sibley heart center cardiology - employee wellness program m odern i nitiatives w ellness t eam j...
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Sibley Heart Center Cardiology - Employee Wellness Program
MODERN INITIATIVES WELLNESS TEAMJOYE HURLING, CRYSTAL COHEN, APRIL DANIELS, CANDACE MASON, TALEESA
PECK, EMMANUEL TOEDR. MICHAEL DALMAT
CLAYTON STATE UNIVERSITY
Sibley Heart Center Cardiology About
Sibley Heart Center Cardiology is a group of more than 40 pediatric cardiologists in 19 locations across Georgia.
Provides comprehensive services for patients from before birth to age 21 with congenital or acquired heart defects.
The Emory/Sibley Adult Congenital Cardiac Program is one of the largest programs in the U.S. - and the only one in Georgia - specializing in the treatment of adults with congenital heart disease (CHD).
Mission
To enhance the lives of children through excellence in patient care, research and education.
Values
Service
Team
Integrity
Sibley Heart Center Cardiology Locations
❏ Sibley has a total of 224 employees
❏ There are 95 employees working at the Corporate Office in Atlanta❏ This number comprises
approx 42% of all Sibley employees.
Zip Code Spot Map
Sibley Heart Center Benefits
❏ Employee Health Benefits
❏ Blue Cross/Blue Shield Health Insurance
❏ Employee Wellness Program in addition to health insurance
Current Wellness Activities❏ Tuesdays 5:15 - 6:15 Cardio Fusion Aerobic Class - At Sibley Corporate Site
All Sibley Location Employees are welcome.
❏ Discount Gym Memberships (34 gyms within the Atlanta area) - Globalfit.com
❏ Wellness Challenge - Once a year
❏ Make it a Habit - (Exercise, Eating and Drinking Water Regularly) - Once a year
❏ Maintain Don’t Gain - (Weekly holiday emails on healthy eating)
❏ Host Family Fitness Month
❏ Nutrition Month (March) - Nutritionist sends nutrition questions weekly for entire month of
March person with the most correct answers wins a fruit and
vegetable box.
❏ Healthy Vending Snacks (Identified by healthy sticker)
❏ Filtered Water
Modern Initiatives Wellness Team Objectives
❏ To assist Sibley Heart Center Cardiology in the continued development of their Employee Wellness Program by determining strategies that will:
❏ Provide data regarding the current health and well-being of its employees.
❏ Increase employment participation in Sibley’s Employee Wellness Program.
❏ Be supported and championed by upper management.
❏ Be accepted and used regularly by at least two-thirds of employees.
❏ Be practical, accessible, inexpensive and maintainable.
❏ Show proven improvement in employee health and well-being.
❏ Be replicable at all Sibley sites.
Overview of Methods1. Determine and obtain necessary information from Sibley representative(s) regarding:
a. Employee Benefits (i.e., Health Insurance Coverage, wellness initiatives, etc.)
b. Employee counts
c. Employee demographics including:
i. Zip Codes
ii. Race/Ethnicity
iii. Gender
iv. Age
2. Analysis of employee demographics
3. Research and analysis of mortality and morbidity rates
a. National Center for Health Statistics (2010)
b. Georgia Department of Public Health (OASIS, 2011)4. Creation and presentation of Health and Wellness Survey to Sibley employees via
Qualtrics
a. Flier Announcing Wellness Survey b. Release of online anonymous surveyc. 7 day completion deadline
5. Analysis of survey responses
6. Recommendations to enhance health and wellness of Sibley employees
a. Survey responses
b. Evidence based research practices
Demographic cohorts: Age & gender
AGE COHORT FEMALE MALE TOTALS
20-29 19 0 19
30-39 57 17 74
40-49 54 14 68
50-59 39 7 46
60-69 3 10 13
70-79 1 3 4
173 51 224
Demographic cohorts: age & race
American Indian
orAlaskan
Native
Asian Black or African-America
n
Native Hawaiia
n or Pacific
Islander
Not Specifie
d (Latino)
2 or more races
White
20-29 0 0 5 0 3 2 9
30-39 0 4 34 0 2 2 32
40-49 2 3 27 2 3 0 31
50-59 0 2 19 0 0 2 23
60-69 0 0 2 0 1 0 10
70-79 0 1 0 0 0 0 3
2 10 87 2 9 6 108
Demographic cohorts: race and gender
RACE FEMALE MALE TOTALS
American Indian or Alaskan Native
1 1 2
Asian 5 5 10
Black or African-American
83 4 87
Native Hawaiian orPacific Islander
0 2 2
Not Specified (Latino) 8 1 1
Two or More Races 6 0 6
White 70 38 108
173 51 224
Sibley Heart Center CardiologySummary & Target Population
● White employees: 48.2% ○ 64% female○ 35% male
● Black: 38.8%○ 95% are female
● Age: 30-39: 33.0%40-49: 30.4%50-59: 20.5%
83.9%
● Female: 77% ○ 48% Black○ 40% White
Female 30-59
Black/White Female
Captures 67% of the employee
population
Captures 68% of the employee population
Top 10 Health Issues for Women(National
Center for Health Statistics, 2010)
Heart DiseaseAccounts for around 27 percent of all female deaths
CancerSecond most dangerous threat to a woman’s health, accounts for 22 percent of female deaths
Stroke Responsible for almost 8 percent of all female deaths
Chronic obstructive pulmonary disease (COPD) Makes up about 5 percent of all female deaths.
Alzheimer's Disease
Responsible for about 4 percent of all female deaths in the United States each year.
Top 10 health issues for women(National Center
for Health Statistics, 2010)
Unintentional Injuries
Accidents — car collisions, falls, and poisonings account for about 3 percent of all female deaths in the United States each year — more than 37,000 women.
Diabetes
Responsible for around 3 percent of all female deaths in the United States
Influenza and Pneumonia
Combined account for just under 3 percent of all American female deaths
Kidney Disease
Accounts for almost 2 percent of all female deaths in the United States.
Blood Poisoning (septicemia)
Responsible for the deaths of 1.5 percent of all U.S. females.
COHORT 1: FEMALE, AGE 30-39(Georgia Department of Public Health, 2011)
AFRICAN AMERICAN/BLACK Heart Disease
Cancer
Unintentional Injuries
Homicide
HIV/AIDS
Pregnancy Complications
Diabetes
Stroke
Kidney Disease
Anemia
CAUCASIAN/WHITE
Heart Disease
Cancers
Unintentional injuries
Suicide
Pregnancy Complication
Homicide
Stroke
Diabetes
Chronic Liver Disease
Chronic Lower Respiratory Disease
COHORT 1: FEMALE, AGE 40-49(Georgia Department of Public Health, 2011)
AFRICAN AMERICAN/BLACK Cancer
Heart Disease
Unintentional Injuries
Stroke
Diabetes
HIV/AIDS
Kidney Disease
Homicide
Chronic Lower Respiratory Disease
Chronic Liver Disease
CAUCASIAN/WHITE
Cancer
Heart Disease
Unintentional injuries
Chronic Liver Disease
Chronic Lower Respiratory Disease
Suicide
Stroke
Diabetes
Kidney Disease
Influenza & Pneumonia
COHORT 1: FEMALE, AGE 50-59(Georgia Department of Public Health, 2011)
AFRICAN AMERICAN/BLACK
Heart Disease
Cancer
Diabetes
Stroke
Kidney Disease
Chronic Lower Respiratory Disease
Septicemia
Unintentional Injuries
Hypertension
HIV/AIDS
CAUCASIAN/WHITE
Heart Disease
Cancers
Chronic Lower Respiratory Disease
Unintentional injuries
Diabetes
Stroke
Chronic Liver Disease
Septicemia
Kidney Disease
Influenza & Pneumonia
Survey Response Rate
Survey was distributed to 95 employees at the Sibley Heart Center Corporate Office 33% response rate
1 dropout/1 incomplete
45% in the 40-49 age range
91% of respondents were female
100% covered by health insurance 94% covered by Blue Cross/Blue Shield
6% covered by some other insurance
In general, how would you describe your health?
1 Excellent 4 12%
2 Very Good 14 41%
3 Good 15 44%
4 Fair 1 3%
5 Poor 0 0%
Total 34 100%
Issues of Low to Moderate Concern
0% smokers
76% engage in at least 3 days of exercise per week
44% engage in exercise 5-7 days per week
73% reported not having any of the top 10 chronic illnesses Only 1 participant reported receiving a cancer
diagnosis within the last 12 months
Issues of High Concern
88% identified stress as a moderate concern
46% specify identified work related stress as a moderate concern
56% identified themselves as being overweight
69% stated that they were trying to lose weight
18% identified an “Other” health issue: Hyperlipidemia, GERD chronic migraines asthma (2 participants) ADHD Nonspecific inflammatory process
Identify which of the following wellness activities would you be most willing to commit to doing on a regular basis, and indicate where you would be most likely to participate in this activity on a regular basis at or near your home or at or near your office (Check all that apply)
ARE YOU AWARE OF THE EMPLOYEE WELLNESS PROGRAM AT SIBLEY HEART
CENTER CARDIOLOGY?100% of survey respondents indicated that they were
aware of the wellness program.
63% of survey respondents ARE willing to pay
EMPLOYEES’ RECOMMENDATIONSHealthy Eating Exercise Team
FocusOther
Cater healthy lunches
Anytime Fitness Discounts
Team Sport Longer lunch break/flex time to focus on exercise
Nutrition education Fitness Challenges Standing desk
Physical Therapy No smoking in outside areas
A variety of exercise classes offered (i.e. yoga, pilates, etc)
Gift card incentives
Education on proper exercise techniques
Focus on Continuity for Success
1. Keys to maintaining a permanent Wellness Program:❏ Wellness Committee
❏ Consists of a mix of top management and employees interested in wellness and health.
❏ Individuals from the Human Resources department, health and safety department and employee assistance program may also be considered.
❏ Have consistent programs and rewards to increase and retain employee participation in the wellness program.
❏ Ensure that there is an activity scheduled on a weekly, monthly, quarterly basis
Wellness Bulletin Board
2. Develop wellness bulletin board or digital screen that displays Sibley’s wellness policy.
a. This board highlights important messages from the policy once a week where suggestions for healthy activities will be posted along with pictures displaying employees post pictures of them engaging in these healthy activities
Quarterly incentive: the family who incorporates the most activities in a photo album will win a small quarterly prize
At the end of the year the family that has completed the most activities wins a grand family prize
Examples include:
Employees bring family recipes to place on wellness bulletin board or email fellow employees
Sibley employee family day at your local, state park or other venues
Wellness Committee and Sibley employees can send out suggestions for physical activities families can do at home.
Stress Management
3. Appoint wellness committee advocate to become familiar with a free worksite stress management training program to inform Sibley employees of ways to reduce stress. Once the program has been introduced to Sibley employees can access the link from their home or work computer at their leisure.
Links for worksite stress management:
www.cdc.gov/niosh/topics/stress
www.webmd.com/a-two-v-guides/video/farrell-stress-reduction
www.webmd.com/10-relaxation-techniques-reduce-stress-spot
3. Stress Reduction:
❖ Spa’s for Massage
• The Atlanta Institute of Massage and Institute of Aesthetics
http://www.sensability.com/
50 min $40 student massages
• Gwinnett College
http://www.metroatlantacollege.com/index-5.html
60 min $40 student massages
• Georgia Massage School
http://www.georgiamassageschool.com/student-massage-clinic
50 min $35 student massages
❖ Quiet Meditation Room
❖ Free Yoga at Kaiser Permanente: Crescent Medical Center, Glenlake, and Gwinnett Facilities
Stress Management
More Competition, More Rewards
4. Incorporate more competitive challenges with monthly reward incentives and a larger reward for an annual challenge.
❏ Examples:
❏ Gifts cards for healthy eating places
❏ Spa certificates
❏ Workout gear
❏ Water bottles
Allot flex time to allow employees to engage in onsite physical activity
Employees develop walking teams
Wellness Committee build relationships with community partners for group discounts.
Chronic Disease Prevention & Self Management
5. Chronic disease prevention and self management through evidence based programs:
Health coaching - Motivational Interview Technique
The Game of Health - Game Based on Social Cognition
Sibley’s Wellness Program should incorporate an education component that offers monthly informational classes or sessions about chronic disease prevention.
Health Coaching
5. Motivational Interviewing Based on Health Coaching (Butterworth, Lindeu, & McClay, 2007)
Only technique to have demonstrated causality
Only technique to have shown to be independently associated with positive behavioral outcomes
Components of Effective Health Coaching Interventions:
At risk individuals should be identified
Recruitment efforts must be maximized
Use of various communication modules
E-mail Blasts, E-Letters, Phone Call, Person to Person
Incentives
Valid Coaching Methods should be used:
Motivational Interviewing
Whole Person Interviewing
Shared Decision Making
Evaluation
·
Game Of Health
5. Implementation of programs designed to modify behaviors to achieve a healthier lifestyle and improve body composition
Game of Health (Courtney, Conrad, Dunn, & Scarborough, 2011)
Study: Effectiveness of 12 wk. lifestyle change program targeted to patients w/ chronic disease Based upon social cognitive theory
Emphasis on enhancing a patient’s behavior capability and self-efficacy
Goal setting
Monitoring
Personalized Feedback
Game of Health also used baseball game metaphor in which the patient “joined the team” to play against the “opponents” of chronic diseases and symptoms.
Game players also introduced to 7 healers – specific behavioral areas in which to improve health
For more information visit the website at www.gameofhealth.com
BC/BS Complex Care
6. People who are at risk for chronic diseases or have a chronic disease can sign up for BCBS complex care or condition care programs in order to receive personalized health management.
Complex Care is for individuals who are at risk of developing a chronic disease, while Condition Care is for individuals who have already been diagnosed with a chronic disease. With both programs, individuals get a team of nurses to help manage their health.
*For more information regarding care programs
http://www.bcbsga.com/wps/portal/chpfooter?content_path=shared/noapplication/healthyliving/nosecondary/notertiary/pw_a087142.htm&label=360%5Edeg%20Health%5Ereg%20Program
Sibley may look at Anthem.com for employers to see most recent updates on plan incentives offered by BCBS.
- MOU & CA- demographics (zip
codes)- Retrieved mortality &
morbidity rates based on data in GA
- Construct Survey- Implement and Analyze
Survey- Formulate
Recommendations
What we will do
--Improve upon current employee wellness planFamily Involvement:
-Develop a bulletin board that displays families engaging in healthy activities & highlights important aspects of the wellness policy
-Email healthy family recipes and healthy family activities
-Have a Sibley Family Day at the parkStress Reduction:
-Self stress reduction techniques-Affordable Spa’s
-Quiet meditation room-Yoga
Increasing Employee Participation:-Offer more incentives and competitive
challenges-Allot for flex time to allow time to engage in
fitness activities-Employee walking teams
Chronic Disease Prevention:-Offer education classes/programs about the
prevention of chronic diseasesBlue Cross Blue Shield Tools:
-Complex-Care Program-Condition-Care Program
-Anthem.com for Employer and Employee use
-Employee Participation-Reduce employee workplace stress-Increase family
involvement-Increases in employees who exercise at least 4
times a week-Decrease employees
eating out--Increase employees who
eat healthy-Increase use of BCBS tools
-Overall weight reduction of employee’s.
- Walking Teams-Increased
amounts of sleep-Increase in
employee energy
--Reduction in medical claims cost
-Lower absentees and higher presenteeism
-Higher productivity-Fewer workers compensation
and disability claims--28% decrease in sick leaves-26% reduction in health care
costs-30% reduction in workers compensation & disability
claims
ROI$5.93 to every $1
MOREPROFITABLE
BUSINESS
Activities OutputsTEAM FOCUS
What we will propose to put in
place
Short-termOutcomes
What the short-term outcomes are
Medium-termOutcomes
What the medium-term outcomes are
Long-termOutcomes
What the long-term outcomes are
Sibley Heart Center Cardiology Logic Model
Long Term Outcomes
Reduction in the cost of medical claims
Lower absentees and higher presenteeism
Higher productivity
Fewer worker’s compensation and disability claims - decrease by 30%
28% decrease in sick leave
26% reduction in healthcare costs
Which Recommendations Would You Like to Adopt?
References
AHRQ. (2012, October). Cardiovascular disease and other chronic conditions in women: Recent Findings.
12(13), 1-6. Rockdale, Maryland: Agency for Healthcare Research and Quality.
Berry, L. L., Mirabito, A. M., & Baun, W. B. (2010). What's the hard return on employee wellness programs.
Harvard business review, 88(12), 104-112.
Butterworth, S. W., Lindeu, A., & McClay, W. (2007). Health coaching as an intervention in health
management programs. Disease Managment and Health Outcomes, 15(6), 299-307.
Churchill, S. A., Gillespie, H., & Herbold, N. H. (2014). The Desirability of Wellness Program and Incentive
Offerings for Employees.Benefits Quarterly, 30(1), 48-57.
Courtney, M., Conrad, S. E., Dunn, P., & Scarborough, K. (2011). The game of health: An innovative lifestyle
change program implemented in a family practice. American Academy of Nurse Practitioners, 23, 289-
297.
Flaxman, P. E., & Bond, F. W. (2010). Worksite stress management training: Moderated effects and clinical
significance. Journal of occupational health psychology, 15(4), 347.
Fogarty, S. (2007). Evaluating ROI for Wellness Programs. Benefits & Compensation Digest, 22-25.
References
Gatewood, J. G., Luchfield, R. E., Ryan, S. J., Myers-Gradelmann, J. B., Prudergast, J. F., & Ullom, K. K. (2008).
Perceived barriers to community-based health promotion program participation. American Journal of
Health Behavior, 32(3), 260-271.
Georgia Department of Public Health. (2011). Online Analytical Statistical Information System. Retrieved
from OASIS: http://oasis.state.ga.us/oasis/
Gillan, W., Naquin, M., Zannis, M., Bowers, A., Brewer, J., & Russell, S. (2013). Correlations among Stress,
Physical Activity and Nutrition: School Employee Health Behavior. ICHPER-SD Journal of Research, 8(1),
55-60.
National Center for Health Statistics. (2011). Retrieved from CDC: http://www.cdc.gov/nchs/
Shah, J. (2014). Three Styles of Communication that Will Keep Your Employees Engaged in Your Wellness
Program. Employee Benefit Plan Review, 68(7), 25-26.
Washoe County Health District. (2014, April 18) . Engaging families in health and wellness:Tips to help get
families involved with health and wellness. Retrieved from http://www.GetHealthyWashoe.com
Willingham, R. (2013). Using Incentives within the New Regulatory World of the ACA to Improve Employee
Wellness and Productivity. Employee Benefit Plan Review, 68(4), 7-11.
Winterdyk, J., Ray, H., Lafave, L., Flessati, S., Huston, M., Danelesko, E., & Murray, C. (2008). The Evaluation
of Four Mind/Body Intervention Strategies to Reduce Perceived Stress among College Students. College
Quarterly, 11(1).
References
To Sibley Heart Center Cardiology and Ms. Lisa
Martin, Senior Manager of Human Resources and Director of the Wellness
Committee
&
To Hearts To Nourish Hope for Hosting