Health Promotion Blog

What Are Corporate Health Promotion Programs?

Corporate Health Promotion Programs are designed to promote and support employee health and wellness through education and awareness programs primarily based at the worksite. The program is a win-win in that workers benefit from learning and staying well, and the employer has increased loyalty and less absenteeism.

As corporations become more aware of the importance of employee health on productivity, there is increased interest in encouraging and supporting healthy lifestyle choices. Employer costs for Corporate Health Promotion Programs can rapidly be offset with fewer work-related injuries, improved attendance, less turnover, and increased morale.

Types of Corporate Health Promotion Programs

Corporate Health Promotion Programs: Lunch & Learn Wellness Presentations

The easiest Corporate Health Promotion Programs are one’s where the employer arranges to have quarterly presentations during lunchtime on topics such as stress management, nutrition, and exercise. A local mental health clinic, hospital, or the Employee Assistance Program (Employee Assistance Program) may provide these. This type of corporate health and Corporate Health Promotion Program is usually arranged through HR, the health department, or the safety manager. Participation is generally voluntary.

Before determining topics for wellness seminars, it is a good idea to do some type of worker polling to see what topics people are interested in. This can be as simple as an e-mail to all staff asking for suggestions or as formal as having an outside group come in to conduct interviews and design a complete corporate health and Corporate Health Promotion Program.

Corporate Health Promotion Programs: Health Risk Assessments

An employer can provide comprehensive Health Risk Assessments for workers. Health Risk Assessments are detailed questionnaires that covers all areas of behavior (seatbelt use, smoking, alcohol use, frequency of exercise, family history of disease and illness, etc.). This is usually done in conjunction with employee biometric testing for things like cholesterol and blood sugar screening.

Once the Health Risk Assessments are scored, the results are shared with workers along with suggestions for changes. The employer is able to get aggregate statistics that will show trends that he or she may want to address. For example, if a lot of people have high blood pressure, the employer may consider an educational seminar, biweekly onsite blood pressure readings, and low-salt, low-fat selections in the cafeteria or snack machines as interventions to include in the corporate health and Corporate Health Promotion Program.

If the Health Risk Assessments show that there is a “trend” toward not wearing seatbelts, perhaps having the State police come in and give a seminar about what occurs in an accident when you don’t have a seatbelt on would change some behavior.

Corporate Health Promotion Programs: smoking Cessation

smoking cessation programs are very popular components of Corporate Health Promotion Programs. Often, the local chapter of the American Cancer Society or American Lung Association will come in to run a group. Another option is for workers to attend a smoking cessation group in the community. Costs for the smoking cessation group can be offset by the employer after workers complete the program.

Corporate Health Promotion Programs: Stress Management

Stress is a major area of concern for corporations. Stressed out employees get sick more often, make more errors, and generally do not perform up to capacity. As a result, Corporate Health Promotion Programs often take steps to address employee stress. There are many ways to address stress within your Corporate Health Promotion Programs, and the beauty of these ideas is that everyone can benefit from them.

Certainly, stress management presentations are educational and informative and should be included in any corporate health and Corporate Health Promotion Program.

Corporate Health Promotion Programs and Work/Life Programs

Many corporations offer a work/life program that offers assistance with things from finding day care for a child or elderly parent and information on obscure college scholarship funds to information on which PC to buy and where to find someone to walk your dog. These programs fit into Corporate Health Promotion Programs because they help your workers handle many of the things that are taking up work time and increasing stress.

Corporate Health Promotion Programs and Employee Assistance Programs

An Employee Assistance Programs are integral parts of effective Corporate Health Promotion Programs. By helping workers address personal/mental health problems and concerns, an Employee Assistance Program can go a long way toward improving overall health and productivity. Representatives from your Employee Assistance Program can also work closely with you to design Corporate Health Promotion Programs that are integrated and effective.

Time Management and Corporate Health Promotion Programs

Time is one of our most precious commodities, and anything you can do as an employer to help your workers manage their time is going to be welcome. Although not traditionally thought to be a component of Corporate Health Promotion Programs, providing flextime and telecommuting are two ways to lower stress and raise productivity.

These programs take thought and planning and are not appropriate for all workers or all positions; however, in many workplaces, they are underused. Either your HR manager or an outside consultant can help you design a program. If you belong to a business group or Chamber of Commerce, you may find assistance there. Also, talk to colleagues who are doing this in their companies to see how it is working.

The Culture of Wellness

Worker wellness has to be a component of your company culture, not just something you throw in as an afterthought. It isn’t a Band-Aid, but rather a thoughtful piece of your business strategy. For example, if productivity is down due to smoking breaks, providing smoking cessation classes can help. But it’s also important to establish a no smoking policy.

When workers feel valued, they are more loyal and tend to work harder. They take pride in their work and talk about what a great company they work for. A healthy workforce is a productive workforce.

Even the best and most innovative corporations are experiencing the impact worker well-being on their organizations’ performance.  The bad news is that many of these corporations are unaware of the extent to which less-than-optimal worker health and well-being is impacting workforce capacity and performance.  The goods news is that there is an increasing body of research and practice than can help corporations mitigate this often unseen issue and establish significant opportunities for improved workforce attraction, retention and performance!  This article focuses on how companyal leaders can improve physical and financial worker wellness in the workplace.

The Problems of Chronic Disease

According to the World Health Organization (WHO), 60 percent of deaths in 2005 could be attributed to chronic disease (cardiovascular disease, cancer, chronic respiratory diseases, and diabetes).1  The largest attributing factors to the chronic diseases include smoking, physical activity, and diet.2  The costs of these diseases are staggering.  For example, if there were a 10 percent reduction in mortality from heart disease and cancer, it could save the US $10.4 trillion annually.3  Further the WHO projects that over 80 percent of the US population will be either considered overweight or obese by the year 2015.

The Problems of Financial Distress and Dissatisfaction

As hard as it may be to fathom, a 2004 study found that 67 percent of U.S. Workers are dealing with Personal Financial Issues.4 In another study, it was found that these issues can exist in all segments of any workforce, regardless of income, education, or position level.5 Couple these facts with our workforce reality:

* The workforce is aging and demand for professionals in many industries continues to exceed the supply – and will for the foreseeable future.
* Due to the shortages of quality personnel the stress on our current workforce is increasing.
* With these workforce shortages, most corporations cannot continue to pay spiraling market prices for professionals.
* Lastly, those personality attributes that make many professionals great caregivers or service-providers also tend to make them less apt to focus on matters of personal financial management.

The Return On Investment

There are significant reasons why corporations should employ Strategies to implement Corporate Health Promotion Programs for their workers:

* Increase Productivity including reductions in healthcare and workers compensation claims, absenteeism, and presenteesism;
* Lower employer paid healthcare and re-insurances premiums; and
* Increase worker, physicians and patient satisfaction; and
* Increase staff retention and productivity.

A recent Towers Perrin case study6 found that a ten percentage point improvement on worker engagement was linked to a 4.6 percentage point improvement on customer satisfaction and revenue growth and labor cost improvements equal to a 2.8 percent impact on controllable margin.

What all this shows is that providing Corporate Health Promotion Programs and incentives is more than just “the right thing to do.”  Rather, there is a profound business case.  As workforce capacity and engagement increase, a bottom-up cultural change takes place in your company.  These changes drive improvements in customer satisfaction, productivity, absenteeism, and presenteesism – all of which drive improvements in profitability.

The Course of Change

As an employer, you can have a tremendous impact on the health of the community.  Here are a few suggestions on how you can engage your workers (possibly include flowchart):

1. Define the Plan – Determine if you have the internal resource availability and knowledge to develop a formal Corporate Health Promotion Program.  Many organizations, due to confidentiality legal and other reasons, choose to engage outside partners to manage these processes.
2. Communication – Once you have developed the plan, communicate the plan to all workers – using multiple media and approaches.
3. Lead by Example –Begin Corporate Health Promotion Programs at the top (walk the walk).  Allow yourselves the opportunity to go through a health risk assessment and a financial assessment.  If you can, communicate your results and your action steps to staff.
4. Develop incentives for Staff Participation – Here are a couple of financial incentives you can provide staff that are low cost and optimally have a return on investment (ROI):

1. Pay workers to take a risk assessment
2. Lower employee contributions to health plan for those with reduced risk of chronic disease and correspondingly raise employee contribution to health plan for those with increased risk of chronic disease

5. Make available Personal Risk Assessment Counseling – Make available resources that can meet one on one with each worker to understand their health risks and opportunities
6. Eliminate Trans-Fat from Your Dietary Offerings – If you have onsite food facilities, and haven’t been required by legislative statute, you should eliminate trans-fatty oils from the worker and customer meals
7. Eliminate Smoking Areas for Workers – More and more organizations, including large cities, are now banning smoking on their facilities.
8. Make available Proper Monitoring Programs – Probably the hardest component of the plan, the ongoing monitoring is critical.  Some organizations are large enough to own or build wellness centers – but even then, many workers feel uncomfortable in using them.  Typically the users of wellness centers are those least in need.  The good news is that there are many external and internet-based tools and options that are available today.
9. Encourage Other Local Businesses to Make available Corporate Health Promotion Programs.  In some cases (e.g. hospitals), there are options where this can even generate revenue and/or deepen relationships with the communities you support.

Legal Concerns

When thinking about a Corporate Health Promotion Program, one must take into account certain requirements under ERISA, the Internal Revenue Code (Code) and the Public Health Service Act (PHSA). All three laws were amended by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to provide for improved portability and continuity of health coverage. HIPAA also added Code section 9802, ERISA section 702 and PHSA section 2702, each of which prohibits discrimination in health coverage based on health status.

To be a bona fide Corporate Health Promotion Program, the plan must satisfy the following requirements:

* An individual’s total incentive must be limited. A limit of 10 percent to 20 percent of the total cost of employee-only coverage may be appropriate, according to the DOL.
* The program must be reasonably designed to promote good health or prevent disease.
* The incentive must be available to all similarly situated individuals. The program must allow any individual for whom it is unreasonably difficult because of a health condition to meet the Corporate Health Promotion Program standard (or for whom it is medically inadvisable to attempt to meet the Corporate Health Promotion Program standard) an opportunity to satisfy a reasonable alternative standard.

1 2005 Preventing chronic disease:  A important investment. World Health Organization
2 2007 Working Towards Wellness:  Accelerating the prevention of chronic disease.  World Economic Forum
3 2007 The Value of Health and Longevity.  Kevin M. Murphy and Robert H. Topal, University of Chicago
4 2004 Employer/Employee Equation Research on Worker Types, Preferences and Engagement Issues – Concours Group, Age Wave and Harris Poll
5 1997 Neal E. Cutler, Ph.D
6 2003 Talent Report: New Realities in Today’s Workforce – Towers Perrin

Corporate Health Promotion Programs that support workers and the environment that they work in have been shown to be a good return on investment (ROI). Corporate Health Promotion Programs can be extensive and sometimes costly. However, there are ways for small corporations to make positive changes at little or no cost.

Corporate Health Promotion Program: Physical/Weight Management Programs

1. Allow access to on- and off- worksite gyms and recreational activities before, during, and after work hours.
2. Make available and encourage participation in after work recreation or leagues.
3. Make available cash incentives or reduced insurance costs for participation in physical activity and/or weight management or maintenance activities.
4. Make available shower and/or changing facilities onsite.
5. Make available outdoor exercise areas such as fields and trails for worker use.
6. Make available bicycle racks in safe, convenient, and accessible locations.
7. Make available onsite fitness opportunities, such as group classes or personal training.
8. Make available an onsite exercise facility.
9. Set up programs that have strong social support systems and incentives, such as:
o Buddy or team physical activity goals
o Programs that involve employees and family
o Programs to encourage physical activity, such as pedometer walking challenges
o Explore discounted or subsidized memberships at local health clubs, recreation centers, or YMCAs
10. Make available 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. Make available exercise/physical fitness messages and information to workers.
17. Make available or support recreation leagues and other physical activity events onsite or in the community.
18. Start worker activity clubs such as walking or bicycling clubs.
19. Make available onsite child care facilities to facilitate physical activity.
20. Sponsor a bike to work day and reward workers who participate.
21. Set up a box and solicit fitness and health tips.

Corporate Health Promotion Program: General Health Education Programs

1. Have a current policy outlining the requirements and functions of a comprehensive workplace Corporate Health Promotion Program.
2. Have a wellness plan in place that addresses the purpose, nature, duration, resources required, participants in, and expected results of a workplace Corporate Health Promotion Program.
3. Orient workers to the Corporate Health Promotion Program and give them copies of the physical activity, nutrition, and tobacco use policies.
4. Promote and encourage worker participation in the physical activity/fitness and nutrition education/weight management program.
5. Make available health education information to workers.
6. Have a committee that meets at least once a month to oversee the Corporate Health Promotion Program.
7. Make available regular health education seminars on various physical activity, nutrition, and wellness-related topics. Ask voluntary health associations, healthcare providers, and/or public health agencies to offer onsite education classes.
8. Host a health fair as a kick-off event or as a celebration for completion of a wellness campaign.
9. Designate specific areas to support workers such as diabetics and nursing mothers.
10. Conduct preventive wellness screenings for blood pressure, body composition, blood cholesterol, and diabetes.
11. Make available confidential health rist assessments.
12. Make available onsite weight management/maintenance programs for workers.
13. Add weight management/maintenance, nutrition, and physical activity counseling as a member benefit in health insurance contracts.

Corporate Health Promotion Program: Tobacco Cessation

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

Corporate Health Promotion Programs that support workers and the environment that they work in have been shown to be a good return on investment (ROI). Corporate Health Promotion Programs can be extensive and sometimes costly. However, there are ways for small corporations to make positive changes at little or no cost.

Corporate Health Promotion Program: Nutrition Programs

Fruit and Vegetable Consumption

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

Sweetened Beverage Consumption

1. Make water available throughout the day.
2. Make available appealing, low-cost healthful drink options in vending machines and the cafeteria.
3. Modify worksite vending contracts to raise 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. Make available food models, food scales for weighing and pictures to help workers determine portion size.
3. Make available appropriate portion sizes at meetings, workplace events and in the cafeteria.

Breastfeeding

1. Support nursing mothers by providing them rooms for expressing milk in a secure and relaxed environment, a refrigerator for storage of breast milk, policies that support breast feeding, and lactation education programs.
2. Make available flexible scheduling and/or onsite or near-site child care to allow for milk expression during the workday.
3. Adopt alternative work options (i.e. teleworking, part-time, extended maternity) for breastfeeding mothers returning to work.
4. Educate personnel on the importance of supporting breastfeeding co-workers.

Television & Food Advertising

1. Place televisionss in non-eating areas of the workplace.
2. Limit food advertising in the cafeteria (i.e. print and other media).

(Adapted from The Health Promotion First Act prepared by David Anderson, Ph.D., StayWell Health Management)

Worker Lifestyles Impact Worker Health

•    Approximately 40 percent of all deaths in the United States are premature (at least 900,000 deaths annually) and are due to unhealthy lifestyle choices such as tobacco use, poor diet, sedentary lifestyle, misuse of alcohol and drugs, and accidents. Other contributors to early death include genetic predisposition (30 percent), social circumstances (15 percent), poor access to quality health care (10 percent), and environmental  exposures (5 percent).
•    Unhealthy lifestyle is the primary contributor to the six leading causes of death in the U.S. – heart disease, cancer, stroke, respiratory diseases, accidents, and diabetes – which collectively account for over 70 percent of all deaths.
•    People with healthier lifestyles live an average of 6 to 9 years longer,  postpone disability by 9 years and compress disability into fewer years at the end of life.
•    The prevalence of obesity among U.S. adults rose to 30 percent in 1999-2000, a 33 percent increase from a decade earlier,  and the prevalence of diabetes also rose by 33 percent during approximately the same period (1990 to 1998).
•    About two-thirds of American adults are overweight or obese, 55 percent do not get enough physical activity,  26 percent are completely inactive,10 and only 25 percent eat recommended amounts of fruit and vegetables  If diet/physical activity patterns continue worsening at their current rate, these behaviors will soon surpass tobacco use as contributors to mortality.
•    Among young people, the prevalence of overweight has more than quadrupled in the past 20 years to 16 percent,  daily participation in high school physical education classes has dropped from 42 percent in 1991 to 28 percent in 2003,  more than 60 percent eat too much saturated fat, and almost 80 percent do not eat recommended amounts of fruit and vegetables.
•    Lifestyle diseases disproportionately affect women, racial and ethnic minorities, the poor and seniors:
•    The prevalence of diabetes among African Americans is about 70 percent higher than among white Americans, and the prevalence among Hispanics is nearly double that for white Americans.
•    Women comprise more than half of the people who die each year of cardiovascular disease.
•    Chronic conditions significantly limit daily activity for 35 percent of persons over 65 years of age.

Financial Impact of Lifestyle

•    It is estimated that lifestyle-related chronic diseases account for 70 percent of the nation’s health care costs,  which translates to over 11 percent of the entire U.S. gross domestic product.
•    Two comprehensive scientific reviews identified 83 peer-reviewed studies reporting that people with unhealthy habits have higher health costs.
•    Research conservatively estimates that high health risks (high blood cholesterol, high blood pressure, etc) account for at least 25 percent of total health costs.
•    Recent research indicates a direct relationship between modifiable lifestyle risks and lower worker productivity, and relevant data suggest that the costs to corporations in lost productivity due to poor employee health may be substantially more than the direct health and disability costs.
•    Unhealthy lifestyles often lead to chronic disease, many of which cannot be cured and require years or decades of costly treatments. Below are estimated annual costs of selected unhealthy lifestyles and chronic diseases including obesity,  smoking,  hypertension,  diabetes,  stress,  and inactivity.

Corporate Health Promotion Programs Improve Health and Yield Major Savings

•    Comprehensive scientific reviews identified 378 peer-reviewed studies showing that Corporate Health Promotion Programs improve health knowledge, health behaviors, and underlying health conditions.
•    Research has demonstrated that lifestyle modification may often be more effective and cost-effective than health intervention in lowering morbidity  and mortality.
•    Several scientific reviews indicate that Corporate Health Promotion Programs reduce health costs and absenteeism and produce a positive return on investment (ROI).  The most definitive review of financial impact reported that:
•    18 studies indicated that these programs reduce health costs, and 14 studies indicated that they lower absenteeism costs.
•    13 studies that calculated benefit/cost ratios all showed the savings from these programs are much greater than their cost, with health cost savings averaging $3.48 and the absenteeism savings averaging $5.82 per dollar invested in the programs.
•    Medical costs are expected to exceed 16 percent of U.S. gross domestic product (GDP) in 2005 and to grow at 7.2 percent annually through 2015, when health expenditures will account for 20 percent of GDP:
•    Per capita health costs in the U.S. are the highest in the world and more than double the median for OECD countries,  yet the United States ranks 26th in terms of healthy life expectancy.
•    Medicaid is the second largest item in most state budgets, and its portion of the total budgets is increasing each year.
•    Rising health costs for U.S. corporations continue to outpace general inflation, averaging 12 percent per year for the past 10 years.   This trend is causing a tremendous financial hardship on U.S. corporations.

1. Senior management involvement in the Corporate Health Promotion Program- Evidence of enthusiastic commitment and involvement of senior management helps workers understand their corporations’ serious commitment to health.  Workers need to perceive that their senior management, supervisors, and coworkers have positive attitudes toward health since these factors have all been associated with improved employee health status.   Management-related factors have been shown to contribute more to success than the content of the intervention.

2. Participatory planning - A Corporate Health Promotion Program should be undertaken in partnership with the workforce.  Workers from all levels of staff should be actively engaged in the health and management aspects of the project as well as all on-going processes of any Corporate Health Promotion Program.  Planning must also include processes for maintaining communication with all staff and building their commitment to the process.   Beginning Corporate Health Promotion Program steering committees to lead interventions during the planning and delivery of workplace health promotion programming increases worker awareness, participation, and satisfaction. Worker committees can identify perceived worker interests regarding educational programming, determine work site-specific characteristics that may affect the intervention or influence participation, and suggest the best methods for promotion and delivery of Corporate Health Promotion Programs and activities.  Ways to maximize worker input and involvement might include interest surveys, focus groups, and peer counsellors.

3. Primary focus on workers’ needs – A Corporate Health Promotion Program should meet the needs of all workers, regardless of their current level of health and recognize the needs, preferences, and attitudes of different groups of participants. Program designers should consider the major health risks in the target population, the specific risks within the particular group of workers, and the company’s needs.   In other words, interventions should be tailor-made to the characteristics and needs of the recipients.   This means that different programs must be offered at different levels.   Participation and commitment can be increased if a group of employees has the opportunity to address a specific modifiable risk factor of their choice.

4. Optimal use of on-site resources – Planning and implementation of Corporate Health Promotion Programs should optimize use of on-site personnel, physical resources, and organizational capabilities.   For example, whenever possible, initiatives should use on-site health and safety, management, work organization, communication, HR, and other specialists.   Well-qualified external leadership may be introduced when in-house expertise is lacking.

5. Integration - An overall workplace health policy should be developed.  The policies governing the health of the employees must align with the corporate mission, vision, and values, supporting both short- and long-term goals. These consistent policies must affirm the value of worker health and a commitment to engage workers in health enhancement.  Corporate Health Promotion Program Strategies should be integrated into a company’s regular management practices and eventually should be formally incorporated into the company’s corporate plan  with adequate resources attached to them.

6. Recognition that a person’s health is determined by an interdependent set of factors - Any Corporate Health Promotion Program must address multiple components of an individual’s life:
•    the workplace physical and psychosocial environment;
•    their personal resources such as social support, sense of empowerment, etc.; and
•    their lifestyle practices influencing health.

7. Tailoring to the special features of each workplace environment  – Corporate Health Promotion Programs must be responsive to the unique needs of each workplace’s procedures, organization and culture.   Integrating health behaviors and program participation into the existing corporate culture will normalize program participation.

8. Corporate Health Promotion Program Assessment - Project management should flow through needs analysis, establishing priorities, planning, implementation, continuous monitoring, and evaluation.   Assessment must include a clearly-defined range of process measures and outcomes  as well as mechanisms for monitoring the impact of non-intervention workplace changes such as plant closure, major workplace re-organization, and new technology on staff health.

9. Long-term commitment - To sustain the benefits of the Corporate Health Promotion Program, the worksite must continue the initiative over time, reinforcing risk-reduction behaviours and adapting the programs to ongoing personal, social, economic, and workplace changes.

Introduction to Corporate Health Promotion Programs

Risky health behaviors by workers cost a company. Changing those behaviors can save the employer money and raise the worker’s productivity.

Because work gives an worker a stable environment and support system, Corporate Health Promotion Programs can have a great impact on lowering high-risk behaviors. This impact results in lower health claims cost, less absenteeism, and less short-term disability.

Corporate Health Promotion Programs can include:

Awareness Rasing Programs: Health and wellness newsletters, health topics covered in payroll stuffers, healthy emails.

Health Risk Assessment: Employee health screenings, wellness fairs, health rist assessments.

Educational Programs: Lunch & Learn wellness seminars, guest speakers at staff meetings.

Skill Building: Healthy cooking demostrations, activity challenges, CPR instruction opportunites, stress management classes, weight management classes.

Interventions: Massage, smoking cessation, and skills to help you get the most out of your doctor visit.

Physical environment: Healthy items in the vending machines and cafeterias, clean air practices, ergonomics, bike racks, flex time, welllit stairways.

Assessment: Worker needs assessment, baseline Corporate Health Promotion Program evaluation measures, ongoing Corporate Health Promotion Program evaluation of overall effectiveness.

Why Make available Corporate Health Promotion Programs

The typical employer spends about $8,000 a year on an employee’s healthcare. This includes health insurance, disability and worker’s compensation. As these costs climb, health insurance is expected to rise at least 10 percent per year.

A 1999 study showed that companies using Corporate Health Promotion Programs had a return on investment (ROI) from $1.49 – $13 in benefits per dollar spent. The amount depended on the nature of the Corporate Health Promotion Programs used. (S. Aldana, American Journal of Wellness, 2001; 15:296-320)

One study showed that a “stop smoking” component to Corporate Health Promotion Programs can save between $404 -$40,829 per employee, depending on the age and sex of the worker.

The Corporate Health Promotion Programs at Traveler’s Company included a self-care book, a newsletter, single-topic brochures, and videotapes. The Corporate Health Promotion Programs saved the company $7.8 million in employee benefi t costs, decreased doctor visits, and it reduced absenteeism by 1.2 days per worker per year. The estimated Corporate Health Promotion Programs ROI was $3.40 per dollar spent.

In 1998, the Health Enhancement Research Organization (HERO) reported a study of 46,026 workers from six large corporations for three years. Workers with an inactive lifestyle had 10 percent higher costs; workers with depression had 70 percent higher costs.

Benefits of Corporate Health Promotion Programs

Increased Productivity – The Canada Life Assurance Company realized a 4 percent increase in productivity after establishing an employee fitness program.

Increased Job Satisfaction – According to employee opinion surveys conducted by the Silverstone Group about thier Corporate Health Promotion Programs, workers’ morale increased, which helped support a more creative work environment.

Improved Recruitment & Retention – In the midst of a tight labor market, Corporate Health Promotion Programs could be a important tool to draw new recruits.

Decreased Absenteeism - Canada Life Assurance Company’s absenteeism dropped 42 percent among workers in the Corporate Health Promotion Programs.

Decreased Workers Comp & Disability - In one year, Boeing Company’s number of back injuries decreased by 34 percent. Six million dollars was saved by tracking injuries as they occurred.

Managed Medical Care Costs - Golden, Colorado Adolf Coors Company’s Corporate Health Promotion Programs returned $6.19 for every dollar spent.

Why have Corporate Health Promotion Program goals?

Corporate Health Promotion Program goals take your company’s priorities for employee health improvement and make them specific and measurable. Well-defined Corporate Health Promotion Program goals provide direction for determining Strategies and a basis for which to measure progress.

Writing Corporate Health Promotion Program goals

Writing Corporate Health Promotion Program goals is not complicated or difficult. It does require some thought, about your company’s Corporate Health Promotion Program vision for a culture of wellness and they should be:

Specific Corporate Health Promotion Program Goals
Measurable Corporate Health Promotion Program Goals
Attainable Corporate Health Promotion Program Goals
Realistic Corporate Health Promotion Program Goals
Timely Corporate Health Promotion Program Goals

Specific Corporate Health Promotion Program Goals: What is the specific outcome your company is looking for? “Reduce smoking among workers” is more specific than “Improve the health of workers.” You may wish to write some goals about specific outcomes (reducing smoking among workers) and other goals about specific progress (implementing a smoke-free campus policy or lowering the price of fresh fruit in the cafeteria to 25 cents a piece).

Measurable Corporate Health Promotion Program Goals: Making your goals measurable provides a means of evaluating your progress and success. There is a saying: “what gets measured, gets done.” Goals which are measurable can be effective motivators for your company. “Provide more time for workers to be physically active” is much less measurable than “implement a daily 15-minute walking break into the schedule of all workers.” “Increase the number of workers who want to quit smoking” is less measurable than “increase enrollments in the stop-smoking program to 120 workers per year.”

Attainable Corporate Health Promotion Program Goals: Determine goals that challenge your company to change and that will demonstrate a real commitment to the health of the employees. At the same time, set goals that are achievable. Goals that are set too far out of reach can be overwhelming and may become a barrier rather than a motivator.

Realistic Corporate Health Promotion Program Goals: Write goals that are do-able, given the skills, time, finances and overall strategy of the company. A realistic project may push the skills and knowledge of the people working on it but it shouldn’t break them.

Timely Corporate Health Promotion Program Goals: When do you hope to achieve the goal? Next week? Next year? Without a timeframe, the goal is still not clear and is much less likely to galvanize resources and energy within your company.

“Reduce the percent of workers who use tobacco from 20 percent to 10 percent” is much less of a challenge than “By the end of 2010, reduce the percent of workers who use tobacco from 20 percent to 15 percent”.

If your company is interested in measuring the impact of your Corporate Health Promotion Program efforts in future years, you’ll want to gather relevant baseline data on the health and health behaviors of your worker population.

Corporate Health Promotion Program Data on your worker population

Health Risk Assessments

Some health plans offer corporations free internet-based health risk assessments (HRA), complete with summary aggregate reports. If your health plan does not offer a free HRA, you could pay for an HRA either through your health plan or through a third party vendor.

To encourage participating in an HRA, assure workers of confidentiality and consider providing incentives for completing the assessment. The higher the participation rate, the more likely that the aggregate data will accurately represent the behaviors and risks of your worker population.

Corporate Health Promotion Program Health Surveys

You can get a general sense of workers’ health-related attitudes and behaviors using a “lowtech” paper survey. As with a health risk assessment, workers will be more likely to respond to a survey if there is an incentive and if they are confident that their responses are confidential. Remember that without widespread participation you’ll only get a “feel” for worker behaviors rather than a statistically accurate picture.

Corporate Health Promotion Program Focus Groups and Informational Interviews

The information you can collect from focus groups or informational interviews with workers is an important supplement to the anonymous survey or HRA data. Listening to workers discuss their attitudes, values, receptivity and barriers related to health provides a wealth of information on which to base decisions on how to improve your company’s Corporate Health Promotion Program. Corporate Health Promotion Program focus groups are especially useful for securing information from hard-to-reach worker populations, such as those for whom English is a learned language.

Keep Corporate Health Promotion Program focus groups small (8-19 workers, ideally all of a similar job class). If possible, offer incentives such as movie tickets or lunch, to recruit participants. Develop a list of open-ended questions in advance and allow 60-90 minutes for the discussion.

Informational interviews are an alternative to Corporate Health Promotion Program focus groups. The Corporate Health Promotion Program coordinator of your health improvement Strategies or selected members of the Wellness Committee can conduct one-on-one interviews with workers in a variety of positions to better understand their attitudes, interests and barriers related to a) health behaviors and b) the workplace policies, environments and practices.

Population data

If data on the employee population are not available, you can use state or national data to estimate the prevalence of risk behaviors among workers.

In addition to looking at the health behaviors of workers, take a good look at your company. The following questions can help you identify opportunities for your company to support and encourage healthy behaviors among workers.

A strong foundation for employee health improvement

1. To what extent does the senior management in your company actively and visibly support the Corporate Health Promotion Program?

__ No support for the Corporate Health Promotion Program
__ Support, but not at senior level
__ Support at senior level, but not visible to workers
__ Strong and visible Corporate Health Promotion Program support
Comments:

2. Is the Corporate Health Promotion Program tied to your company’s mission statement?

__ No
__ Yes, the Corporate Health Promotion Program is tied to business plan OR mission statement
__ Yes, the Corporate Health Promotion Program is tied to both business plan and mission statement
Comments:

3. Is there an worker within your company whose job responsibilities include Corporate Health Promotion Program coordination?

__ No
__ Yes, but has little time available to dedicate to Corporate Health Promotion Program
__ Yes, and has at least component of the job dedicated to Corporate Health Promotion Program
__ Yes, and has at least one full-time position dedicated to Corporate Health Promotion Program
__ Yes, and has at least component of the job dedicated to wellness AND has a background that includes Corporate Health Promotion Program qualifications
__ Yes, our company has at least one full-time position dedicated to health improvement AND the worker’s background includes Corporate Health Promotion Program qualifications
Comments:

4. Does your company have an active wellness committee with diverse representation?

__ No (does not have a Wellness Committee, or has a committee that doesn’t meet)
__ Yes, we have a Wellness Committee, but with limited representation
__ Yes, we have a Wellness Committee with widespread representation
__ Yes, we have a Wellness Committee with widespread representation AND committee involvement is a component of each representative’s job responsibilities
Comments:

5. Does your company have an annual budget for Corporate Health Promotion Program expenses? (Corporate Health Promotion Program expenses may be associated with providing a health assessment, paying for behavior change programs/coaching programs, covering incentives that encourage healthy behaviors, subsidizing healthy food options, communications and activities around specific health topics, fitness centers/walking paths, etc).

__ No
__ Yes, but funds are earmarked for Corporate Health Promotion Programs (e.g. only for Weight Watchers or fitness discounts) and do not meet all existing Corporate Health Promotion Program needs
__ Yes, funds are available to meet current Corporate Health Promotion Program needs
Comments:

6. Does your company have a plan for engaging workers in the Corporate Health Promotion Program?

__ No
__ Yes, we have a communications plan for our Corporate Health Promotion Program
__ Yes, we have a communication plan AND we offer meaningful incentives or rewards (such as premium discounts or debit cards) for the Corporate Health Promotion Program to engage in healthy behaviors.
Comments:

A data-based approach to the Corporate Health Promotion Program

7. Does your company have clearly stated Corporate Health Promotion Program goals and priorities for employee health improvement?

__ No
__ Yes
__ Yes, data (e.g. HRA, claims, productivity) are the basis for defining Corporate Health Promotion Program goals or priorities
__ Yes, data AND evidence-based best practices are a basis for defining Corporate Health Promotion Program goals or priorities
__ Yes, data and best practices are basis for defining Corporate Health Promotion Program goals or priorities as well as measuring Corporate Health Promotion Program progress (evaluation)
Comments:

8. Has your company completed a Health Risk Assessment?

__ No
__ Yes, but more than 2 years ago
__ Yes, within the last two years, and achieved a participation rate of less than 50 percent
__ Yes, within the last two years, and achieved a 50 percent – 79 percent participation rate
__ Yes, within the last two years, and achieved an 80 percent or greater participation rate
Comments:

A workplace environment that supports healthy behaviors

9. Does your company’s tobacco reduction strategy reflect best practices?

(Check all that apply)
__ A no-smoking policy that includes both buildings AND grounds
__ 100 percent coverage for the cost of over-the-counter nicotine replacement therapy
__ Worker access to – and strong promotion of — a tailored stop-smoking program
Comments:

10. Does your company provide opportunities (time and places) for physical activity during the work day?

__ No
__ Yes, indoor places for physical activity (on-site fitness center) OR outdoor places for physical activity (walking paths)
__ Yes, both indoor AND outdoor places for physical activity
__ Yes, indoor and outdoor opportunities AND staff members can use work time for physical activity
Comments:

11. Does your company promote healthy eating by providing access to fruits and vegetables?

__ No
__ Yes, fruits and vegetables are available at the workplace (in vending machines, break areas, or cafeterias)
__ Yes, fruits and vegetables are available and discounted at the workplace
Comments:

Benefits that support employee health improvement

12. Does your company provide workers with self-care resources?

(Check all that apply)
__ Distribution of self-care books
__ internet-based access to health information
__ Nurse advice line
Comments:

13. Which of the following preventive services are covered at 100 percent by your company’s health benefits?

(Check all that apply)
__ Vision screening
__ Hearing
__ Immunizations (per CDC/ACIP recommendations)
__ Radiology
__ Laboratory services
__ STD screening
__ Preventive health examination for adults
__ Cancer screen (includes: colon, cervical, breast, prostate and ovarian cancers)
__ Contraceptive management
Comments:

14. Which of the following are included in your company’s pharmacy benefit?

(Check all that apply)
__ Mail order or other 90-day supply option for medications
__ Specialty pharmacy network
__ Incentive-based tiered formulary design
Comments:

15. Do your company’s health benefits provide coverage for behavioral health (such as depression, mental illness, counseling, stress management, and chemical dependency)?

__ Yes, at the same level as health benefits
__ Yes, but at a lower level (less coverage) than health benefits
__ No coverage for mental or behavioral health
Comments: