Worker Biometric Testing.

Health screenings are important wellness programs to identify chronic illness in their early stages. Once identified, wellness intervention programs can help prevent a disease from progressing.

Working with local hospitals and other corporations, you are able to obtain information on providing screening and intervention programs that could improve your employees’ health and save your business money in absenteeism, treatment for disease complications, and lowered productivity.

Below are some ideas to help get you started.

Based on your Employee Needs and Interest Survey and the demographics of your workplace, consider offering periodic screenings to find specific health risks such as -

o  Blood Pressure Checks to identify staff with pre-hypertension or hypertension (high blood pressure),

o  Cholesterol Screenings for total, HDL (good cholesterol), LDL (bad cholesterol) and/or Triglycerides

o  Blood Sugar Screenings fasting or non-fasting to screen for possible diabetes,

o  Body composition, such as Body Mass Index  or body fat measures

o  Bone density for potential risk of osteoporosis,

o  Cancer screenings such as, skin evaluations, mammograms, or PSA screenings,

o  Vision checks for glaucoma, or visual acuity

o  Other screenings depending on your worker population and needs

Your local hospital, company physician practice, or health department my provide assistance. Notwithstanding, when you have a young workforce you could want to concentrate on wellness programs that’ll keep them healthful rather than screening for early identification of chronic disease.

The focus of your health promotion program may  be healthy lifestyle practices to reduce risk and prevent disease.

In addition to the medical screenings, consider offering a HRA to all staff.  The HRA will help to identify factors that may lead to additional risks, like use of tobacco history, stress levels, perception of health, family history, job satisfaction, support systems, and mental health.

Oftentimes the screening results are included on the Health Risk Assessment, which provides a more comprehensive snap shot of health risks.  The summary results provide the important information to plan appropriate interventions.

Wellness Program Interventions

The key to the success of screenings and Health Risk Assessments (HRAs) is the interventions or follow-up programs.  The information from the screenings increases awareness and often excites staff to consider making healthier changes.

It is the follow up interventions that provide the essential support and assistance needed for staff to actually make and maintain those changes.

The interventions can include individual follow-up and ongoing counseling, individual or group medical coaching on the risk factors, behavior change programs, and/or organizational support. Examples include -

o  Strategies to lower blood pressure

o  Managing diabetes

o  Taking care of your heart

o  Healthful eating

o  Weight loss strategies

o  Increasing exercise

o  Tobacco use Cessation

Of course, this is for individual information only. Any follow-up interventions planned by the company would be based on interest expressed by the employee.

Based on the results and your Health Promotion Committee goals you are able to plan the best strategies for your company and personnel. Consider the community resources available to provide services, like health associations, hospitals, health care providers, and/or public health agencies.

Health Risk Appraisals (HRAs).

Health Risk Appraisals (HRAs), are an assessment tool or questionnaire scientifically designed to identify health risks and outline information to assist individuals in making healthful changes that impact their health and prevent chronic disease.

Health Risk Appraisals (HRAs) have four standard elements in workplace settings -

o  A Questionnaire

o  A Computerized Program to Evaluate Health Risk

o  Confidential Individual Reports

o  Group Summary Report

Individuals complete a lifestyle questionnaire that includes for example nutrition practices, height and weight, exercise habits, family history, stress perceptions, tobacco use history, and work satisfaction.

Another important feature to consider is readiness to change questions to determine participation interest. Including health testings such as cholesterol and blood pressure leads tocreases the advantages of an Health Risk Assessment (HRA) by providing a more valid health assessment and thus bettering lifestyle option decisions and health promotion program choices.

Nevertheless, it’s vital that you determine when the Health Risk Appraisal (HRA) can be used without including this information.

The questionnaire information is entered into a computer program and an individual confidential report is generated that summarizes health risks in addition to information on how to lower risk factors.

Individual reports are completely confidential. Depending on the reason for starting the Health Risk Assessment, it’s vital that you consider the kind of report the company will receive as well.

A group report summarizing major risk factors and recommendations for health promotion programs to start in order to reduce staff member and corporation risks provides valuable information for your health promotion program.

The Health Risk Appraisals (HRAs) can be used to -

o  Bring awareness to individual worker’s health status

o  Motivate workforce to make healthier lifestyle changes

o  Coach high-risk employees

o  Plan wellness programs based on the identified needs

o  Assess health promotion program success by comparing HRAs completed at set intervals such as yearly.

Advantages of an Onsite Wellness Expert.

There are many benefits to considering a part-time or full-time occupational and environmental health nurse (OHN). Occupational health nursing is the specialty practice that provides for and delivers health and safety programs and services to staff, and employee populations.

The practice focuses on promotion and restoration of health, prevention of illness and injury, treatment of work and non-work related injuries and diseases, and protection from work related  and environmental hazards.

OHN roles can include -  Case management, Counseling, Wellness, Legal and regulatory compliance, Clinical services, and Hazard detection and controls.

The American Association of Occupational and Environmental Health Nurses is the national association, www.AAOHN.org.  The State Chapter also has a website with information including local chapter information to help you find a contact near you, www.NCAOHN.org.

Health educators can design, conduct and evaluate activities that help improve the health of all your staff members. They are subject matter specialists who may  be a asset regardless your wellness program needs and objectives.

They can help form a Wellness Committee and implement many of its health promotion programs and services, for instance or depending on the structure and time commitments of your Wellness Committee, they can also coordinate the entire health promotion program as well.

Integrating the activities of the Committee and/or Health Promotion Expert services within your operations, including within your safety and occupational medical program will provide additional benefits!

Worker Wellness Program Interest Survey.

We are planning business wellness programs to help you feel better and stay healthful. In order to plan wellness programs that best meet your needs and interests we’d like your suggestions!

Please take several minutes to answer some questions about your interests. Your answers are going to be combined with those of other’s and reviewed to help plan health promotion programs for you. Don’t sign your name.

Please complete the survey today and return it to__________. Thank you for your valuable input! Your help is important for planning successful health promotion programs. Return the completed form by _____________.

Rate your interest on a scale of 1 â.” 3 with one (1) being of little or no interest; two (2) being of some interest and three (3) indicating that you’re very interested. Indicate your response by circling or “Xing” the number.

I am interested in -

Participating in wellness programs before work 1 2 3

Participating in health promotion programs after work 1 2 3

Participating in wellness programs during my lunch break 1 2 3

Learning healthful eating options to lose weight 1 2 3

Sports nutrition 1 2 3

Healthier cooking 1 2 3

Assisting my children eat healthier 1 2 3

Quick, healthful meals for busy life choices 1 2 3

Healthy snack options 1 2 3

Learning how to quit smoking 1 2 3

Attending courses to help me quit tobacco use cigarettes 1 2 3

Stress Mangement skills 1 2 3

Balancing work, family, and personal life 1 2 3

Time management skills 1 2 3

Participating in a beginning fitness program 1 2 3

Developing time to exercise for busy individuals  1 2 3

Getting health information that I can peruse or watch at home 1 2 3

Learning about cancer avoidance 1 2 3

Heart health options 1 2 3

CPR and First Aid 1 2 3

Team sports activities at work 1 2 3

Learning how to stretch 1 2 3

Learning how to increase intake of fruits and vegetables 1 2 3

Parenting Topics (age of kids -  ) 1 2 3

Onsite exercise classes -  walking Yoga aerobic other -  1 2 3

Biometric screening like blood pressure, cholesterol, blood sugar 1 2 3

Wellness Program Analysis.

Program analysis might  be the last step, but it ought to be planned at the starting of your efforts! Evaluation helps you identify what parts of the wellness program are working well and what parts need improvement.

Then, based on the analysis data, adjustments can be made to fine-tune your health promotion program.   Adjusting the health promotion program based on analysis data is vital to its continued success.

Evaluating your wellness program doesn’t have to be complicated.  HOWEVER, it’s crucial to plan how you will monitor your wellness efforts and determine success during the planning phase.

In addition remember to evaluate the wellness program based on the objectives and objectives you already identified during your planning process.

In order to evaluate your wellness program you need to have a system to document specifics as you go along.  This may be as simple as maintaining file folders on wellness programs that are offered, or a computer document with a table or spreadsheet summarizing information gathering.  Consider -

o  Program topic and numbers of workers who participated

o  The numbers of handouts taken by personnel or distributed and on what topics

o  The number of participants in a behavior change program and how many met their goals in addition to how many attended all the sessions

o  Numbers of staff members who continued the healthful behavior change following the health promotion program?

o  Overall staff member satisfaction with the wellness program or each topic. Here’s a sample examination form.

Depending on your goals and goals, gather desired data and compare it to previous data accumulated during the initial assessment to determine when the goals were met.  Such data might include

o  Absentee rates

o  Injury rates

o  Health risk factors Insurance costs

Summarize and Report Health Promotion Program Results

Once you’ve gathered all the analysis information it needs to be reviewed with the Wellness Committee and summarized. You will probably have positive results and some areas where a change is needed or additional focus required for continuous improvement.

This not-so positive information may be used to make any needed changes in addition to to plan for next year and is imperative that you include in your report.

It’s vital that you communicate the wellness program results to both upper-level management and workers.  Consider how upper-level management ordinarily receives reports on operations and productivity issues and include the annual wellness program report in the same format.

At some corporations the reports are made during senior level management meetings using presentation styles like power point slides.  At other corporations, graphs and bar charts are the norm or a list of the goals and the summary outcomes reported.

No matter the format, it is crucial to convey the outcomes and successes achieved, including any anecdotal stories, in addition to areas for improvement. Be certain to link the outcomes to the company mission and bottom line whenever possible.

Employees want to receive the same information!  Consider using the same communication channels used when informing workers of the health promotion program -

o  Corporation newsletters,

o  Bulletin boards,

o  E-mails

In addition consider celebrating successes and recognizing achievements by -

o  Posting pictures from events

o  Highlighting success stories

o  Posting pictures of successes

o  Scheduling a celebration

o  Recognizing champions

Wellness Program Implementation .

Armed with data, Health Promotion Program topic preferences, goals, and goals â.” and a Health Promotion Committee rearing to get things done â.” it’s now time to decide how best to take action.  This website provides tools to help you!

You can read about the different types of wellness programs offered by other businesses to get an idea of what might work for your organization.

When your planning phase was well executed, you should simply have to follow through with the plans you’ve already made.

Important Health Promotion Program considerations include -

1. Formally Introduce the Health Promotion Program and consider policy statements that state the importance of the wellness program.  Examples include a general policy regarding the commitment to worker safety and health in addition to specific policies like No Use of tobacco, Healthful Eating and Physical Activity.

2. Communicate Your Program -  the best planned wellness program with great wellness programs won’t be beneficial when your workers do not know about it or do not understand the options or how to participate.  Communicate your wellness program using a selection of methods to ensure the message and “how-to’s” are heard!

Health Promotion Program Communication Strategies could include -

o  Newsletter articles

o  Postings on the corporation’s intranet or internet

o  A designated Champion of the health promotion program

o  Formal or informal meeting to announce health promotion program, “the kick-off”

o  pamphlets / table tents,

o  Bulletin boards / kiosk where all material is promoted or found,

o  Email / phone messages,

o  Mailings or distributions

3. Use Wellness Program Incentives -  You’ll be amazed to figure out what individuals  will do for a free T-shirt.  Incentives can both support and motivate participation among personnel.

Consider both formal or business incentives and informal or wellness program rewards/prizes from local resources to reinforce participation in Health Promotion Programs. Either way, it’s important to provide incentives that are attractive and meaningful to your personnel.

Business Structural or Formal Wellness Program Incentives -

o  Discounts on worker health insurance premiums or co-pays, or contributions to 401K programs, worker stock options, or other mechanisms.  Click here for more information on health plan incentive ideas

o  Gym/Gym discounts or enrollment fee coverage

o  Public transportation vouchers

o  Flexible work time options

o  ”Health Promotion Days” off work

Rewards/Prizes or Informal Wellness Program Incentives -

o  Cash â.” a very effective incentive!

o  Prize incentives such as gift certificates to heart healthful restaurants; music player to use while exercising, emergency kits, or any other prizes that would motivate your workers.

o  T-Shirts, water bottles, or other affordable rewards

4. Assess community resources available to provide some wellness services.  The local health department or your organization health care provider could  be able to assist you with this information.  There are also vendors throughout the State providing excellent wellness services for companies. They are available to help you strategize and find the best choices available.

5. Implement your wellness program as planned documenting information and outcomes as you go such as numbers of participants, dates of activities, and any other special details you are tracking.

Wellness Program Action Plans.

The Health Promotion Committee should set out a plan for the entire year that outlines accomplishing objectives and objectives, in addition to provides details for advertising and marketing and investigating  the wellness program.

The plan is the detailed map of what kinds of wellness programs will be offered, when and where they’ll be scheduled, how they’ll be marketed and investigated, and what the budget is.

It is imperative that you plan your wellness activities based on your objectives and objectives, as well as the budget since different strategies will yield different outcomes.  For example, when your objective is to raise awareness on a topic, then distributing flyers or scheduling a one-time education session may  be appropriate.

Nevertheless, if your goal is to change behavior, then different strategies might  be necessary, such as ongoing weekly sessions and support groups.  Click here to link to Program Design Choices for additional ideas.

Wellness Program Marketing and Advertising

This is the time to plan your advertising strategies! How can you market the health promotion program and ongoing activities?  No matter how you decide to, market often, keep it fresh, and remind staff again and again!

Consider having an overall kickoff activity to let everyone know about the wellness program. Upper Management ought to provide the introduction or invitation so that all workers are aware about their support and leadership in the wellness program.

Possible marketing and advertising methods -

o  Sending email messages, including reminders

o  Posting flyers,

o  Displaying bulletin board postings,

o  Writing articles,

o  Sending letters or

o  Sending special invitations.

Other Wellness Program Considerations -

o  Is the health promotion program promoted to all staff members or to a specific target audience?

o  Do you have a health promotion program champion (someone who’s connected with different groups in the company, and well respected) who can help in your promotion efforts?

o  If your advertising efforts don’t seem to be working, do you’ve a way to revisit and adjust your strategy?

o  Precisely how will you determine success and evaluate your health promotion program?  and how will you collect the information needed to evaluate your health promotion program?

Topics most often included in Health Promotion Programs -

o  Nutrition

o  Exercise/Exercise

o  Tobacco Use Cessation

o  Bone Health

o  Heart Health

o  Healthy Back

o  Stress Reduction

o  Chronic Disease Awareness and Prevention

o  Self-care; Wise Health Care Consumer

o  Screening Services (BMI, blood pressure, bone density, cholesterol, glucose, posture, vision, and otherâ..)

o  Ergonomic Assessments

o  Health Fairs

o  Kids/family Events

o  Others topics that staff have interest in

The topics and kind of Wellness Program planned depend on the needs and interest, overall goal and resources available.

Program Design Choices include awareness programs like brochures and/or education sessions, behavior change or modification programs like tobacco use cessation and losing weight classes, and environmental or organizational support like no tobacco use policies or healthy selections in vending machines.

The wellness programs planned also depend on the demographics of your workforce. If you’ve a young, healthful workforce, you might want to focus the wellness attention on keeping workforce healthful and not need to screen for illness.

Instead you may want to focus on healthy lifestyle behavior such as exercise and good nutrition to prevent the start of illness.  Click here for more information on strategies for keeping workers well, identifying illness early, or returning workers to work who already have a chronic disease.

It is also imperative that you consider, and plan how you will evaluate the success of your wellness program.  The system needs to be established for tracking certain data and recording events depending on the wellness program goals and desired outcomes.

Step 7 discusses health promotion program examination in more detail.   and Step 6 will launch your health promotion program!

Wellness Program Goals and Objectives.

A Wellness Program without goals and goals is somewhat akin to taking a family trip without any planning; you won’t know where you’re going, how to get there, what you want to do once you’ve arrived, or even whether or not you’ve arrived!

The trip may end up ok, or it may end up disastrously.  Yet, with a little thoughtful planning, you increase your chances for a successful experience.  Clear goals and goals are needed to plan your health promotion program in order to ensure success!

Health Promotion program goals and goals are different from one organization to another depending on the population, needs, interests and resources. Nonetheless, well thought out goals based on your company’s needs assessment will form the foundation of a successful wellness program!

Health Promotion Program Mission Statement

The first consideration is a mission statement for your Health Promotion Program.  The mission statement is the overall expression of what the Health Promotion Committee wants to accomplish by starting a wellness program.

It is imperative that you consider how your Health Promotion Program fits in with the corporation mission statement, contributes to the overall mission and supports the corporation bottom line.  This will integrate your efforts throughout the corporation operations.

Here are some examples of Health Promotion Program mission statements -

At XYZ Company, maintaining an environment that supports employee safety and health is our underlying value. It’s the mission of the Wellness Program to assist in developing wellness services that fosters and upholds that value.

It is the mission of the XYZ Wellness Committee to foster healthier lifestyle options to reduce health risk factors, improve overall well-being, and maintain a productive, active work force.

Wellness Program Goals

The objectives and objectives further define your mission and are based on your needs assessment.  Depending on the needs assessment, executive management expectations and worker interests, examples of objectives can include -

The goal(s) of XYZ Wellness Program in year XXXX is to -   (one or more of the following examples)

o  Reduce absenteeism by one day per employee

o  Lower musculoskeletal injuries by 10%

o  Decrease unnecessary emergency room visits

o  Decrease or contain healthcare costs

o  Improve dietary habits of employees

o  Reduce health risk factors

Wellness Program Objectives

Specific Wellness Program goals help meet your long-term goals and vision.  Both short term and long term goals must be created as the stepping stones to accomplish the goals and mission.

In addition to goals for the expected participant outcomes, process goals should also be developed for the wellness program process itself.  For  instance, process goals may include how many workforce you want to take part in the wellness programs, how many sessions on a topic will be offered, the type of wellness sessions that’ll be implemented, etc.

Goals need to be easily measurable within a set time frame. Attempt using the SMART formula to develop both your long and short-term objectives and objectives -

o  Specific (one behavior or outcome)

o  Measurable (one result that can be observed or assessed),

o  Attainable (but also challenging),

o  Realistic (do you have the resources to achieve?), and

o  Time specific (within 3 months â.” up to 5 years)

This is the who, what, when, where, why, and by how much method.  For example, an objective for a losing weight program that has an overall goal of improving healthful consuming and promoting a healthful weight is that -

Participants (who) will lose an average of .5 â.” 1 lbs per week (specific what that is measurable) after the 12 week lunchtime program (time specific what, when and where) for a minimum of 6 lbs weight loss per participant (attainable and realistic).

Or -

Participants (who) will attend 11 of the 12 sessions (specific what that is measurable) and name at least one healthier eating change after the program (specific what, when, where)

An example of an objective for coaching workforce with elevated cholesterol could  be -

To reduce the sum cholesterol (specific what) of high risk staff with cholesterol over 240 mg/dl (specific who) to 200 mg/dl (measurable how much) through one-on-one counseling sessions offered at the workplace (where) by X date (ex, after 6 months) (attainable, realistic and time specific when) to lower the risk factor for heart disease (why).

And one last example of a process objective for a smoking cessation program with an overall goal to assist participants in committing to quit for life -

By the end of the 4-week tobacco use cessation program, 10% of the participants will have quit tobacco use.  Each participant are going to be contacted at 3 months, 6 months and 12 months from the program’s end to determine quit status (process objective) and 10% of those who quit will still be smoke free after one year.

You’ve now completed Steps 1 through 4, including establishing your Health Promotion Committee. It’s now time to plan your wellness activities!

Identifying Wellness Program Needs.

Before you begin planning your Health Promotion Program you need to know where you are now and then decide where you want to go.  Completing a thorough needs assessment is vital to the success of your wellness program for two reasons -

o  First it ensures that your health promotion program activities will be targeted to meet your corporation’s specific needs so that outcomes could be achieved.

o  Secondly the needs assessment provides the information you’ll need to evaluate the effectiveness of your health promotion program.

It is often tempting to rush the assessment - in particular when time is limited or those with experience already have an idea of needs. Don’t give in to this temptation!

It’s vital to understand what your company needs are, what executive management expects, and what workers want in addition to expect, before you develop a health promotion program.

Consider and gather data on -

o  Demographic Information

o  Health Risk Factors

o  Medical Claims

o  Injury Rates and Causes

o  Workers’ Compensation Claims

o  Short and Long Term Disability Claims

o  Absenteeism

o  Culture Audits

o  Employee perceived needs and health risks

o  Management expectations or desired outcomes

There are lots of ways to assess this information. Even though some of data collecting process could  be time consuming, remember that it is notwithstanding essential to plan health promotion programs that target specific issues.

This information will be vital to set goals and for assessing  health promotion program success. Exactly how else can you know if outcomes have been achieved?

Options to help gather the health promotion program information -

o  Confidential HRAs with a Business Group Summary Report click here for more information on HRAs or Assessments

o  Health Testings like cholesterol, blood pressure (BP) and blood sugar click here for more information on health screenings.

o  Worker Needs and Interest Surveys

o  Suggestion boxes placed around the business

o  Focus Groups or hosting a luncheon meeting as a focus group

o  Sending out a confidential email questionnaire

o  Review records and databases including OSHA logs, first aid reports, insurance costs

Once your needs assessment is complete, the Wellness Committee can review the results and begin planning and prioritizing health promotion program choices.

Planning must be based on goals and identified outcomes, Step 4 of the seven step process!

Wellness Programs - Form a Wellness Committee .

Establishing an active Health Promotion Committee provides opportunities for both senior level management and worker involvement in the health promotion program.  The Committee should be a team of personnel and managers who formally meet to plan activities to promote healthier worker lifestyles.

Typical Functions of a Wellness Committee -

o  Evaluating needs and interests

o  Brainstorming wellness program ideas

o  Creating activities

o  Developing communication plans

o  Advertising wellness programs to coworkers

o  Serving as champions of the Wellness Programs

o  Helping with investigation

Your Wellness Committee ought to be representative of all levels of the corporation.  Consider all areas of the workforce â.” multiple sites, shift personnel, diversity (race, gender, ethnicity), and departments.

It is also important to consider who’ll chair or co-chair the Wellness Committee and whether or not there are the finances to support a wellness manager or occupational health expert, even on a part-time or contractual basis.  Click here for more information on the advantages of a health expert.

Depending on your organization size and resources, if you already have a organization Safety Committee you might want to consider making it the Safety and Health Promotion Committee.  You can request volunteers or invite staff to participate.

The number of Health Promotion Committee members depends on the size of your company; nevertheless, you need enough members to get the work done and yet not too many to keep it manageable, typically a minimum of 4 members and maximum of 12 to 15 members.

It’s important to include skeptics of wellness as well and not just those staff already practicing healthful lifestyles.

Depending on your workplace, consider representatives from the following areas -

o  Worker representatives from a cross section of different departments,

o  Upper management ,

o  Health and safety expert(s),

o  Human resources specialist(s),

o  Benefits staff or someone from finance,

o  Your worker assistance program (EAP) provider (if applicable), Click here for additional information on EAPs

o  Medical or occupational health staff (if applicable).

Establish an effective Wellness Committee!  the Wellness Committee ought to meet regularly with a planned agenda and action items.  Successful Wellness Committees have a shared mission, vision and objectives.

Members need to believe that their participation is worthwhile and appreciated, that their work is important, benefits the business and colleagues, and they’re recognized for their contributions. Refer to the NC Workplace Programs section for examples of what other organizations have implemented.