability claims costs.
Average $5.93-to-$1 savings-to-cost ratio.
Partnership for Prevention
http://www.prevent.org
A meta-review of 42 published studies of worksite health
promotion programs shows:
23. Grow An Advisory Board
Get administration involved.
Recruit managers and staff
members who are motivated
and will serve as role models.
Evaluate employee survey
responses and brainstorm.
Determine goals.
Assign tasks.
24. Assess Your Resources
Discuss what can your
employees contribute?
What local resources may
meet your needs?
Do any online or social media
programs meet your needs?
25. Choose Your Path
Champion your program
Be open to input
Be prepared to roll with
the punches
There is no wrong way
26. Assess Your Efforts
Give your employees real,
personal data.
Give your management
usable data.
Celebrate positive trends
Use data to plan next steps
27. Fitness Promotion Contributes to
Healthy Communities
Healthy worksites
contribute to a healthy
community culture.
Healthy lessons
learned at work get
shared at home.
One or both parents
work = opportunity
28. Choose Your Program
“Pick battles big enough to matter,
small enough to win.”
~Jonathan Kozol, On Being a Teacher
Notes de l'éditeur
People are very individual and they have differing views on health and personal information.
No goals or results are required.
Examples: fitness, cholesterol, weight, stop smoking
Incentive to participate
Insurance premium reductions, gym membership
Disincentives for NOT participating
Not eligible for premium reduction, gym membership
No goals or results are required.
Examples: fitness, cholesterol, weight
Incentive to participate
Insurance premium reductions, gym membership
Disincentives for NOT participating
Not eligible for premium reduction, gym membership
The laws address the voluntariness of wellness program; a voluntary program neither requires or penalizes a person for participation.
Reasonable accommodations, waivers, and alternate measures must be offered to those employees who need it. “deemed ill advised” to participate.