# Presentation: 354522

## www.kdheks.gov

- Our Vision – Healthier Kansans living in safe and sustainable environments.

## Objective

- Our Vision – Healthier Kansans living in safe and sustainable environments.

*Objective*

- Discuss lessons learned for working with employers and business coalitions
- Discuss how to work with insurance companies

## Why Worksites?

- Our Vision – Healthier Kansans living in safe and sustainable environments.

*Why Worksites?*

- Most people spend more of their waking hours at work than anywhere else
- Worksite organizational culture and environment are powerful influences on behavior
- Heart disease, stroke and multiple risk factors are costly to employers
- Productivity, absenteeism and cost concerns of employers

## Comprehensive Program

- Our Vision – Healthier Kansans living in safe and sustainable environments.

*Comprehensive Program*

- Healthy People 2010
- 75% of employers will have a comprehensive worksite wellness program
- Support social and physical environments
- Integration of programs into organizational structure
- Screening program linking healthcare
- Linkage to related programs
- EAP
- Health Education
- Behavior change

**Notes:**
Description of a comprehensive program need to have all 5 to be comprehensive

## Health Workforce Act

- Our Vision – Healthier Kansans living in safe and sustainable environments.

*Health Workforce Act*

- Tax Credits to businesses that offer wellness program to their employee’s
- Small and Midsize companies
- Senator Tom Harkin (D-Iowa) and Senator Gordon Smith (R-Oregon)

## Public Health Role

- Our Vision – Healthier Kansans living in safe and sustainable environments.

*Public Health Role*

- Goals
- Expertise
- Resources
- Leadership
- Intermediary
- Facilitate
- Consultants/Technical Assistance
- Environmental Policy Changes
- Tobacco
- Vending machines

**Notes:**
Public Health has the same goals as employers
	Want employees to be healthy and lead active lives
Experience as a Public Health Professional

Expertise:
	Nurses, Nutritionist, Epi Specialist, Evaluators, Health Educators, 	Breastfeeding etc.

Resources:

Leadership

## Guidelines

- Our Vision – Healthier Kansans living in safe and sustainable environments.

*Guidelines*

- Provide leadership and partnerships
- Assess needs
- Plan Worksite health promotion
- Meet one on one with employers
- Assist with goals, objectives and strategies
- Establish worksite health promotion
- Measure/Evaluate

**Notes:**
Meet one on one with employers to review survey results and provide assistance with goals objectives and strategies

## Project Objectives

- Our Vision – Healthier Kansans living in safe and sustainable environments.

*Project Objectives*

- Increase employee participation in employer/plan programs
- Increase knowledge of CV risks, prevention strategies and individual CV health status
- Improve long-term health of employees
- Assess the continuum of care
- Reduce overall employer health care costs

## CICV Model

-  Four Phases
- Literature Review
- Buy-in/Commitment and baseline assessments
- Goal setting and Interventions
- Interventions and Measurement

**Notes:**
Note:  CDC toolkit is for the states for facilitation of worksite wellness.  Also this is my experience and Kansas experience.

## CDC

- Our Vision – Healthier Kansans living in safe and sustainable environments.

- 2005  Mid-America Coalition on Health Care

**CDC**

**State Dpt.’s of Public Health**** **

**Notes:**
Lessons learned
	CDC/State:  Informing each other
		Direction
		Resources
		Leadership
		My Lessons Learned 
			Language

## Activities

- Our Vision – Healthier Kansans living in safe and sustainable environments.

*Activities*

- Leadership Survey
- Heart Healthy Lifestyles Employee Attitudinal Survey
- Employer Worksite Wellness Environment Inventory
- Cardiovascular Health Plan Benefit Design Survey (CDC Heart-Healthy and Stroke-Free Worksites Toolkit)
- Productivity Measurement
- Medical Claims Analysis
- Health Risk Appraisals
- Medical Screenings

**Notes:**
All activites from both standpoints 

1-4 is a baseline activity.

Leadership Survey:
1.  Interest and motivation is pursuing CVH
2.  Costs and Data
	What specific cost drivers are you 	concerned about
	How do you measure the impact of 	health burdens
3.  Current programs
	Policies
	Operating budget
	What types of interventions do you 	conduct to carry this out
4.  Employee Education
	What employee programs/education 	of CVH
5.  Barriers
6.  Opportunities
	Community wide initiative
Employee Attitudinal:
Knowledge
Attitudes on health improvement options
Worksite Health support
Health benefits
Demographics
From all we have the Community Report

5.  Productivity Measurement:  Health of the business, goals of the business, Human capitol, productive at work, financial, presenteeism, absentism

- Our Vision – Healthier Kansans living in safe and sustainable environments.

**Notes:**
As an example this is a draft product for Benchmarking

## Connecting the Dots

- Our Vision – Healthier Kansans living in safe and sustainable environments.

*Connecting the Dots*

- Dream Report
- Medical Claims Data
- Goal Setting
- Assistance to implementation

**Notes:**
Dream Report would contain all the information needed to make informed health plan decisions.  Can not happen because not all employers are the same.
Insurance companies are at the table.

## Value-Based Benefits

- Our Vision – Healthier Kansans living in safe and sustainable environments.

*Value-Based Benefits*

- Defined as an approach by employers to address the health of their employers
- Installing a “culture of health” among employers
- Process:
- Identify and collect data
- Integrate data
- Use data to classify risks
- Establish goals, design and conduct interventions
- Measure and evaluate

**Notes:**
Culture of health:  Understanding of health care spending as an investment
Still in the process:  

Package will include:
	Data integration:  What data is available, what can I get, where do I get it etc.
	Vendor Summit Design
	Insurance design
	ROI strategy

## Barriers

- Our Vision – Healthier Kansans living in safe and sustainable environments.

*Barriers*

- Language
- Human Resources
- Medical
- Benefit/Insurance
- Government
- Buy-in
- Employer
- Supervisors
- Employee’s
- Financial Barriers

## Lessons Learned

- Our Vision – Healthier Kansans living in safe and sustainable environments.

*Lessons Learned*

- Public Health
- All partners to the table
- True partnership/public health not telling you what to do
- Size of companies
- Smaller employers work together
- Step by Step Guide
- Employers:
- No evaluation team
- ROI

**Notes:**
Getting all the partners to the table:
	Insurance companies in the same boat
Size of the company des not matter.  Two vs 1000 still have the same problems

Employers:
	City:  Always selling the project to CEO’s
		taxpayers pay the workers of the city

## Questions/Comments

- Our Vision – Healthier Kansans living in safe and sustainable environments.

*Questions/Comments*

## Misty Jimerson, MSProgram ManagerKansas Heart Disease and Stroke Prevention Program785-291-3195Mjimerson@kdhe.state.ks.us

- Our Vision – Healthier Kansans living in safe and sustainable environments.

*Misty Jimerson, MS**Program Manager**Kansas Heart Disease and Stroke Prevention Program**785-291-3195**Mjimerson@kdhe.state.ks.us*

## Our Vision – Healthier Kansans living in safe and sustainable environments.