Health Promotion Programs - Focus on Injury Prevention.

Preventing injuries is a high priority for employers, particularly in factory establishings like Honda. That’s why the company offers several programsâ.”including line-site process investigations â.”to identify potential hazards and help reduce the chance of injury.

As part of an early intervention program, Honda workforce who are feeling pain can receive a massage of the affected area during work time.

Stretching programs are another effective tool in injury prevention. As reported by the Best Practices in Manufacturing Web site, Dayton Parts, Inc. (DPI) in Harrisburg, Pa., conducted research that revealed approximately 80 percent of all manufacturing injuries occurred within the first two hours of each shift.

After starting a program that required production personnel to stretch for 10 to 15 minutes at the starting of their shifts, they saw a dramatic reduction in injuries.

While the DPI program costs about $75,000 a year to operate, combined with other organization programs, it’s assisted bring the annual cost of workers’ compensation from $700,000 to $200,000 annually.6

To help prevent lengthy absences and reduce workers’ compensation claims, Honda instituted a work recovery program. Through the program, workers who have had an injury can work in a modified jobâ.”getting better.

Staff Members in the program spend their work days receiving physical conditioning to increase overall fitness, physical therapy to restore functionality, health education and nutrition counseling.  The program is based on data that shows fewer work days are lost when an worker stays connected to the work environment.

The Ohio Bureau of Workers’ Compensation, www.ohiobwc.com, provides a “10-Step Corporation Plan” as a guide for businesses in providing health promotion programs that aim to reduce injuries.  The plan includes information on safety and health programs to prevent occurrences of on-the-job accidents, including -

Employee involvement - to ensure the success of any organization wellness program, staff members must participate in the safety and health-management process.

This could be done through safety and health audits, accident investigations, or by forming safety and health involvement teams, focus groups or committees.

Orientation and training plan - Conduct orientation and training sessions to educate staff members on the company’s safety policies.

These sessions ought to include procedures for the safe use of machinery and tools, chemical hazards and how to prevent contact or exposure, specific job/task safe practices, and hazard recognition and prevention.

Communication - Open communication keeps personnel informed and provides suggestions and feedback on the effectiveness of the corporation’s health promotion program.

Through memos, bulletin boards and staff meetings, important safety and health information could be conveyed throughout the business, keeping all executive management staff and personnel knowledgeable about the company’s safe practices.

The corporation plan also outlines incentives for post-injury procedures, including -

Medical treatment and return-to-work practices - arly return-to-work strategies help injured or ill staff members return to work in a timely manner.

Businesses should establish a disability management policy to help injured or ill staff members obtain quality medical treatment, making their transition back to work quick and effortless.

Timely notification of claims - Companys should document worksite injuries immediately after they occur and promptly send that documentation to a claims handler.

Quickly providing claim information demonstrates care and concern for the injured worker, prevents delays and confusion with the claim process, and decreases the potential for abuse or needless litigation.

Record keeping - Internal documents must be kept to record work-time injuries and to assess the success of the organization’s safety efforts.

Company audits, surveys and injury or disease reports can all be used to analyze which safety practices and policies have proven successful, and what areas of wellness need improvement.

Wellness Programs - Focus on Detection and Prevention.

Dr. Moore of Nationwide maintains that immunization is the most cost-effective treatment in medicine. for  instance, vaccinating children against the influenza virus averages a savings (including healthcare costs, parents’ missed work, etc.) of up to $35 per vaccine recipient.

And professionals predict that estimate is low, because it doesn’t take into account the rapid spread of the flu.

The American Association of Family Doctors’ Web site, www.aafp.org, offers a advised adult immunization schedule developed by the Advisory Committee on Immunization Practices.

This schedule, tiered by age and chances of exposure, recommends diphtheria, tetanus, influenza, pneumonococcal, hepatitis B, hepatitis C, measles, mumps and rubella, varicella and meningococcal vaccinations.

Ideas to incorporate prevention and early detection -

o  Hold a wellness fair and invite businesses that provide screening services for such conditions as blood pressure, blood iron, cholesterol, BMI  and diabetes.

o  Provide educational materials about well-baby care and immunizations.

o  Pick healthcare coverage plans that include wellness check-ups and immunizations.

o  Offer on-site mammograms for workers.

o  Sponsor on-site flu shots to coincide with flu season.

Health Promotion Programs - Focus on Stress Reduction.

Benefits of Stress Reduction Programs

While stress cannot be eliminated from life, or even from the workplace, coping skills may be created with relative ease. Stress management skills lead to decreased absenteeism and more effective, more productive employees.

Because stress has been shown to contribute to such physical conditions as ulcers, high blood pressure (BP) and stroke, stress reduction has a direct impact on bettering physical health.

Studies have shown that heart patients who attend stress management programs have 42 percent lower healthcare costs. Other studies have documented a 50 percent reduction in medical services use when stress management programs are employed.

Further, Worker Assistance Program (EAP) experts estimate that 20% of any workforce is affected by personal problems that can influence work performance.

Stress reduction tactics to consider -

o  Make available on-site yoga or meditation classes.

o  Organize support groups among workforce.

o  Sponsor stress management classes during the workday.

o  Provide an employee assistance program that includes both counseling and referral.

o  Make available onsite counseling for staff members if a work-related trauma, such as the death of a coworker.

Wellness Programs - Focus on Prenatal Care and Breastfeeding.

Benefits of Prenatal Care and Breastfeeding

The old proverb “an ounce of prevention is worth a pound of cure” is namely relevant to when applied to preventive measures taken during pregnancy, when a few additional ounces of birth weight can save a child’s life.

During pregnancy, simple precautions can help avoid catastrophic results; giving up tobacco use, for instance, drastically reduces the risk of miscarriage and pre-term labor.

The March of Dimes reports that if all women took adequate folic acid before conception and during pregnancy, the number of babies born with a neural tube defect could drop by as much as 70 percent.

The physical and emotional benefits of proper prenatal care to a mother and child are underscored by a strong organization case for offering prenatal wellness benefits. Nationwide’s Chief Medical Director, Dr. Michael Moore, estimates costs to care for one baby delivered prematurely could approach $500,000.

First steps in fostering a prenatal program -

o  Invite the March of Dimes to present information about prenatal health at an worker brownbag lunch or breakfast meeting.

o  Hold prenatal care information classes for interested workers during lunch.

o  Provide educational materials about the effects of alcohol, drugs and use of tobacco on an unborn child.

o  Give incentives for adopting healthy lifestyles during pregnancy.

o  Make available prenatal programs and education as part of the corporation health care package.

Wellness Programs - Focus on Smoking Cessation Programs.

Benefits of Use of tobacco Cessation Programs

Instances of respiratory illnesses, cancer and other illnesses may be decreased through use of tobacco cessation efforts. Use of tobacco cessation programs can provide huge opportunities for improved health.

The American Cancer Society reports that smoking personnel cost companies an typical of $1,429 per smoker a year in increased healthcare costs over non-smoking personnel.

Beginning a tobacco use cessation program costs an typical of $45 per employee annually, saving businesses an typical of $1,383 annually for each employee who quits tobacco use. In addition, the American Cancer Society reports that smokers are absent from work 50 percent more often than nonsmokers.

They are also 50 percent more likely to be hospitalized and have 15 percent higher disability rates. Tobacco use reduces onthe- job productivity as well. Staff Members who take four 10- minute tobacco use breaks a day work more than a month less each year than personnel who don’t take smoke breaks.

Places to start with smoking cessation programs -

o  Create a “buddy” program to provide encouragement for those who commit to stop use of tobacco.

o  Give lung capacity tests at corporation health fairs.

o  Consider reimbursement for tobacco use cessation tools -  nicotine gum, patches and inhalers.

o  Limit tobacco use areas in the worksite.

o  Present on-site use of tobacco cessation sessions.

Wellness Programs - Focus on Nutrition Programs.

Advantages of Nutrition Programs

Nutrition directly impacts almost every aspect of physical and mental health. A healthful diet can help protect against such conditions as heart illness, diabetes, arthritis, stroke, certain cancers and depression. Obesity, which is among the most common conditions linked to diet, affects a record number of Americans.

The American Journal of Health Promotion estimates the cost of obesity to United States organization to exceed $12.5 billion in health care, sick leave, and life and disability insurance.

Further, one study reports that obesity raises healthcare costs by 36 percent and medication costs by 77 percent.  To offset the health risks of obesity and poor diet, many organizations have committed to assisting workforce ensure proper nutrition and undertake weight control programs.

Well-liked nutrition programs -

o  Provide personnel with educational materials or courses on proper nutrition provided by a registered dietitian.

o  Offer on-site Weight Watchers meetings or other weight management programs.

o  Give nutritious and health conscience meal options in the cafeteria and vending machines.

o  Obviously post nutrition information for all cafeteria and vending machine items.

o  Offer low cost, healthy, take-home dinner options for personnel and their families.

o  Draw attention to healthful consuming habits by providing token incentives, like pencils or ID holders, for achieving five fruits or vegetable servings a day for a week.

Nutrition programs in action

While many organizations address weight management through fitness initiatives, organizations are increasingly focusing on nutrition through separate programming. Recognizing the productivity boost and lowered medical expenditures that come with maintaining a healthy weight, many organizations may help pay for obesity treatments for staff members.

For  instance, to increase the health of dangerously obese staff members, drug maker Wyeth reportedly pays for stomach-shrinking surgeries that carry price tags of up to $40,000.

A 2003 Society of Human Resource Management study shows that 24% of businesss offer losing weight programs. In Ohio, Honda offers an onsite, registered dietitian who provides individual or group consultations on weight control. Body fat analysis and Body Mass Index (BMI)  measurements are available to workers at any time.

At Grange Insurance’s Columbus headquarters, the cafeteria chef evaluates meals and provides workforce basic nutrition information, including Weight Watchers points.

Many businesses partner with the American Cancer Society to offer nutrition information through the “5-ADay” program, which provides corporations free signage and educational materials about the importance of consuming five servings of fruits and vegetables a day.

The program also offers a fruit and vegetable “frequency card” that gives workers a free portion of fruit or vegetables after he or she’s purchased a preset number.

Wellness Programs - Focus on Exercise Programs.

Advantages of Exercise Programs

Exercise reduces weight, reduces risks of heart attack and stroke, helps to control blood pressure (BP) and diabetes, and improves mood. Studies increasingly show that exercise may also help reduce the occurrence of certain kinds of cancer.

Researchers at the Centers for Illness Control and Prevention (CDC) lately documented another major advantage -  exercise improves the health of the nation’s medical care expenditures.3 As reported by the CDC, physically active person incur $865 less per year in medical costs than inactive individuals .

Dr. Michael Moore, vice president and chief medical director at Nationwide Insurance in Columbus, maintains that exercise is the most effective tool in health maintenance. “When you may prescribe exercise in a pill, it’d be the number-one prescribed treatment in the world,” he said.

In step with Dr. Moore’s prescription, almost one-third of USA companies help staff members pay for health and fitness center memberships, as reported by an Associated Press report. Subsidizing health and fitness center memberships is just one way companies encourage active life choices.

Well-liked fitness-forward initiatives -

o  Start a business softball or volleyball league.

o  Compile and distribute information about opportunities to join athletic groups in your community.

o  Make available partial or complete reimbursement for exercise facility memberships.

o  Hold aerobics, karate, yoga or other types of fitness courses onsite.

o  Give extended lunch hours for personnel who commit to lunchtime fitness plans.

o  Introduce an onsite workout facility that is free, or available at a nominal cost, to employees and their families.

o  Conduct onsite wellness fairs that include fitness demonstrations and promote fitness activities and resources.

The Case for Wellness Programs.

Health Promotion program means different things to different organizations. Effective health promotion programs may be as simple as bringing bushel baskets of fresh fruit into break rooms to encourage better consuming. They may be as comprehensive as building fitness facilities on-site or compensating for obesity treatments.

A driving factor behind the push toward wellness spans companies of all types, sizes and cultures -  that is, health care costs are spilling over the corporate belt buckle.

The annual cost of medical services in the USA is rising at seven times the rate of inflation.  And the rise in health care costs is one boom pundits expect our economy to sustain.1

This trend makes it increasingly challenging for companys to maintain current levels of insurance coverage. In 2003, healthcare inflation forced 65% of corporations to raise employees’ share of medical costs.

Seventy-nine% of big firms said they’ll increase workers’ share of healthcare costs in 2004.2 But with lost benefits and increased financial burdens come lost morale and productivity.

Employers are searching for another way. While corporations cannot control many of the supply-side elements contributing to rising healthcare costsâ.”malpractice insurance rates, the nursing shortageâ.”they can help curb demand. That’s why efforts are being redirected from disease to wellness.

The case for wellness is supported by an ever growing body of evidence demonstrating the high costs associated with controllable health risks -

o  One study reports that obesity raises health care costs by 36 percent and medication costs by 77 percent.

o  Michigan officials estimate lack of exercise cost the state almost $8.9 billion in 2002, a cost estimated to be largely borne by businesss through insurance premiums and lost productivity.

o  The not-for-profit National Committee for Quality Assurance reports that the estimated average cost for postnatal care for women who didn’t receive prenatal care was $2,341 more than for women who had.  And the indirect costs of unhealthy behavior can be just as high.

Data shows that healthier workforce are more productive, spending more time at work and showing increased “presenteeism,” or productivity, while there. Furthermore, healthier workforce use fewer medical services.

The five leading causes of death in the USA â.” heart disease, cancer, stroke, chronic obstructive pulmonary disease and diabetes â.”  are directly linked to unhealthful life choices. Obviously, stimulating healthful habits presents an opportunity to improve employees’ well being, reduce the need for healthcare services and help control costs.

Offering staff member health promotion benefits â.” big or small â.” represents an intersection between corporate social responsibility and responsibility to stakeholders. Between staff member health and corporate health. It is often the right thing to do for personnel and businesss.

Research by Traveler’s Corp. shows a $3.40 return for every dollar invested in Wellness Programs. for many businesses, the option to offer staff member wellness benefits is easyâ.”one where conscience and pragmatism align.

The challenge arises in picking  the wellness programs that will deliver the most impact based on trends in your employees’ health risks and medical claims costs.

From large businesses to the corner deli, company owners welcome ways to increase productivity, decrease rates of absenteeism and cut costs. In like manner, health promotion programs can range from modest to elaborate.

In determining where to focus a corporation’s limited resources, looking at costs, benefits and best practices is a good starting point. This section profiles six aspects of wellness and explores their benefits to workforce and businesss.

Wellness in the Worksite - Who has the expertise?

When it comes to working wellness into your workforce, you want someone who knows the ins and outs of wellness, and who can counsel staff members and provide main care - all within the context of the current regulatory and legal environment.

AAOHN’s survey stated that more than half of employees (61 percent) want to receive wellness information from a healthcare expert, like a consultant or an onsite occupational health nurse (OHN), compared to pamphlets or pamphlets (18 percent) or human resources (HR) staff (15 percent).

OHNs can develop, implement and evaluate components of work site wellness programs such as screening programs, exercise/fitness courses, stress management, tobacco use cessation, nutrition and weight control programs, as well as chronic disease management programs.

Plus, OHNs can help employees navigate through complicated heath programs and may even serve as a triage point between employees and their personal healthcare providers.

Staff Members might refrain from seeing their healthcare provider when it means time away from work, inconvenient parking, waiting time in the office and co-pays.

In situations where personnel are under treatment for chronic diseases like heart disease, onsite nurses can routinely monitor risk factors such as blood pressure (BP) or cholesterol on a regular basis.

It’s often easier for an staff member to ask an on-site nurse for information about signs or prescription medication than it is to schedule a follow-up visit to an individual healthcare provider.

Benefits realized by companys include enhanced worker morale and retention, a recruitment advantage, increased productivity and decreased time away from work.

In corporations with a safety department, the OHN can evaluate and address work-related health issues, including participation in workstation evaluations to correct potential ergonomic problems, and proactively addressing muscle strains by developing stretching programs and involving workforce in leading stretches.

Health Promotion Programs.

Wellness Programs are good for waistlines and your bottom line

In today’s hectic world, most of us are spending more time at work, and have increasingly less time to look after our health. for a long time, employers have understood the benefits associated with keeping workforce well - increased productivity from reduced absenteeism and reduced disability claims.

For these reasons, coupled with the fact that many companies realized double-digit healthcare costs last year, companies ought to consider Wellness Programs as a way to keep workforce healthy.

But just how important are these health promotion programs to employees? Precisely how often are they willing to participate in health promotion programs designed to positively impact their wellness? Who do personnel trust to provide them with important information about their health?

Answers to these questions and more were lately garnered from a research study  commissioned by the American Association of Occupational Health Nurses Inc. (AAOHN).

The AAOHN survey questioned 500 staff nationwide about their perceptions of Wellness Programs. Greater than three-quarters of all participants indicated these wellness programs are a good way to improve their overall health, and nearly 60 percent consider these offerings an incentive to remain with their current business.

Employee retention and turnover impact the bottom line, so building wellness programs into the work site culture is a valuable way to help retain talented employees besides to enhancing personal health and worksite productivity.

Wellness wish list

Staff Members appear to have their own agenda when it comes to their health. With new pressures resulting from an unstable economy, national security threats and work/balance issues, it is not surprising that 85 percent of survey respondents cited stress management as a priority topic for work site wellness.

In addition to stress, other preferred topic areas include health screening programs (84 percent), exercise/physical fitness programs (84 percent), medical insurance education (81 percent) and disease management seminars (80 percent).

In addition to lifestyle and personal health issues, those asked expressed concern about work-related health issues, including strains and injuries resulting from lifting or task-oriented muscle repetition, exposure to harmful substances, personal injury, vision changes because of computer work and worksite violence.

Beginning a Wellness Program

With such a broad range of health concerns, a key goal for corporations is locating a way to proactively address the health needs of the biggest number of personnel, and effectively change unhealthful behaviors, promote wellness and ward off disease and disease.

Printed materials such as flyers, posters, fliers or flyers present an easy solution. But it is crucial that you remember that different people  require different formats for learning.

A good rule of thumb -  provide information in a selection of learning formats such as videos, handouts, health-related quizzes, display boards, lunch and learn presentations and reimbursement or incentive programs.

This assumes you’ve overcome the first hurdle - getting individuals  to sign on to a wellness program. While survey respondents indicated wellness programs are important, just six out of 10 (60 percent) stated that they participated in the wellness programs at their companies.  The other 40% cited lack of interest and lack of time as deterrents.

This points to the need for a comprehensive, structured wellness program using a creative approach, with an incentive for participation and effective wellness program marketing.

By investing in an organized health promotion program headed by a certified healthcare professional like an onsite nurse, organizations can give staff the access to the medical information they want, and increase participation and generate interest at the same time.

The result - staff members become savvier healthcare consumers who feel more in charge of their personal health.  And healthier staff members make for a healthier bottom line.