Has Health Promotion Been Hijacked?

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Health Promotion is a great concept. It brings happiness into health and encourages a in fact holistic approach to life. Wikipedia defines wellness as a healthful balance of the mind-body and spirit that results in an overall feeling of well-being.

It sounds like exactly what every one is looking for. But when you begin to talk about corporate health promotion, or corporate health promotion, all life goes out of the concept. Total solutions, disease management and health screening do not inspire visions of enjoying life and living it to the full.

They begin from the assumption that illness is here to stay and needs to be discovered, managed and controlled but can never be healed.

The wellness industry is growing phenomenally fast. Wellness guru, Paul Zane Pilzer, has labeled it the next trillion dollar industry. But wellness has two different faces.

On the one hand there are the small corporations – people  working from home or in small centers selling all kinds of wellness products and services at a speed of growth that is escalating rapidly.

On the other hand employee health promotion is also exploding but in a very different direction.

The baby boomers who are driving the well-liked wellness revolution have been described as the first generation to refuse to accept the inevitability of death.

They’re actively looking for ways to prevent aging, stay healthful into old age and enjoy themselves more than ever before after retirement. This is a radical departure from current notions of old age, which are often dominated by pictures of sickness, frailty and suffering.

The corporations have been largely forced to take on wellness. This is partly through legislative pressure, with many countries introducing laws to make corporations liable for stress-related ailment in their workers.

It is also financially motivated, as research has repeatedly shown the huge costs of absenteeism (and increasingly of presenteeism as well).

Whereas the baby boomers are actively looking for new solutions and new lifestyles the corporations are struggling to organize largely traditional and mainstream health systems, such as physicians, nurses, insurance and screening systems.

The problem is that the traditional health system doesn’t have solutions for the problems that people  are handling.

Nobody ever went to see a doctor to get happy, because a doctor does not have any clue how to make people  happy.  And many stress-related medical problems are described as chronic conditions, which means that they last for a very long time – or maybe for the rest of your life – because there’s no medical cure.

Counseling is a common offering in corporations for emotional problems, but whilst it might provide a useful pressure valve it isn’t a powerful treatment for stress, unhappiness or depression.

Imagine walking into a company where the staff members are happy, healthy, full of inspiration, fit, love working, have meaningful family lives, active social lives, and enjoyable relationships at work and in their community.

That kind of organization would be a pleasure to work in and bound to be successful because people  would be working to their optimum capacity.

So can we develop a system of true wellness that will serve the development of the businesses and their staff and will pay for itself because of the benefits that both sides will gain?

First of all we’ve to face the fact that we can’t place all the responsibility into the hands of the current health system. Absenteeism, stress, depression, the very roots of the wellness revolution, haven’t been solved by the current system.

If they’d been we wouldn’t have this revolution, we’d all be much more well. So we need to look elsewhere for solutions.

We also can’t rely on makeshift feel-good wellness offerings, such as the onsite massage team which visits the office once a month or the wellness day that raises awareness for a little while but leaves most people  unaffected. They are easy to organize but have little or no real effect on worker health promotion.

Corporate needs are different than individual needs and many of the new small wellness corporations that are springing up simply do not have the capacity to serve the corporate market.

However it is in the best interest of both corporations and staff members to find and create systems of wellness that really work – that benefit individuals  to be happy, handle stress, love working, and to have enough energy to go home after the day and enjoy their family and social life.

So far the corporate world has hijacked the theory of wellness and turned it into a modern version of occupational health. It’s time to increase the vision and figure out how to make indeed healthful, happy workplaces where individuals  thrive.

Investment in Corporate Fitness, Well-Being Pays Big Dividends.

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High rates of staff member turnover and the costs of sick days are increasingly taking bites into corporate profits.  The high cost of recruitment programs only adds to the challenges that these problems in total cost the average company.

A lot of companies are locating the solution to these challenges by increasing job satisfaction, team building, and the implementation of wellness programs that yield a reduction in these costs.

It’s become increasingly clear to most managers that a well designed wellness program with a strong nutritional and fitness lifestyle emphasis will directly meet this need.

Management’s objectives for a productive wellness program must be viewed through the perspective of increased worker productivity, lowered absenteeism due to health related causes, improved worker morale, lowered utilisation of corporation subsidised health benefits, enhanced team cohesion and effectiveness and a decrease in turnover due to lack of job satisfaction.

It is apparent that an improvement in any of these areas will have a positive impact on the financial status of any organisation.

The benefits from an workforce point of view could be seen in improved health, increased energy levels, reduced body fat, a more youthful fit body, an increased ability to handle job related stress, greater feelings of confidence and morale and more social connections at work contributing to greater feelings of satisfaction with their work and worksite.

To be most productive a health promotion program needs to achieve both managements and workforce objectives, and this can be accomplished through a health promotion program that’ll provide the individual employee with an awareness of their current physical condition and attitudes to fitness and well-being, and the advantages of attaining a fitter, healthier lifestyle, and a plan that’ll allow them to achieve the necessary changes to their physical condition that can be applied of their life and work.

The Bottom Line – Health Promotion Programs

Reduced Absenteeism – Dupont reduced absenteeism by 47.5% over six years for the participants of their corporate fitness program, (Health Behaviour, March 1992).

Decreased Healthcare Costs – Steel case showed a reduction in medical claim costs of 55% for corporate exercise program participants over non-participants over a six year period – an average of $478.61 for participants vs. non-participants who averaged $868.88, (The Am. Journal of Wellness, Sept/Oct, 1991).

Lowered Turnover – Turnover among fitness program participants at the Canadian Life Assurance Company was 32.4% lower over a seven year period compared with non-participants (Canadian Journal of Public Health, Jan/Feb, 1988).

Positive Return on Investment – Blue Cross / Blue Shield  of Indiana found that its staff fitness initiative had a 250% return on investment; $2.51 for every $1 invested over a five year period (American Journal of Wellness, March, April, 1991).

Employee Wellness Becomes CEO Issue – Precisely how to Reduce Workplace Health Costs.

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The Partnership for Avoidance was formed to encourage Fortune 1000 organizations to consider making workforce health a Chief Executive Officer (CEO) issue and adopt strategies to promote avoidance and wellness.

After several years of double-digit rate increases for medical insurance, businesses are realizing that among the best ways to slow the cost increases is to have personnel take more responsibility for both costs and health choices.

A majority of businesses surveyed feel that the best way for reducing costs is financial incentives to encourage staff to adopt healthier life choices.

Nearly 100 percent of employers surveyed say that health costs are going to be a crucial or significant concern over the next five years, according to a recent survey by United Benefit Advisors.

More companys are adopting higher deductible medical plans with HRA’s or HSA’S, health promotion programs, and broader disease management (DM) programs to control ever-increasing healthcare costs.

Failure to deal with these issues could be disastrous for an employer. Wayne Sensor, Chief Executive Officer (CEO) of Alegent Health lately stated, “I think that we have built a health care machinery we can’t afford. I think we are choking the economic engine of America.”

In his October 2005 newsletter, Dr. Andrew Weil stated, “I think rising health- care costs are becoming the major economic issue in our nation”. Obesity costs California businesses billions of dollars each year.

Projected costs for 2005 may reach 28 billion dollars for direct and indirect healthcare costs, staff member’s compensation, and lost productivity. California has experienced one of the fastest growing rates of obesity of any state.

As reported by California Health and Human Services Secretary Kim Belshe, “The obesity epidemic is more than a public health crisis, it is an economic crisis.” What is frightening is that most people don’t even realize that they are obese, which is defined as only 20% above normal weight.

There is a excellent need for more education on weight and resulting diseases, and the workplace is an ideal venue. Health Promotion education and programs can result in a significant return on investment and, when structured properly, can produce results in a very short period of time.

Despite the fact that many companys have attempted some form of health promotion program in the past, results from those efforts have been disappointing.

In many cases, the healthier workforce participated for incentives, like health and fitness center memberships, but those who needed it most didn’t take benefit of the wellness program in a meaningful way.

Companies are looking at ways to encourage more personnel to purchase into the wellness movement.

A recent webinar hosted by Human Resource Executive Magazine and presented by Carlson Marketing and Advertising Group titled, “Healthier Employees; Healthier Bottom Line –  Engaging Staff Members is the Missing Link in Managing Healthcare Costs,” drove this point home.

This session provided actionable advice on how corporations are achieving higher impact with their wellness investments by focusing on worker engagement. It also highlighted how you can create an Economic Engagement Model to forecast the potential impact for your organization.

Corporations can simply no longer ignore the issue of their worker’s unhealthful life choices and must take action to engage them in a meaningful health promotion program to reduce medical costs, absenteeism and lost productivity.

Employees also benefit as they derive better health and greater satisfaction in both their personal and specialist lives.  The alternative is being caught in a non-competitive position and severely impacting the bottom-line of the company.

Wellness Program Ideas –  More Wellness Topics and Ideas.

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A listing of potential wellness topics and ideas not previously mentioned follows. Take some time to “think tank and brainstorm” new ideas with your own internal employee Wellness Committee.

Nutrition Category

o  Low-fat campaign/food groups

o  Team salad bars

o  Vending machine changes

o  Diet analysis by a nutritionist

o  Produce on parade

o  Eating disorder support group

o  Restaurant education

Exercise/Exercise Category

o  ”Elevoiders” – stair climbing

o  Poker walk

o  Mall walking program

o  Facilities â.” showers, bicycle lockers, exercise space, etc.

o  Team treks

o  Walk-a-block trails

o  Recreational tournaments

o  How-to-select equipment talks

o  Running maps

o  Biking maps

o  Deskercises (mini stretches for desk jockeys)

o  Fit-over-forty club

o  Tennis shoe Tuesday

o  Walk 100 miles in 100 days

o  Walking “buddies”

o  NW Trek!

Miscellaneous Category

o  House calls

o  Meet your benefits providers

o  Dental health

o  Fire safety

o  Ergonomic assessments

o  Self-help learning

o  CPR/first aid course

o  Hearing test

o  Hand washing campaign

o  Cancer screenings

o  Back class

o  Passports to health

o  Vision screenings

Stress Management Category

o  Comedy hour

o  Stress Pest

o  Humor newsletter

o  Money management seminars

o  Time management seminars

o  Relaxation class

o  Better sleep campaign

o  Relaxation room

Health Promotion Program Ideas –  Safety and Wellness.

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Other departments within an organization will likely focus on related areas of employee safety and injury prevention. Wellness activities are a natural partner to many other HR, employee motivation, and safety programs.

Body mechanics, ergonomics, and safe working practices are three areas which may  be coordinated together.

o  Soft Tissue Sprains and Strains –  This injury category continues to remain the number one financial loss for workers’ compensation. Many health insurance dollars are also spent on back pain, other sprains, and strains. Health Promotion and safety efforts can focus on -

o  Warm up stretches before starting work or periodic stretching during work. These can do much to prevent soft tissue injury. Give training to work groups so they may start a stretching program. These groups can then continue their own.

o  The wellness committee might consider contracting a fitness professional to come in and conduct stretching “refreshers” for worker groups throughout the year.

o  Give body mechanics training on an annual basis or more frequently if possible. These training sessions should focus on work related tasks and safety, in addition to feature a segment on home tasks and body safety.

o  Partner with your corporation’s workers’ compensation carrier to assist in providing body mechanics training, job safety analysis, and other preventive services which could help staff members work safer, smarter, and avoid injury.

o  Implement a safety concerns suggestion box. Make sure to encourage staff members to report safety and/or injury concerns. Make sure to help executive management to establish policy to recognize and reward staff members who offer safety suggestions, provide tips, and solution ideas.

o  A periodic presentation featuring a local medical provider addressing such topics as safe body mechanics, recovering from a back injury, appropriate spine care, etc.

o  Partner with senior management and supervisor teams to recognize and reward work groups who are successful with safety and injury prevention.

o  The ergonomics of an employees’ workstation/work place design is important and applicable to every group.

o  Make available ergonomic training opportunities to interested staff members volunteers. These individuals can then assist other staff members to assess their work areas for safety, comfort, and injury prevention.

o  It is often more effective to have an observer evaluate workers for helpful and friendly comfort suggestions rather than it’s for individuals to assess themselves.

o  One suggestion is to have employees remind one another about correct posture, to take breaks, to stop and do quick mini stretches, etc.

o  Take before and after photos of work areas as changes are made. This will help to demonstrate how small adjustment changes can often make large comfort changes.

o  Partner with the business’s workers’ compensation carrier to help create ergonomic policies and practices and to provide staff member training.

Wellness Program Ideas –  Holiday Activities.

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Tying wellness activities into holiday themes is a strategy commonly used to create interest and participation. Nevertheless, be aware that offering holiday activities in the workplace can create issues.

Your worksite might have policies and guidelines already in place about issues such as appropriate decorations themes, work time, etc. Be sure to check with senior management regarding all guidelines and policies.

Don’t forget to include and acknowledge the holiday celebrations of the various cultures or groups represented in your workforce. It’s usually safer to use graphics, themes, and wording that aren’t specific to one culture, as others may feel left out.

Indeed, acknowledging diverse holidays, if done respectfully, can help familiarize your workforce with values and practices of different cultures and ethnic groups.

A few topical ideas for holiday themes include -

o  Wellness committee members distribute “healthful heart valentines” to each employee for Valentine’s Day.

o  Thanksgiving “turkey trot”. Workers who exercise three times a week for at least one-half hour between November 1 and 15 are entered into a drawing for a free turkey (can be purchased at the local supermarket or donated).

o  Chinese New Year tai chi demonstration. Consider a follow-up workplace introductory tai chi class offering.

o  Christmas/Kwanzaa/Hanukkah/etc. holiday food potluck. Members of different cultural or ethnic groups bring in a dish reflective of their holiday traditions.

Each person can say a few words about the origin and tradition behind the food. In this holiday theme, food does not have to be low fat or particularly healthful, since the purpose is enhancing cultural diversity, not counting calories.

Pre/Post Holiday Weigh In

Holiday weight gain could be a big health challenge. This wellness activity is fun, low-key, and assists staff monitor their weight during the holiday season.

o  Participants weigh-in with a “trusted” confident prior to Thanksgiving.  The weigh-ins may  be conducted on the honor system, but weight ought to be recorded on a weight-tracking card. You may invite a local nurse or Weight Watchers representative to monitor weigh-ins.

o  Staff Members set an individual goal of maintaining their weight from Thanksgiving to New Year’s Day.

o  Weight cards are stored in a secure file location.

o  Provide weekly weight control hints. These must be posted next to the wellness bulletin board, sent via email, or provided in flyer form.

o  Or, alternate the weekly hints with healthful recipe options.

o  Remind staff of the necessity to continue exercise during the busy holiday season.

o  Weigh everybody the first work day following New Year’s Day. Record the weight on the tracking card.

o  Employees who’ve maintained their weight or who’ve lost weight receive a prize and award certificate.

o  Staff Members who gained weight receive a certificate of completion and an invitation to continue participation in a related health weight wellness activity.

Health Promotion Program Ideas –  National Health Observances.

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National health observance campaigns can lighten workload and effort. A lot of of these well-developed observances have kits and materials which could either be downloaded for free or purchased inexpensively.

Monthly health themes, week Iong events, and nationally recognized days of the year are also good ways to have fun while participating in larger events. Health observances are tied to nearly every aspect of wellness and health. Things to consider -

o  National observances present opportunities to work with other community agencies and businesses to coordinate larger events and celebrations.

o  A wellness message is more likely to stick with people if the information is presented at work, in local supermarkets, and on TV.

o  National Worker Fitness Day/Week (April) is a good place to start.

o  A word of advice – don’t go overboard in attempting to tie a wellness program into these national observances, as there are so many. Select one to three events annually and stick with these.

Develop and promote events well ensuring that personnel will come to expect and anticipate these health promotion programs each year. It is best to do several wellnesss well than many promotions poorly.

Health Promotion Program Ideas – Sports and Recreation.

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A lot of personnel enjoy team related activities. These activities ordinarily take place on an employee’s time away from work and participation is totally voluntary in nature.

Even though the sports team is not part of an employee’s regular work duties, if the team or activity is associated with the company, the company could be held liable in the event of an employee injury.

If the activity brings with it a risk of injury, it is necessary to address the possible risk and liability issues with the correct company department. Likewise talk with your organization’s workers’ compensation carrier and/or legal counsel.

o  Organize summer softball or volleyball teams, a winter ski outing, fall and winter smoke free bowling teams, a spring golf tournament, summer walks, etc.

o  Provide flyers and catalogs from area Parks and Recreation departments and county park businesses so staff can take advantage of community leagues, trips and offerings.

o  Invite an official from among the above organizations to speak at a corporation brown bag event, or invite an area Parks and Recreation instructor to provide a demonstration of a new class offering.

Family Friendly Activities

Periodically offer activities which could be taken home and shared with the entire family. Ideas for these include -

o  Television Free Week (usually in April) – Develop a chart for the children to use to record their TV-free participation.

o  Make available a certificate to anybody who’s TV-free for a week.

o  If possible, offer a few prizes (but not video rental certificates, video games or other TV-related items) for related categories, such as less than 5 hours of TV, no video games for a week, etc.

Wellness Programs – Stress Management and Mental Health

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Stress Management

Many simple wellness activities and practices can help staff understand the role stress plays in effecting health, safety, and productivity. It is necessary to help staff understand simple stress management strategies for reducing stress levels.

o  Stress kit check out. Have stress management tools available for employee use during a scheduled break time. Consider providing relaxation music or programs including player and headphones; mat or blanket to lie on; neck pillow; eye mask; and stress massage rollers.

o  Provide a stress management brown bag event at which staff members can try different kinds stress management tools.

o  Make sure to encourage workforce to take 10-minute relaxation/exercise breaks. Post reminders.

o  Give a comfortable worker break area.

o  Designate a “quiet room” for meditation and relaxation, when possible.

o  Make certain to work with Management to keep supervisors informed about the effects of stress in the workplace. Supervisors are often the first step in helping workers find different ways of managing work related stressors.

o  Contact the Employee Assistance Provider (EAP) for a variety of stress management information and self-assessments.

o  Give stress management self-assessments to interested personnel. Follow these up with a stress management videotape, a brown bag presentation, or a community guest speaker.

Mental Wellness

Emotions and psychological health greatly affect overall health and well-being. Every health promotion program should incorporate some services, programs, resources or activities to address psychological health issues.

Mental health topics can be sensitive areas for personnel. Thus, it’s vital that you provide information in a selection of ways, workplace presentations being just one possibility.

For example, put domestic violence resource cards in the restrooms to provide useful information in a private setting that does not embarrass anyone. Other considerations include -

o  When planning to offer an oratory event or presentation a neutral class title will ensure potential participants won’t be put off by the name.

For  instance, “Parenting in 2004″, “Positive Parenting”, or “Parent University” is much more appealing than “Stress and Parenting”.

o  Make certain to allot enough time when hosting EAP/psychological health seminars for a question and answer session so participants may ask specific questions.

Always remind participants that individual help is available through the employee assistance program and also through their health benefits. Provide written contact information for your EAP, but do so discretely.

o  The Staff Member Assistance Program (EAP) is an excellent partner and resource for wellness programming in these areas.  The employee assistance program can help find ways to address mental health, stress, coping, and other related issues.

Wellness Program Ideas – Fighting Addictions.

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Smoking Cessation

Smoking cessation assistance is a worthwhile wellness activity. Smoking is usually a difficult habit to overcome. Employee wellness activities to support “tobacco-free” living include -

o  Use American Lung Association resource. These include the Freedom From Smoking group and/or video-tutorial. There is also a follow-up video “A Lifetime of Freedom From Smoking”.

o  Reward individuals that have successfully quit tobacco use for six months with an appropriate “kicked the habit” certificate and some kind of incentive gift.

o  Provide “cold turkey” sandwiches to smokers who pledge to quit during the Great American Smokeout.

o  Start a “quitting or thinking about it” support group to assist and encourage person trying to stop smoking.

Alcohol, Drug Abuse, and Addictions

If a substance abuse policy is not in place in your worksite, advocate that one be developed. Request a knowledgeable Wellness Committee member be included in the policy development process.

When such a policy is already in place make certain Health Promotion Committee members are cognizant of the policy and have a thorough understanding of it. From time to time, remind staff members of wellness resources and programs available.

o  Invite AA, NA, AI-Anon, and other groups to meet in a organization building and/or publicize community meetings.

o  Serve non-alcoholic drinks whenever alcohol is served, and be sure food is always served along with alcoholic beverages.

o  Provide easily accessible information about counseling, referral, and treatment programs available in the community. Put this information in an area where it may be viewed without embarrassment.

o  When conducting wellness programs include information about responsible alcohol use on stress/weight control, nutrition, physical fitness, smoking, and accident prevention.

o  Issues such as co-dependence and the difficulty of helping a substance abuser can also be addressed. Offer this information as part of the health promotion program by providing informational materials, brown bag sessions, employee assistance program information, etc.

o  The Employee Assistance Program provider is an excellent resource for substance abuse wellness programming and or employee assistance.

o  Other addictions, like problem gambling, food addiction, shopping, Internet addiction, etc., may be problematic and can reach the point of affecting a person’s life and work. Give information, video review, or staff member assistance sessions addressing these topics.

o  A Wellness Committee member may gain personal information regarding an employee problem. Do not forget to keep all employee information totally confidential.

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