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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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3010
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3805
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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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Local settings…ViQuestLocal settings…ViQuest
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
![Worksite Health Promotion Wellness in the Workplace[1]](https://img.pdfslide.net/doc/110x75/55cd1a79bb61eb3c7a8b47b6/worksite-health-promotion-wellness-in-the-workplace1.jpg)
