WORK HEALTHY GEORGIA TOOLKIT. Kiley Morgan, PhD, MS, MPH, CHES Worksite Wellness Consultant Georgia Department of Public Health

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1 WORK HEALTHY GEORGIA TOOLKIT Kiley Morgan, PhD, MS, MPH, CHES Worksite Wellness Consultant Georgia Department of Public Health

2 Mission The mission of Georgia s Worksite Health Initiative is to reduce the burden of chronic diseases by helping Georgia businesses create worksite environments that maintain and improve the health of their employees. Georgia Department of Public Health. (2011). Georgia s Worksite Health Initiative. Retrieved December 6, 2011, from

3 State of Georgia Objectives Toolkit Increase the number of worksites using the worksite wellness toolkit for the development of comprehensive wellness programs that address high blood pressure, high cholesterol, and decrease cardiovascular risk factors from 0 to 50 within the worksite stetting. Policy and Environmental Change Increase the number of health districts assisting worksites in adopting and implementing policy and environmental change initiatives to control high blood pressure, high cholesterol, and cardiovascular risk factors from 5 to 8 within the worksite setting.

4 Work Healthy Georgia Toolkit This toolkit has been developed for Georgia worksites regardless of size, industry type, or existing wellness programs. Provides guidance on the development and improvement of worksite wellness initiatives.

5 Georgia Initiatives Participating Companies Memorandum of Agreement with DPH Medium size business ( employees) Demonstrated buy-in from top management (letter of support) Access to health risk assessments for employees to utilize. Typically, insurance providers can provide this resource to employers. Willingness and ability to share data with the state DPH. Support from DPH will include: Assistance creating a worksite wellness plan and committee Surveying employees Assistance creating policy and environmental supports Data Analysis Network of worksites implementing toolkit

6 Toolkit Components

7 Section 1: Before You Start 1. Choose a program that is right for your company Survey your employees 2. Costs and Benefits Review health care data and costs Examine the benefits 3. Preparing your worksite wellness program Policies Health promotion vs disease management

8 Section 2: Getting Started Conduct assessments Environmental Scan Review company policies and data Assess your employees (HRAs) and surveys Preparing for implementation Set goals and objectives Design your program components Develop a budget Create a plan

9 Environmental Scan

10 Setting Goals and Objectives SMART S Specific M Measurable A Achievable R Realistic T Time specific Increase from 0 to 1 the number of worksite wellness policies by November 1, Increase by 20 the number of employees who submit their Health Risk Assessment by November 1, 2012.

11 Section 3: Designing your program Program Components Environmental changes Policy changes Individual behavior change program Awareness and communication Examples Dedicated space for employees to exercise Comprehensive worksite wellness policy Tobacco Cessation Classes Heart/Stroke Month

12 Section 4: Focus Areas for High Risk Employees Eat Healthy Be Active Be Smoke Free Be Positive

13 Section 5: Focus Areas for High Risk Employees Risk Reduction Examine benefits package Chronic Diseases Cardiovascular Disease Diabetes Cancer Asthma Arthritis Emergency Response Emergency response plan AED

14 Section 6: Samples, Tools, and Other Resources Work Healthy Georgia Wellness Assessment Tool Information on policies and practices Program Plan Objectives with timeline Sample Budget Sample Evaluation Survey Needs and Interest Survey Healthy Behavior Survey Sample Health Risk Assessment Screening Guideline for Men and Women Sample Signage Sample Policies Online Resources

15 Why Policy and Environmental Changes?

16 Interplay of Approaches POLICY CHANGE SYSTEMS & ENVIRONMENTAL CHANGES PROGRAM IMPLEMENTATION

17 Policy Change Definition Interventions that use laws, ordinances, rules, regulations and/or mandates to effect change in the behavior among a population or organization Examples Smoking ban on airlines Seatbelts in trucks Vending machine policy Policy to allot physical activity time at the workplace

18 Worksite Policies Most effective when written Policies reinforced by all levels of management as central to the core mission and values of the organization will be more powerful than policies that exist only on paper Can be enforced (ex: tobacco use, food procurement) Incentives Added to performance measures/reviews

19 Example Policy Fitness Break Policy (organization) is committed to the health of our employees and to helping and supporting them in their efforts to achieve optimal health through regular physical activity. Therefore: All employees are encouraged to take fitness breaks lasting no more than thirty minutes in a given workday, provided that such time is used to participate in physical activity. The fitness breaks can be taken as two 15-minute breaks or one 30 minutes break. Employees must sign out for fitness breaks. Fitness breaks cannot be taken in addition to other breaks. Fitness breaks cannot be taken at the beginning or end of the workday. Fitness breaks may be used for activities that include, but not limited to: Participating in onsite fitness classes Walking or jogging Swimming Workout in fitness center Bicycling Name of Authorized Representative Date

20 Systems Change Definition Interventions or changes that leverage the functional components of an organization, institution, or system. Examples Airport security procedures Food distribution system Using healthcare extenders

21 Environmental Change Definition Interventions that involve changes to the economic, social, or built/physical environment. Examples Designated smoking areas Walking trail & club Public health signage On-site gym

22 Stairwells BEFORE AFTER

23 BEFORE AFTER

24 Create a Walking Trail

25 Provide Nutritional Options Healthy Meeting/Cafeteria Options Healthy Vending Options Worksite Farmers Market

26 Expanding Programs to PSE

27 Worksite Examples Activities and staffing related to initiating, developing, and advocating for worksite wellness policies such as: Increasing healthy food and beverage options Securing and promoting free or reduced-price access to exercise facilities Ensuring the workplace is free from occupational hazards Institutionalizing and setting aside resources to implement chronic disease self-management programs Create a tobacco-free work environment

28 Stages of Change

29 Focus Areas for High Risk Employees Examine benefits package Screen employees Offer a CDSMP course Hold educational programs Incorporate nutrition and physical education Promote cessation services Provide disease specific materials Provide incentives

30 Lactation Programs Quick Facts: Approximately 70% of employed mothers with children younger than 3 years work full time. 1/3 of this population return to work within 3 months after giving birth & 2/3 return 6 months Low-income women typically return to work a lot sooner then their higher-income counterparts which can make it difficult to continue breastfeeding while on the job.

31 Lactation Programs Why Women Need Milk production is an ongoing process Physical and physiological factors: Privacy Ability to relax Regular breaks (every 2-3 hours) Information about how to make it work Support Resonable break time Basic Amenities: Chair Something to put pump on Electrical outlet Anti-microbial wipes Added Amenities Breast-pump Small refrigerator Artwork or bulletin board

32

33 Resources Sample policies Needs and interest surveys Sample budget and program plan Screening guidelines for men and women Online resources District/County Health Departments State worksite wellness coordinator

34 Questions For more information: Kiley Morgan (404)

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