Worksite Health Promotion … Career Options for the 21st Century East Carolina University...

Worksite Health Promotion

…Career Options for the 21st Century

Worksite Health Promotion

…Career Options for the 21st Century

East Carolina UniversityEast Carolina UniversityDepartment of Health Education & PromotionDepartment of Health Education & Promotion

----------------------------------------------------------------------------------------------------------------------College of Health & Human Performance

East Carolina UniversityEast Carolina UniversityDepartment of Health Education & PromotionDepartment of Health Education & Promotion

----------------------------------------------------------------------------------------------------------------------College of Health & Human Performance

The Evolution of Worksite Health PromotionThe Evolution of Worksite Health Promotion

Worksite: “A setting, influenced by organizational, cultural, and environmental factors, where work is performed and employees services are provided.”

RecreationalBenefits

Enhancement

Alcohol Abuse

Treatment

1890’s 1930 1950 1970 1980 1990 2000 2010

StructuredExercise

< - Health Management - >

“Wellness”Programming

Horseback rides, gymsindoor swimming, etc.

•Pullman•Nat’l Cash

Register

• Hershey Foods

Employee Assistance Programs

Safety

OccupationalSafety & Health

Act

•All worksites

•PepsiCo•NASA

• Kimberly-Clark• Sentry Ins.

• Quaker Oats• Union Pacific

• Steelcase• Chevron

• First Chicago Bank

“Business Strategy”

• Many Fortune500 firms

Health &ProductivityManagement

Why are worksites doing WHP? Why are worksites doing WHP?

Enhances ImageBoosts job SatisfactionRecruitment & RetentionEnhances CompetitivenessDecreases absenteeismContains Workers CompContains health care Costs

USA Medical Costs - Double Every DecadeUSA Medical Costs - Double Every Decade

$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

$3,500

1960 1970 1980 1990 2000 2010Proj.

Source: Centers for Medicare and Medicaid, Office of the Actuary.Source: Centers for Medicare and Medicaid, Office of the Actuary.

$ Billions $ Billions

Business & Industry Pay 50% of the USA Health Care Tab…

Business & Industry Pay 50% of the USA Health Care Tab…

In 2004, employer-paid health insurance became the most expensive employee benefit since fringe benefits were first

granted in the 1940’s…

Medical33%

V/H/SL32%

Other35%

Source: 10th Annual Employer Report. Employment Policy Foundation, Washington, D.C. August 2005.

58%22%

8%

7% 5% Health Care

Turnover

Unsched.AbsencesNon-occup.DisabilityWorkers'comp

Poor Health and Lost Productivity Costs by Percentage

[ Median annual costs per employee = $8,621 ]

Source: American Productivity and Quality Center. “Health and Productivity Management: Consortium Benchmarking Study, Best-Practice Report.” 1998. Houston, Tx.

Work Impairment Tied to LifestyleKessler RC, et al. J Occup Environ Med. 2001; 43(3): 218-225.

Work Impairment Tied to LifestyleKessler RC, et al. J Occup Environ Med. 2001; 43(3): 218-225.

Prevalence of Conditions/30-Day Work Impairment

0% 10% 20% 30% 40% 50% 60% 70%

Arthritis

Asthma

Diabetes

High blood pressure

Autoimmune disease

Ulcer

Cancer

Heart disease

Major depression

Panic

General anxiety disorder

Substance dependence

Percent With Work Impairment

Work impairment/condition

Prevalence of Conditions/30-Day Work Impairment

0% 10% 20% 30% 40% 50% 60% 70%

Arthritis

Asthma

Diabetes

High blood pressure

Autoimmune disease

Ulcer

Cancer

Heart disease

Major depression

Panic

General anxiety disorder

Substance dependence

Percent With Work Impairment

Work impairment/condition

Why the Focus on HPM/WHP?Why the Focus on HPM/WHP?

Lifestyle Risk Factors•Physical inactivity

•Stress•Smoking

•Poor nutrition•No seat Belts

•Multiple Health Risks

Clinical Risk Factors•Obesity•Blood pressure•Cholesterol•Blood sugar •Musculoskeletal

Direct Health Impact•Medical problems•Health status

Indirect Outcome•Health care utilization•Health care cost•Absenteeism•Employee productivity•Job/life satisfaction•Other

Lifestyle Behaviors Account for 50% of Lifestyle Behaviors Account for 50% of a Person’s Health Status…a Person’s Health Status…

Health care10%

Genetics19%

Environmental20%

Lifestyle51%

Sources: Centers for Disease Control and Prevention;

U.S. Department of Health & Human Services.

Source: Behavioral Risk Factor Surveillance System, CDC.

19961991

2003

One Target for WHP at Worksites: Obesity Trends* Among U.S. Adults

No Data

<10%

10%-14% 15%-19% 20%-24%

25%

BRFSS, 1985BRFSS, 1985

No Data <10% 10%–14%

BRFSS, 1990BRFSS, 1990

No Data <10% 10%–14%

BRFSS, 1995BRFSS, 1995

No Data <10% 10%–14% 15%–19%

BRFSS, 2000BRFSS, 2000

No Data <10% 10%–14% 15%–19% ≥20

BRFSS, 2001BRFSS, 2001

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

BRFSS, 2002

No Data <10% 10%–14% 15%–19% 20%-24% 25%

Source: Behavioral Risk Factor Surveillance System, CDC

BRFSS, 2003BRFSS, 2003

How Can WHP Programs Impact:

How Can WHP Programs Impact:

• Obesity?

• Physical inactivity?

• Stress?

• Smoking?

• Diabetes?

• Hyperlipidemia?

• Other risk factors?

• Health information

• Technology

• Personal coaching

• Incentives

• Competitions

• On-site media center

• Fitness centers

• Walking trails

Where Is WHP Happening?

Everywhere!

Where Is WHP Happening?

Everywhere!

• Small business • Large industrial manufacturing

• Large service operations• Health Care/Hospital

• Municipalities, e.g., city / state government• Federal agencies

• Military bases

In small business…In small business…

In mid-sized business settings…

In military settings…

Hospitals and Clinics…Hospitals and Clinics…

Fitness and Rehabilitation Centers…

Fitness and Rehabilitation Centers…

In City and County Government…

In large organizations…

What WHP Specialists Do?What WHP Specialists Do?

Conduct basic health screenings(blood pressure,

body fat, flexibility, etc.)

Assess ergonomic factors and

workstations

Conduct/facilitate pre-work stretch sessions

Plan and administer rehabilitation programs

Coordinate/manage fitness center and

recreation activities

Work with O.H. nurses and medical directors in treating employees with on-

the-job injuries

Develop departmental competitions..

Planning Programs

Health Screening

Coordinating EventsWorking with employees

Worksite Health Promotion…

Fitness Prescriptions

How ECU’s Program Prepares

You for a Career in WHP…

How ECU’s Program Prepares

You for a Career in WHP…

• Undergraduate academic program comprised of market-driven courses

• Electives to be business savvy

• Internships in more than 25 states

• Professors with real WHP experience

• Membership in WELCOA’s University Affiliate Program

• Undergraduate academic program comprised of market-driven courses

• Electives to be business savvy

• Internships in more than 25 states

• Professors with real WHP experience

• Membership in WELCOA’s University Affiliate Program

WELCOA’s University Affiliate Program…connects you to the

world!

WELCOA’s University Affiliate Program…connects you to the

world!• ECU is one of only 20 university

members of UAP, which provides our WHP majors:- membership to access WELCOA’s website for case studies, an on-line journal, career planning, job listings, and on-line links to hundreds of state and federal associations and agencies…

free of Charge!

• ECU is one of only 20 university members of UAP, which provides our WHP majors:- membership to access WELCOA’s website for case studies, an on-line journal, career planning, job listings, and on-line links to hundreds of state and federal associations and agencies…

free of Charge!

Professional Skill Development

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Planning X X X X

Management X X X

Screening X X X X

Issues X X X X X X

Evaluation X X X X

Data Analysis X X X

Exer. Physiol. X

Psychology X X

Technology X X X X X

Many Local, State, and National Internship Opportunities…Many Local, State, and National Internship Opportunities…

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More Opportunities…More Opportunities…

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Where Have ECU’s WHP Majors Interned?

17 states since 1984

ECU’s WORKSITE HEALTH PROMOTION GRADS

Where Do They Work?

NORTH CAROLINA BAPTIST HOSPITAL/BOWMAN GRAY MEDICAL CTR. ALBEMARLE HEALTH SYSTEM WAKE MEDICAL CENTER VIQUEST [EASTERN CAROLINA HEALTH SYTSEM] UNITED HEALTHCARE GLAXOSMITHKLINE NORTEL CORPORATION SCOTT BENEFIT SERVICES YMCA OF CHARLOTTE

VIRGINIA ARLINGTON (VA) HOSPITAL SYSTEM HEALTH MANAGEMENT CORPORATION

GEORGIA CENTERS FOR DISEASE CONTROL AND PREVENTION KIMBERLY-CLARK CORPORATION FLORIDA GENEX, INC. MARYLAND NATIONAL INSTITUTES OF HEALTH

CALIFORNIA HEWLETT-PACKARD CORPORATION

NEW YORK PFIZER CORPORATION

NEW JERSEY JOHNSON & JOHNSON

ECU’s WORKSITE HEALTH PROMOTION GRADS

Where Do They Work?

NORTH CAROLINA BAPTIST HOSPITAL/BOWMAN GRAY MEDICAL CTR. ALBEMARLE HEALTH SYSTEM WAKE MEDICAL CENTER VIQUEST [EASTERN CAROLINA HEALTH SYTSEM] UNITED HEALTHCARE GLAXOSMITHKLINE NORTEL CORPORATION SCOTT BENEFIT SERVICES YMCA OF CHARLOTTE

VIRGINIA ARLINGTON (VA) HOSPITAL SYSTEM HEALTH MANAGEMENT CORPORATION

GEORGIA CENTERS FOR DISEASE CONTROL AND PREVENTION KIMBERLY-CLARK CORPORATION FLORIDA GENEX, INC. MARYLAND NATIONAL INSTITUTES OF HEALTH

CALIFORNIA HEWLETT-PACKARD CORPORATION

NEW YORK PFIZER CORPORATION

NEW JERSEY JOHNSON & JOHNSON

Employment of ECUWorksite Health Promotion majors

Employment of ECUWorksite Health Promotion majors

15%

5%

5%

20%

5%10%

15%

15%

10%

Lge Manuf.Mid-size mfr.RehabCaseMgmtHealthcareCollege/UnivCommercial FitCenMan. CareHlth Dept.ContractVendors

Looking for the Right Major? Consider Worksite Health

Promotion

Looking for the Right Major? Consider Worksite Health

Promotion

Skills-oriented curriculum

Internships

Market-driven courses

Careers in business, industry, healthcare, government, etc.

Questions…www.ecu.edu/hlth/

Questions…www.ecu.edu/hlth/

For more information on exciting careers in Worksite Health Promotion,

contact:Dr. David Chenoweth

Director of Worksite Health Promotion2209 Carol Belk Building

chenowethd@ecu.edu252-328-6431