Employer WellnessEmployer wellness programs and employer wellness consulting services

Advantages of smoking Cessation Programs

Instances of respiratory diseases, cancer and other illnesses can be decreased through smoking cessation efforts. smoking cessation initiatives can provide huge opportunities for improved health.

The American Cancer Society reports that smoking workers cost businesses an average of $1,429 per smoker per year in raised healthcare costs over non-smoking workers. Implementing a smoking cessation program costs an average of $45 per employee per year, saving businesses an average of $1,383 per year for each employee who quits smoking. Additionally, the American Cancer Society reports that smokers are absent from work 50% more frequently than nonsmokers. They are also 50% more likely to be hospitalized and have 15% higher disability rates. smoking decreases onthe- job productivity as well. Employees who take four 10- minute smoking breaks a day work more than a month less per year than workers who don’t take smoke breaks.

Places to start with smoking cessation initiatives:

1.    Start a employer policy prohibiting tobacco use anywhere on the property.
2.    Offer prompts/posters to support no tobacco use policy.
3.    Policy supporting participation in smoking cessation activities during duty time (flex-time).
4.    Offer counseling through an individual, group, or telephone counseling program onsite.
5.    Offer counseling through a healthcare plan sponsored individual, group, or telephone counseling program.
6.    Offer cessation medications through health insurance.

Advantages of Nutrition Programs

Nutrition directly impacts nearly every aspect of physical and mental health. A healthy diet can help protect against such conditions as heart disease, diabetes, arthritis, stroke, certain cancers and depression. Obesity, which is among the most common conditions linked to diet, affects a record number of Americans.

The American Journal of Health Promotion estimates the cost of obesity to U.S. employer to exceed $12.5 billion in health care, sick leave, and life and disability insurance. Further, one research study reports that obesity raises healthcare costs by 36% and medication costs by 77%. To offset the health risks of obesity and poor diet, many businesses have committed to helping workers ensure proper nutrition and undertake weight control initiatives.

Popular nutrition initiatives:

Fruit and Vegetable Consumption
1.    Offer healthy eating reminders and prompts to workers via multiple means (i.e. e-mail, posters, payroll stuffers, etc.).
2.    Offer appealing, low-cost fruits and vegetables in snack machines and in the cafeteria.
3.    Offer cookbooks, food preparation, and cooking classes for workers’ families.
4.    Ensure onsite cafeterias follow healthy cooking practices and set nutritional standards for foods served that align with the U.S. Dietary Guidelines for Americans.
5.    Offer healthy foods at meetings, conferences, and catered events.
6.    Use point-of-decision prompts as a marketing technique to promote healthier choices.
7.    Offer healthy cooking demonstrations that teach skills (i.e. fruit and vegetable selection and preparation).
8.    Offer taste-testing opportunities at the workplace.
9.    Offer employee-led campaigns, demonstrations or programs.
10.    Offer local fruits and vegetables at the workplace (i.e. workplace farmer’s market or community-supported agriculture drop-off point).
11.    Use competitive pricing (price non-nutritious foods in snack machines and cafeterias at higher prices).
12.    Offer protected time and dedicated space away from the work area for breaks and lunch.
13.    Make kitchen equipment available to workers.
14.    Offer an opportunity for onsite gardening if possible.

Sweetened Beverage Consumption
1.    Make water available throughout the day.
2.    Offer appealing, low-cost healthful drink options in snack machines and the cafeteria.
3.    Modify worksite snack contracts to increase the number of healthy options.

4.    Price non-nutritious beverages at a higher cost.
5.    Use point-of-decision prompts to promote healthier choices.

Portion Control
1.    Label foods to show serving size and/or nutritional content.
2.    Offer food models, food scales for weighing and pictures to help workers assess portion size.
3.    Offer appropriate portion sizes at meetings, workplace events and in the cafeteria.

Nutrition initiatives in action

While many businesses address weight management through fitness initiatives, businesses are increasingly focusing on nutrition through separate programming. Recognizing the productivity boost and lowered medical expenditures that come with maintaining a healthy weight, many businesses may help pay for obesity treatments for workers. By way of example, to improve the health of dangerously obese workers, drug maker Wyeth reportedly pays for stomach-shrinking surgeries that carry price tags of up to $40,000.

A 2003 Society of Human Resource Management research study shows that 24% of businesses offer weight loss initiatives. In Ohio, Honda offers an onsite, registered dietitian who provides individual or group consultations on weight management. Body fat analysis and body mass index (BMI) measurements are available to workers at any time.

At Grange Insurance’s Columbus headquarters, the cafeteria chef analyzes meals and provides workers basic nutrition information, including Weight Watchers points. Many businesses partner with the American Cancer Society to offer nutrition information through the ”5-ADay” program, which provides businesses free signage and educational materials about the importance of eating five servings of fruits and vegetables a day. The program also offers a fruit and vegetable ”frequency card” that gives workers a free portion of fruit or vegetables after he or she has purchased a preset number.

Advantages of Fitness Initiatives

Exercise reduces weight, lowers risks of heart attack and stroke, helps to control blood pressure and diabetes, and improves mood. Studies increasingly show that physical fitness may also help reduce the occurrence of certain types of cancer. Researchers at the Centers for Disease Control and Prevention (CDC) recently documented another major advantage: physical fitness improves the health of the nation’s medical care expenditures.3 According to the CDC, physically active individuals incur $865 less per year in medical costs than inactive workers.

Dr. Michael Moore, vice president and chief medical director at Nationwide Insurance in Columbus, maintains that physical fitness is the most effective tool in health maintenance. “If you could prescribe exercise in a pill, it would be the number-one prescribed treatment in the world,” he said. In step with Dr. Moore’s prescription, nearly one-third of U.S. businesses help workers pay for gym memberships, according to an Associated Press report. Subsidizing gym memberships is just one way businesses promote active lifestyles.

Popular Fitness Initiatives:

1.    Allow access to on- and off- worksite gyms and recreational activities before, during, and after work hours.
2.    Offer and promote participation in after work recreation or leagues.
3.    Offer cash incentives or decreased insurance costs for participation in physical activity and/or weight management or maintenance activities.
4.    Offer shower and/or changing facilities onsite.
5.    Offer outdoor physical fitness areas such as fields and trails for employee use.
6.    Offer bicycle racks in safe, convenient, and accessible locations.
7.    Offer onsite fitness opportunities, such as group classes or personal training.
8.    Offer an onsite physical fitness facility.
9.    Create initiatives that have strong social support systems and incentives, such as:
• Buddy or team physical activity goals
• Initiatives that involve workers and family
• Initiatives to promote physical activity, such as pedometer walking challenges
• Explore discounted or subsidized memberships at local health clubs, recreation centers, or YMCAs
10.     Offer flexible work hours to allow for physical activity during the day.
11.    Support physical activity breaks during the workday, such as stretching or walking.
12.    Host walk-and-talk meetings.
13. Map out onsite trails or nearby walking routes and destinations.
14. Have workers map out their own biking or walking route to and from work.
15. Post motivational signs at elevators and escalators to promote stair usage.
16. Offer exercise/physical fitness messages and information to workers.
17. Offer or support recreation leagues and other physical activity events onsite or in the community.
18. Start employee activity clubs such as walking or bicycling clubs.
19. Offer onsite child care facilities to facilitate physical activity.
20. Sponsor a bike to work day and reward workers who participate.
21. Create a box and solicit fitness and health tips.

Wellness programming means different things to different businesses. Effective wellness initiatives can be as simple as bringing bushel baskets of fresh fruit into break rooms to encourage better eating. They can be as extensive as building fitness facilities onsite or paying for obesity treatments.

A driving factor behind the push toward wellness spans businesses of all types, sizes and cultures: that is, healthcare expenses are spilling over the organization belt buckle. The annual cost of medical services in the U.S. is rising at seven times the rate of inflation. And the rise in medical costs is one boom pundits expect our economy to sustain.1

This trend makes it increasingly challenging for businesses to maintain current levels of insurance coverage. In 2003, healthcare inflation forced 65% of businesses to increase workers’ share of health costs.

Seventy-nine% of large firms said they will increase workers’ share of health costs in 2004.2 But with lost benefits and increased financial burdens come lost morale and productivity.

Companies are searching for another way. While businesses cannot control many of the supply-side elements contributing to rising healthcare costs—malpractice insurance rates, the nursing shortage—they can help curb demand. That’s why efforts are being redirected from illness to wellness.

The case for Employee Health Promotion Programs is supported by an ever growing body of evidence demonstrating the high costs associated with controllable health risks:

• One research study reports that obesity raises healthcare costs by 36% and medication costs by 77%.
• Michigan officials estimate physical inactivity cost the state nearly $8.9 billion in 2002, a cost estimated to be largely borne by businesses through insurance premiums and lost productivity.
• The not-for-profit National Committee for Quality Assurance reports that the estimated average cost for postnatal care for women who did not receive prenatal care was $2,341 more than for women who had. And the indirect costs of unhealthful behavior can be just as high.

Data shows that healthier workers are more productive, spending more time at work and showing increased “presenteeism,” or productivity, while there. Further, healthier workers use fewer medical services. The five leading causes of death in the U.S. — heart disease, cancer, stroke, chronic obstructive pulmonary disease and diabetes —  are directly linked to unhealthy lifestyles. Clearly, encouraging healthful habits presents an opportunity to improve workers’ well being, reduce the need for healthcare services and help control costs.

Offering employee wellness benefits — large or small — represents an intersection between organization social responsibility and responsibility to stakeholders. Between employee health and corporate health. It’s frequently the right thing to do for workers and businesses.

Research by Traveler’s Corp. shows a $3.40 return for each dollar invested in Employee Health Promotion Programs. For many businesses, the choice to offer employee wellness benefits is easy—one where conscience and pragmatism align.

The challenge arises in selecting the initiatives that will deliver the most impact based on trends in your workers’ health risks and medical claims costs. From large businesses to the corner deli, employer owners welcome ways to boost productivity, reduce rates of absence and cut costs. Likewise, Employee Health Promotion Programs can range from modest to elaborate.

In determining where to focus a employer’s limited resources, looking at benefits, costs and best practices is a good starting point. This section profiles six aspects of wellness and explores their benefits to workers and businesses.

When it comes to working wellness into your workforce, you want someone who knows the ins and outs of health promotion, and who can counsel workers and provide primary care – all within the context of the current regulatory and legal environment.

AAOHN’s survey found that more than half of workers (61%) want to receive health and wellness information from a healthcare professional, such as a consultant or an on-site occupational health nurse (OHN), compared to pamphlets or brochures (18%) or human resources staff (15%).

OHNs can develop, begin and evaluate components of work site Employee Health Promotion Programs such as screening initiatives, exercise/fitness courses, Stress management, smoking cessation, nutrition and weight control initiatives, and chronic illness management initiatives. Plus, OHNs can help workers navigate through complicated health plans and may even serve as a triage point between workers and their personal healthcare providers.

Employees might refrain from seeing their healthcare provider when it means time away from work, inconvenient parking, waiting time in the office and co-pays. In situations where workers are under treatment for chronic diseases like heart disease, on-site nurses can routinely monitor risk factors such as blood pressure or cholesterol on a regular basis.

It’s frequently easier for an employee to ask an on-site nurse for information about symptoms or prescription medication than it is to schedule a follow-up visit to a personal healthcare provider. Advantages realized by businesses include improved employee morale and retention, a recruitment advantage, raised productivity and decreased time away from work.

In businesses with a safety department, the OHN can evaluate and address work-related health issues, including participation in workstation evaluations to correct potential ergonomic problems, and proactively addressing muscle strains by developing stretching initiatives and involving workers in leading stretches.