CDR Tom HochbergHealth Services Administrator
2012 USPHS Scientific and Training Symposium
FedStrive: 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 Elements of Comprehensive Worksite Wellness ProgramsWellness Programs
Health education Supportive social and physical environment Integration into organizational structure Screening programs Linkages with related benefits
Serves ~ 3000 HHS employees at HQ complex Encourages active participation in achieving a healthier,
greener lifestyle. Helps translate personal goals from: ““II
want to be” to “want to be” to “II am” am” Provides access to integrated, innovative,
comprehensive and customized tools and programs Helps maintain a happy, healthy, balanced life.
Organization and Employee Wellness Integration
i want to be _______________ .stress freefit and healthymentally engagedhighly productive
Distribution and Migration of Employees
15% High Risk
25% Moderate Risk
60% Low Risk0 – 2 Risks
3 – 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/LBE
Implications for Employers
• Higher prevalence of chronic health conditions
• Higher direct medical costs
• Higher absenteeism
• Higher disability and workers’ comp costs
• Lower productivity
Implications for Employees
• Greater probability of chronic health conditions
• Higher out-of –pocket medical/pharm. Costs
• Greater pain and suffering
• Lower quality of life
• Lower personal effectiveness on and off the job
Implications for Employers
• Healthier, productive workforce
• Lower direct and indirect health –related costs
Implications for Employees
• More independence/health
• Lower medical costs
• Greater energy and vitality
• Increase 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
The Health Risk Appraisal−An individualized assessment:
• Assess health status • Estimate levels of health risk• Inform and provide feedback to participants to motivate behavior change to reduce health risks
−Areas 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 risk
Health Risks and Behaviors1
Alcohol Stress Illness days
Blood Pressure Smoking Job Satisfaction
BMI Safety Belt Usage Life Satisfaction
Cholesterol Smoking Perception of health
Existing Medical Problems HDL Cholesterol Physical activity
1 Edington DW. Emerging Research. A view from one research center. The Science of Health Promotion. May/June 2001:15(5): 341-349.
Top 8 Controllable Risk Factors
Data Source: Total population who completed at least one HA at any point during the program (n = 1,822)
Trends in Health Risk
Source: HRA (SWC, Federal, by Fiscal Year). FY 2012 only represents 6 months of data.
Low Risk
Medium Risk
High Risk
Non-Participant
Edington. AJHP. 15(5):341-349, 2001
Costs Associated with Risks Medical Paid Amount x Age x Risk
FedStrive vs. Natural Flow
(p < 0.05)
Changes in frequency of Exercise
Data Source: Total population who completed consecutive HA’s in FY 10 and FY 11 (n = 444)
-34.0%
-20%
-4%
+10.5%
+16.1%
Changes in BMI
Data Source: Total population who completed consecutive HA’s in FY 10 and FY 11 (n = 444)
-2.1%
-9.4%+12.6
The Association of Stress on Selected Risk Factors
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?
Outlet % “Personal and Professional” Responses
YouTube 17.9
Facebook 12.1
Twitter 11.6
Please rank how else you would prefer to receive information from FedStrive.Outlet % with “Most Preferred”
ResponsesFacebook 24.7
Twitter 15.5
YouTube 10.1
Be High Profile.
Tweet, Tweet.
− Health and wellness tips− “Did You Know” teasers re: services, new resources/toolkits− Event announcements− New audio or video content− News and observances
When Viral Is A Good Thing…
Be Mobile.
−Fitness Updates−Health Calendar−Wellness Tips−Classes, Events−Program Promotion−QR 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/#!/FEDSTRIVE
youtube.com/user/FedStriveVideos
facebook.com/FedStrive
