Corporate Wellness ConsultantsCorporate Wellness Consultants and Corporate Wellness Programs

Benefits of Prenatal Care and Breastfeeding

The old adage “an ounce of prevention is worth a pound of cure” is particularly relevant to when applied to preventive measures taken during pregnancy, when a few extra ounces of birth weight can save a child’s life. During pregnancy, simple precautions can help avoid catastrophic results; giving up tobacco use, for instance, drastically reduces the risk of miscarriage and pre-term labor.

The March of Dimes reports that if all women took adequate folic acid before conception and during pregnancy, the number of babies born with a neural tube defect could drop by as much as 70%. The physical and emotional benefits of proper prenatal care to a mother and child are underscored by a strong business case for offering prenatal wellness benefits. Nationwide’s Chief Medical Director, Dr. Michael Moore, estimates costs to care for one baby delivered prematurely could approach $500,000.

First steps in fostering a prenatal program:
• Invite the March of Dimes to present information about prenatal health at an employee brownbag lunch or breakfast meeting.
• Hold prenatal care information classes for interested workers at lunchtime.
• Provide educational materials about the effects of alcohol, drugs and tobacco use on an unborn child.
• Provide incentives for adopting healthy lifestyles during pregnancy.
• Provide prenatal programs and education as part of the business medical package.

Benefits of tobacco use Cessation Programs

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

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

Places to start with tobacco use cessation programs:

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

Benefits 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. business to exceed $12.5 billion in health care, sick leave, and life and disability insurance. Further, one study reports that obesity raises medical costs by 36% and medication costs by 77%. To offset the health risks of obesity and poor diet, many companies have committed to helping workers ensure proper nutrition and undertake weight control programs.

Popular nutrition programs:

 Fruit and Vegetable Consumption
 1. Provide healthy eating reminders and prompts to workers via multiple means (i.e. e-mail, posters, payroll stuffers, etc.).
 2. Provide appealing, low-cost fruits and vegetables in snack machines and in the cafeteria.
 3. Provide 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. Provide healthy foods at meetings, conferences, and catered events.
 6. Use point-of-decision prompts as a marketing technique to promote healthier choices.
 7. Provide healthy cooking demonstrations that teach skills (i.e. fruit and vegetable selection and preparation).
 8. Provide taste-testing opportunities at the workplace.
 9. Provide employee-led campaigns, demonstrations or programs.
 10. Provide 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. Provide protected time and dedicated space away from the work area for breaks and lunch.
 13. Make kitchen equipment available to workers.
 14. Provide an opportunity for onsite gardening if possible.

 Sweetened Beverage Consumption
 1. Make water available throughout the day.
 2. Provide 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. Provide food models, food scales for weighing and pictures to help workers assess portion size.
 3. Provide appropriate portion sizes at meetings, workplace events and in the cafeteria.

Nutrition programs in action

While many companies address weight management through fitness initiatives, companies are increasingly focusing on nutrition through separate programming. Recognizing the productivity boost and lowered medical expenditures that come with maintaining a healthy weight, many companies 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 study shows that 24% of employers offer weight loss programs. 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 companies partner with the American Cancer Society to offer nutrition information through the ”5-ADay” program, which provides employers 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.

Benefits of Physical 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 exercise 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: exercise 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 individuals.

Dr. Michael Moore, vice president and chief medical director at Nationwide Insurance in Columbus, maintains that exercise 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 companies encourage active lifestyles.

Popular Physical Fitness Initiatives:

1. Allow access to on- and off- worksite gyms and recreational activities before, during, and after work hours.
2. Provide and encourage participation in after work recreation or leagues.
3. Provide cash incentives or decreased insurance costs for participation in physical activity and/or weight management or maintenance activities.
4. Provide shower and/or changing facilities onsite.
5. Provide outdoor exercise areas such as fields and trails for employee use.
6. Provide bicycle racks in safe, convenient, and accessible locations.
7. Provide onsite fitness opportunities, such as group classes or personal training.
8. Provide an onsite exercise facility.
9. Create programs that have strong social support systems and incentives, such as:
 • Buddy or team physical activity goals
 • Initiatives that involve workers and family
 • Initiatives to encourage physical activity, such as pedometer walking challenges
 • Explore discounted or subsidized memberships at local health clubs, recreation centers, or YMCAs
10.  Provide 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 encourage stair usage.
16. Provide exercise/physical fitness messages and information to workers.
17. Provide or support recreation leagues and other physical activity events onsite or in the community.
18. Begin employee activity clubs such as walking or bicycling clubs.
19. Provide 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 companies. 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 companies of all types, sizes and cultures: that is, medical expenses are spilling over the corporate 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 employers to maintain current levels of insurance coverage. In 2003, medical inflation forced 65% of companies 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.

Employers are searching for another way. While companies cannot control many of the supply-side elements contributing to rising medical 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 Corporate Wellness Programs is supported by an ever growing body of evidence demonstrating the high costs associated with controllable health risks:

• One study reports that obesity raises medical 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 employers 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.

Information 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 medical services and help control costs.

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

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

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

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

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 reported that more than half of workers (61%) want to receive health and wellness information from a medical professional, such as a consultant or an worksite occupational health nurse (OHN), compared to pamphlets or brochures (18%) or human resources staff (15%).

OHNs can develop, implement and evaluate components of work site Corporate Wellness Programs such as testing programs, exercise/fitness courses, Stress management, tobacco use cessation, nutrition and weight control programs, as well as chronic illness management programs. Plus, OHNs can help workers navigate through complicated health plans and may even serve as a triage point between workers and their personal medical providers.

Employees might refrain from seeing their medical 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, worksite nurses can routinely monitor risk factors such as blood pressure or cholesterol on a regular basis.

It’s often easier for an employee to ask an worksite nurse for information about symptoms or prescription medication than it is to schedule a follow-up visit to a personal medical provider. Benefits realized by employers include enhanced employee morale and retention, a recruitment advantage, increased productivity and decreased time away from work.

In companies 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 programs and involving workers in leading stretches.

Good for waistlines & your bottom line

By Sandra Simpson, APRN, BC, COHN-S, manager in Occupational Health Services at a Fortune 500 business in Memphis, Tenn., and a member of the board of directors of the American Association of Occupational Health Nurses (AAOHN). For a copy of the AAOHN wellness survey, visit www.aaohn.org, or call (800) 241-8014, x0.

In today’s hectic world, most of us are spending more time at work, and have increasingly less time to look after our health. For a long time, employers have understood the benefits associated with keeping workers well – increased productivity from decreased rates of absence and lowered disability claims. For these reasons, coupled with the fact that many companies realized double-digit medical costs last year, companies should consider Corporate Wellness Programs as a way to keep workers healthy.

But just how important are these programs to workers? How often are they willing to take part in programs designed to positively impact their health and wellness? Who do workers trust to provide them with important information about their health?

Answers to these questions and more were recently garnered from a study commissioned by the American Association of Occupational Health Nurses Inc. (AAOHN).

The AAOHN survey questioned 500 workers nationwide about their perceptions of Corporate Wellness Programs. More than three-quarters of all members indicated these programs are a good way to improve their overall health, and nearly 60% consider these offerings an incentive to remain with their current employer. employee retention and turnover impact the bottom line, so building Corporate Wellness Programs into the work site culture is a valuable way to help retain talented workers in addition to enhancing personal health and workplace productivity.

Health wish list

Employees appear to have their own agenda when it comes to their health. With new pressures resulting from an unstable economy, national security threats and work/balance issues, it’s not surprising that 85% of survey respondents cited Stress management as a priority topic for work site wellness.

In addition to stress, other preferred topic areas include testing programs (84%), exercise/physical fitness programs (84%), health insurance education (81%) and disease management seminars (80%).

In addition to lifestyle and personal health issues, those asked expressed concern about work-related health issues, including strains and injuries resulting from lifting or task-oriented muscle repetition, exposure to harmful substances, personal injury, vision changes due to computer work and workplace violence.

What you should do

With such a broad range of health concerns, a key goal for employers is finding a way to proactively address the health needs of the largest number of workers, and effectively change unhealthy behaviors, promote wellness and ward off disease and illness.

Printed materials such as brochures, posters, fliers or pamphlets present an easy solution. But it’s important to remember that different individuals require different formats for learning. A good rule of thumb: provide information in a variety of learning formats such as videos, pamphlets, health-related quizzes, display boards, lunch-and-learn presentations and reimbursement or incentive programs.

This assumes you’ve overcome the first hurdle – getting individuals to sign on to a Corporate Wellness Program. While survey respondents indicated health and Corporate Wellness Programs are important, just six out of 10 (60%) reported that they participated in the Corporate Wellness Programs at their companies. The other 40% cited lack of interest and lack of time as deterrents.

This points to the need for a broad-based, structured Corporate Wellness Program using a creative approach, with an incentive for participation and effective program marketing.

By investing in an organized Corporate Wellness Program headed by a qualified medical professional such as an worksite nurse, companies can give workers the access to the health information they want, and increase participation and generate interest at the same time.

The result: workers become savvier medical consumers who feel more in charge of their personal health. And healthier workers make for a healthier bottom line.

Stress continues to drive workers’ work-related health concerns, which is probably why most respondents (78%) in a recent survey claim they would take part in a Corporate Wellness Program to help their overall health and wellness.

In a recent study commissioned by the American Association of Occupational Health Nurses, Inc. (AAOHN), 500 full-time workers nationwide were interviewed by telephone.

“Today’s workers are clearly dealing with a lot of pressures such as the effects of 9/11, an unstable economy, national security threats and work/balance issues. There is a real opportunity for employers to serve as an ally to their workers by providing them with resources to better manage their physical and emotional health – anything from stress management seminars to nutrition and exercise counseling,” says Deborah V. DiBenedetto, president of AAOHN.

Nearly 80% of respondents believe their health would improve if they were offered the right information and tools through a viable Corporate Wellness Program.

Topping the list of most interesting Corporate Wellness Programs cited by workers is stress management (85%), closely followed by testing programs (84%), exercise/physical fitness programs (84%), health insurance education (81%) and disease management seminars (80%).

More than half of workers (61%) would prefer to receive health and wellness information from a medical consultant or worksite nurse, compared to pamphlets or brochures (18%) or human resources staff (15%).

Effective Corporate Wellness Programs include the use of data sources in support of Corporate Wellness Program planning, implementation, and evaluation. Information sources can be used to complete a community needs assessment, develop realistic Corporate Wellness Program goals and objectives, and gain Senior Management support.

Centers for Disease Control and Prevention (CDC): Information and statistics
• http://www.cdc.gov/DataStatistics/
• Information and statistics are available by topic (i.e., asthma, injuries, MRSA).
• Information access tools are available to customize data tables and query datasets (i.e., Healthy People DATA2010, tobacco use-Attributable Mortality, Morbidity, and Economic Costs).
• Nationwide survey data is available (i.e., National Health and Nutrition Examination Survey (NHANES)).

CDC Behavioral Risk Factor Surveillance System (BRFSS)
• http://www.cdc.gov/brfss/index.htm
• BRFSS is the world’s largest, ongoing telephone health survey system. BRFSS has been tracking health conditions and risk behaviors in the US yearly since 1984.
• Chronic Disease Indicators are divided into seven categories: physical activity and nutrition, tobacco and alcohol use, cancer, cardiovascular disease, diabetes, overarching conditions, and other disease and risk factors.
• Prevalence data is also available (i.e., weight classification by Body Mass Index and age).

Corporate Wellness Program data collection and analysis is often avoided because of a perceived lack of resources for this very important Corporate Wellness Program component. Use the suggestions below to take advantage of a variety of resources available at your installation or in the local community.

Medical Interns and Residents

• If your Medical Center has an internship Corporate Wellness Program, get to know the Internship Director.
• Take advantage of these resources – including having the Director and/or interns/residents implement the outcome data collection plan for your Corporate Wellness Program.

Local college and graduate students

• Where appropriate volunteer agreements are in place, use local college/graduate students to help collect, input, and analyze Corporate Wellness Program data.
• Take advantage of the fact that these students are often looking for projects.
• If there are no “health-related” students/interns in your area, consider using business students. Let them calculate a cost avoidance or return on investment for your Corporate Wellness Program.

Other Medical Personnel

• Partner with other Medical Personnel. Find out who is collecting data, what data they are collecting, and how they are collecting it.
• If they are using a survey and the survey administration process is already in place, ask if you can add a question or two.
• Be aware of other research going on at your facility. They may already be collecting data you need OR may have analysis resources that can be shared.
• Make sure other departments in the Medical center know you can always use some extra help if they have personnel with any down time. Use these resources for data entry or other administrative tasks.
• Make use of the volunteers at your Medical Treatment Facility to help collect and input data.

Previous Corporate Wellness Program members

• Previous Corporate Wellness Program members are also a good resource.
• They may be willing to lead a class session, provide encouragement to current Corporate Wellness Program members, or help collect data.
You can improve data collection and analysis by taking advantage of local resources. Using these resources expands the reach and impact of your Corporate Wellness Program.