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CDR Tom Hochberg Health Services Administrator 2012 USPHS Scientific and Training Symposium FedStrive: Quantifying Behavior Change & Health Outcomes

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  • CDR Tom HochbergHealth Services Administrator

    2012 USPHS Scientific and Training SymposiumFedStrive: Quantifying Behavior Change & Health Outcomes

  • In support of President Obama's Federal Employee Worksite Wellness Initiative, Secretary Kathleen Sebelius introduced FedStrive: a comprehensive, integrated Health, Wellness, and Work/Life Program that motivates, empowers and provides resources to improve the health of HHS federal employees and work in a greener more sustainable environment.

  • Elements of Comprehensive Worksite Wellness Programs

    Health educationSupportive social and physical environment Integration into organizational structureScreening programs Linkages with related benefits

  • Serves ~ 3000 HHS employees at HQ complexEncourages active participation in achieving a healthier, greener lifestyle. Helps translate personal goals from: I want to be to I am Provides access to integrated, innovative, comprehensive and customized tools and programs Helps maintain a happy, healthy, balanced life.

  • Organization and Employee Wellness Integration

  • Distribution and Migration of Employees 15% High Risk25% Moderate Risk60% Low Risk0 2 Risks3 4 Risks 5 or more Risks$$$$$$Source: Leading by Example: Improving the Bottom Line Through a High Performance, Less Costly Workforce CEOs on the Business Case for Worksite Health Promotion. Copyright Partnership for Prevention 2005, page 7. This publication may be downloaded free of charge on Partnerships Web site, www.prevent.org/LBEImplications for EmployersHigher prevalence of chronic health conditionsHigher direct medical costsHigher absenteeismHigher disability and workers comp costsLower productivity Implications for EmployeesGreater probability of chronic health conditionsHigher out-of pocket medical/pharm. CostsGreater pain and sufferingLower quality of lifeLower personal effectiveness on and off the job

    Implications for EmployersHealthier, productive workforceLower direct and indirect health related costsImplications for EmployeesMore independence/healthLower medical costsGreater energy and vitalityIncrease life and job satisfaction

  • Program Participation*Influenza counts for FY 2010 and FY 2011 include HHS contract employees**Health education attendance includes AED/CPR classes in FY 2011

    Chart1

    21942173

    11771258

    1611231

    890804

    429492

    123312

    106103

    601683

    113

    FY 2010

    FY 2011

    Sheet1

    FY 2010FY 2011

    Influenza21942173

    HRA11771258

    Work/Life1611231

    Lipid Panel890804

    Health Ed429492

    EAP123312

    TLC106103

    Gym Memb601683

    Tobacco Cess113

  • The Health Risk Appraisal

    An individualized assessment:Assess health status Estimate levels of health riskInform and provide feedback to participants to motivate behavior change to reduce health risksAreas assessed include:Demographics (age, gender)Chronic disease (hypertension, diabetes, migraines)Biometrics (height, weight, blood pressure)Lifestyle (exercise, smoking, diet, alcohol)Attitudes and willingness to change

  • Measuring health risk1 Edington DW. Emerging Research. A view from one research center. The Science of Health Promotion. May/June 2001:15(5): 341-349.

    Health Risks and Behaviors1AlcoholStressIllness daysBlood PressureSmokingJob SatisfactionBMISafety Belt UsageLife SatisfactionCholesterolSmokingPerception of healthExisting Medical ProblemsHDL CholesterolPhysical activity

  • Top 8 Controllable Risk FactorsData Source: Total population who completed at least one HA at any point during the program (n = 1,822)

    Chart1

    0.42

    0.242

    0.229

    0.191

    0.163

    0.137

    0.078

    0.06

    Frequency

    Sheet1

    Frequency

    Body Mass Index42.0%

    Physical Inactivity24.2%

    Job Satisfaction22.9%

    Stress19.1%

    Life Satisfaction16.3%

    Absenteesim13.7%

    Existing Medical Condition7.8%

    Smoking6.0%

  • Trends in Health RiskSource: HRA (SWC, Federal, by Fiscal Year). FY 2012 only represents 6 months of data.

    Chart1

    52.331.216.6

    51.929.618.5

    54.52916.5

    Low Risk

    Moderate Risk

    High Risk

    Percent

    Risk Levels, by Fiscal Year

    Sheet1

    Low RiskModerate RiskHigh Risk

    FY 201052.331.216.6

    FY 201151.929.618.5

    FY 201254.52916.5

    To resize chart data range, drag lower right corner of range.

  • Low RiskMedium RiskHigh RiskNon-ParticipantEdington. AJHP. 15(5):341-349, 2001 Costs Associated with Risks Medical Paid Amount x Age x Risk

    Chart1

    1122135115502098

    1523211026674530

    2081291233645813

    2941389447187123

    1851260530694401

    1641220024803216

    Low Risk

    Non-Participants

    Medium

    High

    $1,351

    $2,110

    $2,912

    $3,894

    $2,605

    $2,200

    Sheet1

    19-3435-4445-5455-6465-7475+

    Low Risk$1,122$1,523$2,081$2,941$1,851$1,641

    Non-Participants$1,351$2,110$2,912$3,894$2,605$2,200

    Medium$1,550$2,667$3,364$4,718$3,069$2,480

    High$2,098$4,530$5,813$7,123$4,401$3,216

  • FedStrive vs. Natural Flow(p < 0.05)

  • Changes in frequency of Exercise Data Source: Total population who completed consecutive HAs in FY 10 and FY 11 (n = 444)-34.0%-20%-4%+10.5%+16.1%

    Chart1

    0.1130.074

    0.1010.081

    0.2230.214

    0.3650.403

    0.1960.227

    FY 2010

    FY 2011

    Sheet1

    FY 2010FY 2011

    Seldom or Never11.3%7.4%

    < 1 times/week10.1%8.1%

    1 - 2 times/week22.3%21.4%

    3 - 4 times/week36.5%40.3%

    5 times/week19.6%22.7%

    To resize chart data range, drag lower right corner of range.

  • Changes in BMI Data Source: Total population who completed consecutive HAs in FY 10 and FY 11 (n = 444)-2.1%-9.4%+12.6

    Chart1

    0.3240.365

    0.3650.331

    0.3110.304

    FY 2010

    FY 2011

    Sheet1

    FY 2010FY 2011

    Healthy Weight (18.5 - 24.9)32.4%36.5%

    Overweight (25 - 29.9)36.5%33.1%

    Obese ( 30)31.1%30.4%

    To resize chart data range, drag lower right corner of range.

  • The Association of Stress on Selected Risk Factors

    Chart1

    0.8330.117

    0.7880.212

    0.7120.218

    0.6520.348

    Mod/High Stress

    Little/No Stress

    Sheet1

    Mod/High StressLittle/No Stress

    Depression83.3%11.7%

    Migraines/Headaches78.8%21.2%

    Absenteeism71.2%21.8%

    Hypertension65.2%34.8%

    To resize chart data range, drag lower right corner of range.

  • Social Media Strategies to Integrate Health & Wellness

  • Bring the FedStrive Experience to LifeHealth Performance

  • Go Where They Are.Which social media applications do you use and for which purpose?Please rank how else you would prefer to receive information from FedStrive.

    Outlet% Personal and Professional ResponsesYouTube17.9Facebook12.1Twitter11.6

    Outlet% with Most Preferred ResponsesFacebook24.7Twitter15.5YouTube10.1

  • Be High Profile.

  • Tweet, Tweet.Health and wellness tipsDid You Know teasers re: services, new resources/toolkitsEvent announcementsNew audio or video contentNews and observances

  • When Viral Is A Good Thing

  • Be Mobile.

    Fitness UpdatesHealth CalendarWellness TipsClasses, EventsProgram PromotionQR Codes

  • Leverage the Social Butterflies.Complete list available at newmedia.hhs.gov.

  • The Road Ahead:Game On!

  • In a Virtual World

  • Get Social. JOIN OUR NETWORKS:

    i want to be connected.twitter.com/#!/FEDSTRIVEyoutube.com/user/FedStriveVideosfacebook.com/FedStrive

  • October 2009*Since HHS was tasked to help establish the pilots, our leadership said: We are the Department of Health and Human Services we should be leading this effort for our own employees.Since FOH is largest provide of occupational health services in the government we were tasked with just do it.In August 2009, we were told to put a program in place in