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STEPS TO A HEALTHIERUS INITIATIVE

3rd National Prevention Summit
Innovations in Community Prevention
October 24–25, 2005

Current Workshop Session III—Healthier Places
(C1) Workplaces

Tuesday, October 25, 10:30 a.m.-noon

Mfit Employee Wellness Program: Taking Care of Our Own

Author
L. Palma-Davis, University of Michigan Health System, Ann Arbor, MI.

Background
With over 17,000 employees the University of Michigan Health System (UMHS) is one of the largest health care complexes in the world with an extremely diverse population of employees, working on three shifts in approximately 50 different locations. UMHS is an integral part of the University of Michigan and is composed of the Medical School, the Hospitals and Health Centers, and M-Care, a managed care organization. The MFit Employee Wellness Program was established in 1992 to educate, motivate and empower UMHS employees to make healthy lifestyle choices. MFit is part of a broader collection of integrated resources within the UMHS called the Employee Health and Well-Being Services. Many of these services are available at little or no cost to UMHS employees and their families.

Methods
In support of UMHS' strategic principle "taking care of our own", which embraces having a healthy, safe and satisfied workforce, MFit launched the Healthy Workforce Initiative in FY2005. In addition to MFit's ongoing activities (health and fitness screenings, tobacco cessation, fitness, weight management & healthy dining programs, etc.), this series of activities included: 1) an intensive communications and leadership engagement campaign 2) a Physical Activity for Life Charity Challenge - a fun, team competition which raised funds for charity, 3) "Super-Size Me" seminars and a "Colorful Choices" incentive program promoting healthy eating. One of the key ingredients to success was significant UMHS leadership training and engagement in all activities.

Results
Participation in MFit Employee Wellness Programs increased by approximately 300% from the prior year with 6,424 participants and over $10,000 raised for charity. In FY2006, the entire University will launch the "Michigan Healthy Community Initiative" which will reach out to improve the health of all 34,000 employees, their families, retirees and students.

Discussion
N/A

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Reach and Use of a Health Promotion Program of Sequential E-mails at Work

Authors
P.D. Franklin1; P. Rosenbaum2; M. Carey3; M. Roizen2.
1University of Massachusetts Medical School, Worcester, MA;
2SUNY Upstate Medical University, NY;
3Syracuse University, NY.

Background
US adults report sub-optimal physical activity and fruit and vegetable intake and the prevalence of obesity continues to rise. Public health and medical care systems need innovative strategies to promote healthy behaviors among adult populations. Increasingly worksites offer uniform, daily electronic mail (email) and internet access. Thus, worksite email offers an alternative mechanism by which health promotion information can be disseminated.

Methods
This prospective, cohort study assessed the feasibility, reach, and use of 6 months of sequential email messages delivered Monday-Friday to participant worksite email addresses. The emails provided succinct strategies to encourage physical activity or increase fruit and vegetable intake and links to more detailed, informational websites. Program reach was assessed by participant diversity, and number of emails opened, days opening emails, and web-links clicked. All employees at one company (n=960) were invited to participate. Forty percent (388 of 960) consented and, of these, 345 (36% of employees) completed the baseline health-assessment. Demographic characteristics of participating employees parallel the total worksite employee profile.

Results
After 6 months, 82% of 345 participants had opened more than 50% of the daily emails. In addition, 84% of participants continued to open emails through week 21, and 75% through week 24. Open rates did not vary by gender, age, income, education, ethnicity, or baseline health behavior.

Discussion
Initial enrollment and sustained email open rates document broad reach and employee acceptance, and indicate potential value of electronic communications for health promotion. A randomized trial across 19 worksites is evaluating associated changes in physical activity and fruit and vegetable intake. Traditional health promotion programs are labor-intensive and costly to reach a broad employee or community base. In contrast, email and web-based programs have the potential to reach broad, diverse populations at small incremental costs.

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SHAPE Program at Schupan & Sons, Inc.

Author
K. Frank, Schupan & Sons, Inc., Kalamazoo, MI.

Background
To provide a wellness program to our employees to help them attain and/or maintain a healthy lifestyle. We make changes in foods provided to employees at company gatherings, vending machines, breakfast treats and snack bowls.

Methods
Instead of donuts, healthier options such as bagels and fresh fruits are offered. Food at the annual employee picnic was changed from fried chicken and mayonnaise based salads, to grilled chicken and fruit salads. We provide low fat food choices in vending machines. We keep a bowl of fresh fruit in the employee break room. Water coolers are provided at each facility and lunchrooms provide refrigerators and microwave ovens so employees can bring, store, and eat a healthier lunch. A quarterly health newsletter, published locally in English and Spanish, is mailed to the employee homes. On May 1, 2005 all facilities became designated smoke-free, chew-free environments. Signs are posted in English and if appropriate, in Spanish. Designated smoking areas provided outside the buildings are clearly marked. Our no tobacco use policy includes all company vehicles, i.e. trucks, company cars, and equipment. Employees are offered $100 reimbursement for smoking cessation products/classes and another $100 after they are tobacco-free for six months. Local Health Promotion Consultants provide annual health assessments to all employees at no charge to the employee. Depending on the risk factors, an employee may be seen every three to six months. Employees are counseled or given information about their risks and at times are referred to their personal physician. All employees and their dependents are offered free flu shots each year. Shots for employees are given on-site where applicable. Employees are offered: $50 for health club/gym memberships annually. $50 for the purchase of home exercise equipment. $50 for class fees for organized weight loss programs like Weight Watchers.

Results
Current risk factors are below the Michigan average. Initially, in 2001, 25 employees were in the 3-5 risks category and now we have just six employees with 3-5 risks.

Discussion
N/A

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Leading by Example: Creating a High-Performance, Less Costly Workforce: CEOs on the Business Case for Worksite Health Promotion

Author
G.M. Lindsay, Partnership for Prevention, Washington, DC.

Background
A benchmarking study identified the best workplace health promotion programs in the United States and what makes them different from the hundreds of other programs in place. Two of eight elements identified—a supportive culture and top management support—are very important in determining program success, however, the typical program manager has little control over how much support they receive from top management. Most CEOs are still unaware of the evidence that strategic investments in workforce health add to a company's bottom line, yet 43 percent of CEOs rank health care costs as their leading cost pressure and 86 percent of health benefits specialists rate controlling health and welfare cost as number one among top five business priorities for employers.

Methods
Leading by Example has three elements, including 1) Publications, 2) CEO Roundtables, and 3) Regional Workshops. The purpose of the Leading By Example initiative is to engender a leading group CEOs and State Governors who understand the business case for worksite health to inform other CEOs and Governors that, if done right, health benefits and worksite health promotion can be an investment that produces a positive, measurable return; through improving corporate performance and worker health and productivity.

Results
Approximately 2 million employees and spouses are impacted by health promotion programs offered by Leading By Example participating organizations This program will provide an update on the status of Partnership for Prevention's Leading By Example CEO Initiative.

Discussion
In developing the Leading by Example publications, collaboration across organizational levels, including public relations, executive staffing, medical directors, policy directors, and worksite health promotion managers facilitated raising awareness among the organizations involved regarding their worksite health promotion programs.

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For questions or more information, please contact summit@osophs.dhhs.gov.

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Office of Disease Prevention and Health Promotion
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