ResourcesHuman

Please feel free to use the worksheets provided in the beginning of this section to do a self-assessment of your worksite.

. The worksheets are provided as a guide to help lower overall insurance costs by focusing on prevention.

Award and incentive ideas are provided in the middle of this section.

. Incentives are great ways to motivate employees to participate in healthy lifestyle activities or programs at the workplace.

Additional websites and resources for health information, wellness programs, and health statistics are included at the end of this section.

PREVENTABLE HEALTH CARE COSTS

Smoking:

1. Number of smokers who smoke less than 1 pack per day: # x .10 x (average claim) = $

2. Number of smokers who smoke a pack or more per day:

# x .18 x (average claim) = $ Exercise:

3. Number who exercise 1-2x/week: # x .06 x (average claim) = $

4. Number who do not exercise:

# x .14 x (average claim) = $ Overweight:

5. Number who are 30% overweight or more: # x .11 x (average claim) = $

Blood Pressure:

6. Number with systolic 140 or diastolic ∃90: # x .02 x (average claim) = $

7. Number with systolic 160 or diastolic ∃95:

# x .11 x (average claim) = $ Cholesterol:

8. Number with cholesterol 240: # x .03 x (average claim) = $

Seat Belt Use:

9. Number who sometimes use seat belts: # x .09 x (average claim) = $ 10. Number who never use seat belts: # x .13 x (average claim) = $

Preventable Health Care Costs: 11. The highest of 1-10 above = $ 12. 70% of all the remaining costs: $ (Due to the decreasing effect of multiple risks on medical costs) TOTAL PREVENTABLE COSTS = $ ($ _____ per person) Note: This provides only a rough estimate. Values will be affected by your company’s benefit management design. This also only pertains to claims and does not address the impact of risk factors on absenteeism or productivity. 1. Healthy People 2000, National Health Promotion & Disease Prevention Objectives, US Dept Health & Human Services & Public Health Services: 29% of adult Americans smoke cigarettes; Less than 50% exercise regularly; 25% are overweight; 42% use seatbelts regularly; 2. National High Blood Pressure & Cholesterol Education Programs from US Dept of Health & Human Services, Public Health Services, NIH, National Health, Lung and Blood Institute: 24% of persons over age 20 have blood pressure above 140/90; 25% of Americans have cholesterol above 240 mg/dL.

PREVENTABLE HEALTH CARE COSTS (Calculation based on sample population of 1500)

Smoking:

1. Number of smokers who smoke less than 1 pack per day: # 255 x .10 x $1,562 (average claim) = $ 35,145

2. Number of smokers who smoke a pack or more per day:

# 210 x .18 x $1,562 (average claim) = $ 59,044

Exercise: 3. Number who exercise 1-2x/week:

# 225 x .06 x $1,562 (average claim) = $ 21,087

4. Number who do not exercise: # 525 x .14 x$1,562 (average claim) = $114,807

Overweight:

5. Number who are 30% overweight or more: # 375 x .11 x$1,562 (average claim) = $ 64,433

Blood Pressure:

6. Number with systolic 140 or diastolic ∃90: # 180 x .02 x $1,562 (average claim) = $ 5,623

7. Number with systolic 160 or diastolic ∃95:

# 180 x .11 x $1,562 (average claim) = $ 30,928 Cholesterol:

8. Number with cholesterol 240: # 375 x .03 x $1,562 (average claim) = $ 17,573

Seat Belt Use:

9. Number who sometimes use seat belts: # 435 x .09 x $1,562 (average claim) = $ 61,152 10. Number who never use seat belts: # 435 x .13 x $1,562 (average claim) = $ 88,331

Preventable Health Care Costs: 11. The highest of 1-10 above = $114,807 12. 70% of all the remaining costs: $268,320 (Due to the decreasing effect of multiple risks on medical costs) TOTAL PREVENTABLE COSTS = $383,127 ($255/person) Note: This provides only a rough estimate. Values will be affected by your company’s benefit management design. This also only pertains to claims and does not address the impact of risk factors on absenteeism or productivity. 1. Healthy People 2000, National Health Promotion & Disease Prevention Objectives, US Dept Health & Human Services & Public Health Services: 29% of adult Americans smoke cigarettes; Less than 50% exercise regularly; 25% are overweight; 42% use seatbelts regularly; 2. National High Blood Pressure & Cholesterol Education Programs from US Dept of Health & Human Services, Public Health Services, NIH, National Health, Lung and Blood Institute: 24% of persons over age 20 have blood pressure above 140/90; 25% of Americans have cholesterol above 240 mg/dL.

HEALTH CARE COSTS Health Insurance Premiums:

1. Premium/employee from five years ago: A. Single B. Family

2. Current premium/employee:

A. Single B. Family

3. Number of employees: A. Single B. Family

4. Total Current Health Insurance Premium:

(2A x 3A) + (2B x 3B) = Cost Five Years From Now:

5. Percent change between years one and five: (Total Premium from Line 4) (1A x 3A) + (1B x 3B) = A. x 100 = B %.

6. Assuming a constant increase for the next 5 years, your total health insurance

premium will be: (Total Premium from Line 4) x 5A = $

Disability: 7. Current Year – Total Workers Compensation = $ 8. Current Year – Total Social Security Disability = $ Absenteeism: 9. Current Year – Total Days of Absenteeism = $ 10. Average Cost Per Work Day Lost = $

11. Total Cost of Absenteeism (Line 9) x (Line 10) = $

Health Care Cost Summary: Total Health Insurance (Line 4) + $ Total Disability (Line 7 + Line 8) + $ Total Cost of Absenteeism + $ Miscellaneous Costs (lost productivity, etc.) + $ TOTAL HEALTH CARE COSTS = $ (Adapted from Health Insurance Association of America) Provided by Pro-Health Systems, Inc.

Awards and Incentives

o Define an incentive system that your management will support and that will help you achieve your wellness program goals.

o Incentives can be provided either through drawings, milestones, or year-end achievement awards. Choose the method or combination of methods that will work best for your program.

1. Periodic prize drawings. These can be done monthly, quarterly, and/or yearly. These are helpful because they help minimize your per-individual expense and get people excited. However, after a season or more of not winning, some people may lose their enthusiasm.

2. Milestone awards. Set levels of attainment and provide awards throughout the year as people meet the required point level. This type of system provides awards to everyone who participates in your program. However, these can be expensive depending on awards.

3. Year-end awards. Set awards for several levels of yearly achievement. Provide awards for all participants meeting the requirements for each achievement level. This method requires less management during the year than the other methods. However, it can cause extensive administrative work at the end of the season and can also be more expensive depending on the awards.

You can choose awards and incentives that fit your organization’s budget. Mall gift certificates are used as examples here, but monetary awards are not necessary. Here are some other types of incentives that can be used individually or combined:

Donated items T-shirts or baseball caps Certificates or ribbons Provide time off from work Give out stickers Movie or lottery tickets Achievement board OTHER: Come up with your own!

Periodic Drawing Programs

Monthly Drawing: A monthly drawing for individuals who have met the minimum requirements for each award level. This drawing provides participants with an incentive to achieve high levels of participation during the month. Tying this drawing to getting forms in on time also provides incentives for getting those forms returned in a timely manner.

Participant Requirement: Turn in form on time.

Tiered Awards Award Level Points Required Prize Example

Gold Month 500 or more points earned during the month $20 mall gift certificate (one award per 50 participants)

Silver Month 400 or more points earned during the month $15 mall gift certificate (one award per 50 participants)

Bronze Month 300 or more points earned during the month $10 mall gift certificate (one award per 50 participants)

Iron Month 200 or more points earned during the month $5 mall gift certificate (one award per 50 participants)

Simple Awards Award Level Points Required Prize Example

The Winner Every participant meeting the requirement $20 mall gift certificate (one award per 50 participants)

Quarterly Tiered Drawing: A quarterly drawing for individuals who have met the minimum requirements for each award level. This drawing provides an incentive to achieve high levels of participation and to turn in the form on time each month.

Participant Requirement: Turn in monthly forms on time.

Tiered Awards

Award Level Points Required Prize Example Gold Quarter 1500 or more points earned during the month $40 mall gift certificate (one

award per 50 participants) Silver Quarter 1200 or more points earned during the month $35 mall gift certificate (one

award per 50 participants) Bronze Quarter 900 or more points earned during the month $30 mall gift certificate (one

award per 50 participants) Iron Quarter 600 or more points earned during the month $25 mall gift certificate (one

award per 50 participants) Simple Awards

Award Level Points Required Prize Example The Winner Every participant meeting the requirement $50 mall gift certificate (one

award per 50 participants)

Yearly End Tiered Drawing: A year-end drawing for individuals who have met the minimum requirements for each award level. This drawing provides an incentive to achieve high levels of participation throughout the year. Tiered Awards

Award Level Points Required Prize Example Gold Year 6000 or more points earned during the month $100 mall gift certificate (one

award per 50 participants) Silver Year 4800 or more points earned during the month $75 mall gift certificate (one

award per 50 participants) Bronze Year 3600 or more points earned during the month $50 mall gift certificate (one

award per 50 participants) Iron Year 2400 or more points earned during the month $25 mall gift certificate (one

award per 50 participants) Simple Awards

Award Level Points Required Prize Example The Winner Every participant meeting the requirement $50 mall gift certificate (one

award per 50 participants)

Milestone Award Programs

o Awards are distributed to individuals when they reach the specified point milestone. Single Milestone Awards: Provide individual awards for each individual reaching the specified milestone level.

Award Points Required Suggested Prize The Winner Every participant meeting the requirement $10 mall gift certificate (one

award per participant) Progressive Milestone Awards: Provide individual awards for each individual at each milestone level. You may choose to either allow participants to carry over points year to year or “zero out” point balances at the end of the season.

Award Points Required Suggested Prize Health Trophy 10,000 points earned $40 mall gift certificate (one

award per participant) Health Medal 7500 points earned $30 mall gift certificate (one

award per participant) Health Ribbon 5000 points earned $20 mall gift certificate (one

award per participant) Health Certificate 2500 points earned $10 mall gift certificate (one

award per participant)

Year End Award Program: At the end of your wellness season provide awards to all individuals who achieve the specified award level. Award Level Points Required Suggested Prize Gold Medal 6000 or more points earned during the year $40 mall gift certificate (one

award per participant) Silver Medal 4800 or more points earned during the year $30 mall gift certificate (one

award per participant) Bronze Medal 3600 or more points earned during the year $20 mall gift certificate (one

award per participant) Iron Medal 2400 or more earned during the year $10 mall gift certificate (one

award per participant)

Health Information Resources

1. 4 Woman (National Women’s Health Info Center) www.4woman.govSpanish www.4woman.gov/Spanish/index.htm

2. Agency for Health Research and Quality www.ahrq.gov

3. Dr. Koop www.drkoop.com 4. Health Finder www.healthfinder.gov

Spanish www.healthfinder.gov/news/esdefault.asp

5. Medline Plus www.medlineplus.govSpanish www.nlm.nih.gov/medlineplus/spanish/medlineplus.html

6. Office of Minority Health www.omhrc.gov Wellness Links: 1. Wellness Council of America www.welcoa.org 2. National Wellness Institute, Inc. www.nationalwellness.org

Tip: You can click “Health Observance Calendar” found near the bottom of the page of the Health Finder web site www.healthfinder.gov and plan brown bag lunch and learn discussions with employees about topics related to the calendar and their interests!

Where can I get local, state, and national data and statistics? Health Statistics: 1. Centers for Disease Control and Prevention www.cdc.gov

• Smart Behavioral Risk Factor Surveillance System http://apps.nccd.cdc.gov/brfss-smart/index.asp

• Youth Risk Behavior Surveillance System http://www.cdc.gov/HealthyYouth/yrbs/index.htm

• Centers for Disease Control and Prevention for Public Health Data http://wonder.cdc.gov/2. Clark County Health District

www.southernnevadahealthdistrict.org

• Health Education www.gethealthyclarkcounty.org

3. Healthy People 2010 www.healthypeople.gov

4. KidsCount http://www.aecf.org/cgibin/kc.cgi?action=profile&area=Nevada#2

5. National Center for Health Statistics www.cdc.gov/nchs/

6. Nevada Census Data http://www.nsbdc.org/demographer/pubs/ 7. Nevada State Health Division www.health2k.state.nv.us/nihds/

Classes for Diabetes Management

This list is not comprehensive. Please call all phone numbers to make sure classes are still available.

You may access resource guides for diabetes prevention and management in English and Spanish through the Nevada Diabetes Association for Children and Adults (NDACA) by calling 1-800-379-3839 or by using the web addresses listed below: www.diabetesnv.orgen español http://www.gethealthyclarkcounty.org/chronic_disease/diabetes.htmlClick Diabetes Management then guía on en español

List of Diabetes Management Classes Southwest Medical Associates (702) 877-5356 www.sierrahealth.com St. Rose Dominican Hospital Free classes held second Tuesday and Thursday of the month 6:30 to 9:00 pm. To register: (702) 616-4327. Diabetes self management instructions with a certified diabetes educator (CDE). Appointments can be arranged at either the Siena or Rose de Lima Campus.

Sunrise Hospital Free Classes/Diabetes Education and Screening 3186 South Maryland Parkway Las Vegas (702) 731-8206, extension 7 www.sunrisehospital.com

University Medical Center (UMC) One on one and group in hospital and out patient classes 1800 W Charleston Blvd., Las Vegas (702) 383-2093 Desert Springs Hospital (only recognized program that is accredited) Diabetes Treatment Center 2075 E Flamingo, Las Vegas (702) 369-7560 www.valleyhealthsystem.org Diabetes Wellness (Private Classes) 2861 Aliso Dr. Henderson, NV 89074

(702) 271-7361 DMWellness@aol.com UMC Lied Adult Clinics Phone: (702) 383-2219 Hours: 8 am to 4:30 pm, Monday - Friday, by appointment only

Health Plan of Nevada Ongoing diabetes classes open to members and non-members through the Health Education and Wellness Department. There is a materials fee for these classes. To register: (702) 877-5356.

VA Southern Nevada Healthcare System Diabetes Clinic 1700 Vegas Drive, Las Vegas (702) 636-3000 Fax (702) 636-4000

Information about Diabetes: American Diabetes Association 2785 E Desert Inn Rd Suite 140, Las Vegas (702) 369-9995 www.diabetes.orgSpanish: www.diabetes.org/communityprograms-and-localevents/latinos.jsp1-800-DIABETES

Business and Managed Care Diabetes Health and Resource Kit www.diabetesatwork.org

National Institute of Diabetes & Digestive and Kidney Diseases www.niddk.nih.govwww.diabetes.niddk.nih.gov/spanish/index.asp (Spanish/Español)

National Diabetes Education Program (NDEP) www.ndep.nih.govInformation available in English and Spanish

Support Groups: Diabetes:

ADEMS Adult Diabetes Education and Management Support Group at the West Charleston Library 6 pm - 7:30 pm Second Tuesday of each month. Call 349-7370 Chris Moore. Ask about Chronic Disease Self-Management classes and the developing Spanish Diabetes Support Group.

Chronic Disease Self Management Class Schedule

What: 6 consecutive Mondays of Chronic Disease Self-Management classes Where: Valley Hospital in the Cradle Corner Contact: Chris or Theresa Moore 349-7370 For additional information: https://www.valleyhospital.net/p2328.html Desert Springs Hospital Call for dates and times (702) 369-7560 St. Rose Dominican Hospital Adult support group 1st Wednesday of each month at 10:00 am in Green Valley, 1 hour Insulin pump support group 1st Wednesday at 7:00 pm at the Siena campus Boulder City Support Group Meets last Wednesday of each month for 1 hour in Boulder City To register for any of the St. Rose support groups call (702) 616-4327

Fibromyalgia: Las Vegas Fibromyalgia Chronic Fatigue Syndrome Support Group 4308 Rosebank Circle Las Vegas, NV 89108 (702) 647-4791

Frequently Asked Questions

We ate dinner at a restaurant last night and today we are both sick. Who should I call?

First, report your illness to your physician. Then call the Southern Nevada Health District’s Office of Epidemiology at 702-759-1300 to report your illness. For additional information on reportable diseases, click link to http://www.cchd.org/epidemiology.htm.

Where do I go to access information about blood pressure, heart disease, stroke?

National Heart, Lung, Blood Institute www.nhlbi.nih.gov

American Heart Association Phone: 1-800-242-8721 Phone: 702-367-1366 www.americanheart.org

Where can I access information about mold?

Environmental Protection Agency Phone (866) 372-9378 (toll free) www.epa.gov/mold/

Centers for Disease Control www.cdc.gov/nceh/airpollution/mold/stachy.htm

Where can I find low cost medical help?

Nevada Health Centers Phone 702-307-5414 http://www.nvrhc.org/

Nevada Check-up Program Phone (800) 360-6044 http://www.nevadacheckup.state.nv.us/ Covering Kids Program Phone 702-759-0704

UMC Hospital Phone 702-383-2000 www.umc-cares.org

Huntridge Teen Center Phone 702-732-8776

Where can I find low cost dental help? UNLV Dental College Phone 702-647-1074 http://dentalschool.unlv.edu/clinics.html

Where can I find general health information?

Health Finder www.healthfinder.govMedlinePlus www.medlineplus.govWest Charleston Health Library http://www.lvccld.org/special_collections/medical/

Where can I find general nutrition information? Food pyramid http://www.nal.usda.gov/fnic/Fpyr/pyramid.html Nutrition www.nutrition.gov Women’s Health www.4woman.gov

Where can I find out about eating disorders? National Eating Disorders Association http://www.nationaleatingdisorders.org

How can I find out if a medical doctor is board certified?

Call the Clark County Medical Society at: 702-739-9989 American Medical Association 1-800-262-3211 www.ama-assn.org

Where can I find a local registered dietitian (RD) to help me modify my eating habits?

American Dietetic Association Phone: 1-800-366-1655 www.eatright.org

Where can I call for mental health services? Monte Vista Hospital Phone 702-364-1111 http://www.montevistahospital.com/

Columbia Teen Screen Program Phone 702-383-6012

Southern Nevada Adult Mental Health Services Phone 702-486-6000 http://mhds.state.nv.us/mh/

What is the phone number for the Poison Control Center? Phone 1-800-222-1222

Where can I get poison control stickers? Clark County Safe Kids Phone 702-731-8666 www.ccsafekids.com http://sksite.zekimedia.com/safety.php

Where can I learn more about calcium? Dairy Council of Southern Nevada Phone: 702-315-0520 www.dairycouncilutnv.org

Where can I get car seat information? Clark County Safe Kids Phone 702-731-8666 http://sksite.zekimedia.com/safety.php

Steps to start a Worksite Wellness Program 1. Identify an advocate to act as coordinator. This person should be committed to the value of a healthy lifestyle, and be interested in talking to others about wellness in an effort to build interest and participation 2. Secure support of Management It is important that management be supportive of your endeavors. They should fully understand how their business will benefit from a worksite wellness plan. 3. Form a wellness committee It is very important to establish a wellness committee. A wellness committee should be comprised of people from different work areas within the organization, and establishes continuity, motivation, and a broad ownership of the program. Anywhere from 4 -10 people should make up the committee and together they should form a wellness program that works for their organization. Once the wellness program has been established the group should still meet so that the wellness programs goals and objectives do not fade away. 4. Take a survey of the employees’ needs and interests Support from your employees is just as important as support from management. If employees do not participate then your program was not effective. Ask employees what they are interested in, and what needs they have. People are much more willing to change if they are invested in the process 5. Set Goals and Objectives for your wellness program A wellness program should have a framework. Use the results of your survey and your wellness committee’s mission statement as guides to form your goals and objectives. Consider these ideas:

• Focus on making information and learning resources available • Focus on group activities so employees work together to support and encourage

healthier lifestyles. • Focus on written policies and guidelines.

6. Develop your worksite wellness program. When developing the program keep in mind the wants and needs of the employees. Keep in mind what is reasonable and feasible to create a change in your workplace. Try to think of ways that will have the most impact in creating a healthier worksite. 7. Implement your program

8. Evaluate Your Program Find out from those that participated what they liked or did not like so that you can change things or improve them to make the program more successful.