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Healthy North Dakota
Worksite Wellness
Melissa J. Olson, LRD
Healthy North Dakota Director
Pete Seljevold, MS, MM
HND Worksite Wellness Director
Welcome to North Dakota!
North Dakota Tourism/Dawn Charging
Healthy North DakotaVision & Mission
• Vision: Healthy North Dakota –
Healthy People, Healthy Communities
• Mission: Inspire and support North
Dakotans to improve physical, mental and
emotional health for all by building
innovative statewide partnerships.
Why do we need a
Healthy North Dakota ?
Out of 25 North Dakotans…..
Adult Worksite• 1 Diabetes
• 2 Asthma
• 4 High Blood Pressure
• 5 Smoke
• 6 Binge Drink
• 7 No Dentist in Past year
• 7 High Cholesterol
• 10 No seatbelt
• 16 Overweight/Obese
• 18 No regular exercise
High School• 5 Smoke
• 6 Overweight/obese
• 7 Binge Drink
• 14 No regular exercise
• 21 Inadequate fruits/veggies
7
How do we build aHealthy North Dakota ?
“If you want to go fast, go alone.
If you want to go far, go together.”
~Author Unknown
Building a
Healthy North Dakota
Agencies, Organizations,
Stakeholders and Individuals
Diseases
Risk Factors
Channels
Special Populations
Healthy North Dakota
Agencies, Organizations,
Stakeholders and Individuals
Healthy North Dakota’s Role
•Identify and fill gaps in prevention efforts
•Facilitate integration among prevention groups
•Communicate prevention messaging
•Coordinate emerging health partners
Participating Organizations• Healthy North Dakota (convener)
• Blue Cross/Blue Shield of North Dakota
• N.D. Chamber
• N.D. Healthcare Association
• N.D. Long Term Care Association
• N.D. Public Employees Retirement System
• N.D. Medical Association
• N.D. Department of Health
• Office of the Governor of North Dakota
• Community HealthCare Association of the Dakotas
• Native American MCH Program and Spirit Lake Health Tracks
• UND School of Medicine and Health Sciences
• Altru Health System
• Bethel Lutheran Home
• Golden Heart EMS
• Investors Real Estate Trust
• Medcenter One Health System
• Meritcare Health System
• Mid Dakota Clinic
• Local Public Health Units - Upper Missouri District Health Unit
• West River Regional Medical Center
Vision 2020: North Dakotans will
be the Healthiest Americans
Implement SelectedPrevention and
Wellness Initiatives
Implement Key Strategies
to Improve Health Outcomes
Secure the Required
Human Resources
Build FutureServices
Infrastructure
Increase Ownershipand Personal Health
Responsibility
North Dakota Healthcare Delivery SystemStrategic Map: 2007 – 2011
Reduce Alcohol and
Substance Abuse
Reduce North Dakota’sLeading Causes
of Trauma/Injury
Reduce Tobacco Use
in North Dakota
Provide CompetitiveCompensation to
Gain Recruiting Parity
Reduce the Prevalence of and
Increase in Obesity
Create Effective,Sustainable Models forRural Service Delivery
Promote Implementationof Worksite
Wellness Programs
Implement TargetedSchool-based
Initiatives
Implement TargetedPrograms Focused onIndividual Behaviors
Implement TargetedCommunity-Based
Initiatives
ImplementAppropriate
Medical Technology
Implement CriticalHealth InformationTechnology (HIT)
Implement Accessible,Portable Personal
Health Record (PHR)
Implement DigitalManagement of
Imaging Technology
Strengthen Innovation/CollaborationImplement Outcomes Analysis and Measures to Assess Quality of Care and Effectiveness of Resource Allocation
Align FinancialResources with
Health Outcomes
Secure AdequateGovernment Funding toEliminate Cost Shifting
Address Special Populations/Geographic/Demographic Issues
Foster ComprehensiveApproaches to ChronicDisease Management
Implement Comprehensive PublicEducation Campaign
Implement ConsistentStatewide EMS
Response System
Develop Strategiesfor SustainableLong-term Care
Strengthen CoordinationBetween Public Health &the Medical Community
Strengthen WorkforceEducation to Meet
Critical Needs
Create and ImplementIncentives for
Physician Retention
Cross-Train Physiciansin Public
Health Practices
Develop Plan forAppropriate Deploymentof Medical Technology
Implement IndividualCost-Sharing Incentives
and Disincentives
Ensure Sustainabilityof Employer-BasedHealth Insurance
Vision 2020: North Dakotans are the Healthiest Americans
Worksite Wellness in
North Dakota
Why Worksite Wellness in
North Dakota?
• Second in the nation in the percentage of
young children with both parents in the
work force US Census Bureau 2008
• 85 percent of businesses in North Dakota
have fewer than 20 employees Small Business Association 2006
• $2.1 billion loss in North Dakota due to lost
workdays and decreased productivityMilken Institute 2007
Why Worksite Wellness in
North Dakota?
• Over 80% of North Dakota employers
believe in the benefits of worksite wellness
programs but want more support and
guidance on worksite wellness North Dakota Department of Health Worksite Wellness Study 2002
• Three-quarters of North Dakotans
recognize that preventive care saves
money in the long run Statewide Consumer Survey 2008
• Employees spend the majority of their waking hours at the worksite
• Average U.S. worker spends 50.2 hrs per week at their job
• Therefore employers can have a major impact on the health of their employees and families
Why the Worksite?
Recent Trends…..
• Unhealthy lifestyles are leading to rising rates of chronic disease, increased health care costs and reduced worker productivity.
• Employee health benefits are the fastest growing cost component for employers
• Annual health care costs have been rising dramatically for the past decade
• Since 2000, the average employee contribution to company provided health insurance has increased more than 143%
Impact in North Dakota
• $2.1 billion loss in ND due to lost workdays and
decreased productivity• Milken Foundation 2007
• Modifiable lifestyle choices cost North Dakotans
over $550 million annually in medical
expenditures• Milken Foundation 2008
• Physically active people can save up to $500
per year in medical costs• Milken Foundation 2007
Physical inactivity
is costing ND
$980,448,191Medical care costs $136,902,191
Workers comp costs $2,128,432
Lost productivity $841,418,191
If 5% of ND became
more physically active
could save an estimated
$49,022,441
22
Healthy North Dakota’s Worksite
Wellness Program
• Coordination of statewide worksite
wellness resources and best practices
– Identification of quality indicators
– Incubator for testing new concepts
• Multi-business approach
• Component Interventions
– Visibility and Recognition Programs
Healthy North Dakota
Worksite Wellness Partners • North Dakota Cancer Coalition
• Dakota Diabetes Coalition
• North Dakota Injury Coalition
• Healthy North Dakota Early Childhood Alliance
• Healthy North Dakota Breastfeeding Committee
• Coordinated School Health Partners
• ND Tobacco Quitline and Qutinet
• North Dakota Oral Health Coalition
• Heart Disease and Stroke Advisory Committee
• Office for the Elimination of Health Disparities Workgroup
• Healthy Eating and Physical Activity Partnership (HEPA)
Year One Key Projects
• Statewide Survey
• Web Based Resource Guide
• Toolkit
• Statewide Summit
• Education
Statewide Survey
• Partners
– ND State Chamber
– Local Chambers
– Workforce Safety &
Insurance
– ND Department of Health
– ND PERS
1100+ Respondents
27
www.NDworksitewellness.org
Web Based Resource
Toolkit
• Development
Process
• WELCOA Based
• “Best of the Best”
• Ease of use
Statewide Summit
• Kick Off Event
• 275 Attendees
• 14 Vendors
Education
• HND WW training curriculum
– Cooper Institute
– Community engagement
principles
– MPH credits
– Annual Statewide Summit
– Gearing Up training
– Committee Training
– Management Boot Camp
Companion Program
Component Programs
Comprehensive Worksite Wellness Approach Least Complex Most Complex
Pre-contemplation Contemplation Preparation Action Maintenance
AwarenessNo visible change
Education/MotivationChange might occur
InterventionBehavior change
Activities
Larger Reach(Least investment)PostersPaycheck stuffersEmail messagesNewsletters
Medium Reach (moderate investment)ScreeningsVideosSeminars/classes (one time)ChallengesSelf-care book
Smaller Reach(higher investment)Ongoing classes Recreational sportsHigh risk interventionCase managementHealth CoachingInjury prevention
Evaluation
Formative(Background)Interest surveys
HRAs
Process(Methods)
Cost/Program analysisBehavior change
Outcome(Impact)
Disease managementRisk reduction Claims Analysis
Comprehensive Worksite
Wellness Program Results
• 27% improvement in sick leave and
absenteeism
• 26% improvement in healthcare costs
• 32% improvement in worker’s
compensation and disability management
claims
The Art of Health Promotion Meta-evaluation,
American Journal of Health Promotion,
July/August 2005
