Human Resources - Get Healthy Clark County

Human
Resources
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.
2.
Number of smokers who smoke less than 1 pack per day:
#
x .10 x
(average claim)
=
$
Number of smokers who smoke a pack or more per day:
#
x .18 x
(average claim)
=
$
Number who exercise 1-2x/week:
#
x .06 x
(average claim)
=
$
Number who do not exercise:
#
x .14 x
(average claim)
=
$
Number who are 30% overweight or more:
x .11 x
(average claim)
#
=
$
Number with systolic 140 or diastolic ∃90:
#
x .02 x
(average claim)
=
$
Number with systolic 160 or diastolic ∃95:
x .11 x
(average claim)
#
=
$
Number with cholesterol 240:
#
x .03 x
(average claim)
=
$
Number who sometimes use seat belts:
x .09 x
(average claim)
#
=
$
Number who never use seat belts:
#
x .13 x
(average claim)
=
$
=
$
Exercise:
3.
4.
Overweight:
5.
Blood Pressure:
6.
7.
Cholesterol:
8.
Seat Belt Use:
9.
10.
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.
2.
Number of smokers who smoke less than 1 pack per day:
# 255 x .10 x $1,562 (average claim)
=
$ 35,145
Number of smokers who smoke a pack or more per day:
# 210 x .18 x $1,562 (average claim)
=
$ 59,044
Number who exercise 1-2x/week:
# 225 x .06 x $1,562 (average claim)
=
$ 21,087
Number who do not exercise:
# 525 x .14 x$1,562 (average claim)
=
$114,807
Number who are 30% overweight or more:
# 375 x .11 x$1,562 (average claim)
=
$ 64,433
Number with systolic 140 or diastolic ∃90:
# 180 x .02 x $1,562 (average claim)
=
$ 5,623
Number with systolic 160 or diastolic ∃95:
# 180 x .11 x $1,562 (average claim)
=
$ 30,928
Number with cholesterol 240:
# 375 x .03 x $1,562 (average claim)
=
$ 17,573
Number who sometimes use seat belts:
# 435 x .09 x $1,562 (average claim)
=
$ 61,152
Number who never use seat belts:
# 435 x .13 x $1,562 (average claim)
=
$ 88,331
=
$114,807
Exercise:
3.
4.
Overweight:
5.
Blood Pressure:
6.
7.
Cholesterol:
8.
Seat Belt Use:
9.
10.
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
$268,320
=
$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
Number of employees:
A. Single
B. Family
3.
4.
Total Current Health Insurance Premium:
(2A x 3A) + (2B x 3B) =
Cost Five Years From Now:
5.
6.
Percent change between years one and five:
(Total Premium from Line 4)
(1A x 3A) + (1B x 3B)
= A.
x 100 = B
%.
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
=
$
9.
Current Year – Total Days of Absenteeism
=
$
10.
Average Cost Per Work Day Lost
=
$
11.
Total Cost of Absenteeism
(Line 9) x (Line 10)
=
$
Total Health Insurance (Line 4)
+
$
Total Disability (Line 7 + Line 8)
+
$
Total Cost of Absenteeism
+
$
Miscellaneous Costs (lost productivity, etc.)
+
$
=
$
Absenteeism:
Health Care Cost Summary:
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:
9
9
9
9
9
9
9
9
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
Gold Month
500 or more points earned during the month
Silver Month
400 or more points earned during the month
Bronze Month
300 or more points earned during the month
Iron Month
200 or more points earned during the month
Simple Awards
Award Level
The Winner
Points Required
Every participant meeting the requirement
Prize Example
$20 mall gift certificate (one
award per 50 participants)
$15 mall gift certificate (one
award per 50 participants)
$10 mall gift certificate (one
award per 50 participants)
$5 mall gift certificate (one
award per 50 participants)
Prize Example
$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
Gold Quarter
1500 or more points earned during the month
Silver Quarter
1200 or more points earned during the month
Bronze Quarter
900 or more points earned during the month
Iron Quarter
600 or more points earned during the month
Simple Awards
Award Level
The Winner
Points Required
Every participant meeting the requirement
Prize Example
$40 mall gift certificate (one
award per 50 participants)
$35 mall gift certificate (one
award per 50 participants)
$30 mall gift certificate (one
award per 50 participants)
$25 mall gift certificate (one
award per 50 participants)
Prize Example
$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
Silver Year
4800 or more points earned during the month
Bronze Year
3600 or more points earned during the month
Iron Year
2400 or more points earned during the month
$100 mall gift certificate (one
award per 50 participants)
$75 mall gift certificate (one
award per 50 participants)
$50 mall gift certificate (one
award per 50 participants)
$25 mall gift certificate (one
award per 50 participants)
Simple Awards
Award Level
The Winner
Points Required
Every participant meeting the requirement
Prize Example
$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
The Winner
Points Required
Every participant meeting the requirement
Suggested Prize
$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
Health Trophy
10,000 points earned
Health Medal
7500 points earned
Health Ribbon
5000 points earned
Health Certificate
2500 points earned
Suggested Prize
$40 mall gift certificate (one
award per participant)
$30 mall gift certificate (one
award per participant)
$20 mall gift certificate (one
award per participant)
$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
Silver Medal
4800 or more points earned during the year
Bronze Medal
3600 or more points earned during the year
Iron Medal
2400 or more earned during the year
$40 mall gift certificate (one
award per participant)
$30 mall gift certificate (one
award per participant)
$20 mall gift certificate (one
award per participant)
$10 mall gift certificate (one
award per participant)
Health Information Resources
1.
4 Woman (National Women’s Health Info Center)
www.4woman.gov
Spanish
www.4woman.gov/Spanish/index.htm
2.
Agency for Health Research and Quality
3.
Dr. Koop
4.
Health Finder
Spanish
www.healthfinder.gov
www.healthfinder.gov/news/esdefault.asp
5.
Medline Plus
Spanish
www.medlineplus.gov
www.nlm.nih.gov/medlineplus/spanish/medlineplus.html
6.
Office of Minority Health
www.ahrq.gov
www.drkoop.com
Wellness Links:
1.
Wellness Council of America
2.
National Wellness Institute, Inc.
www.omhrc.gov
www.welcoa.org
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:
www.cdc.gov
1.
Centers for Disease Control and Prevention
• 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
6.
Nevada Census Data
7.
Nevada State Health Division
www.cdc.gov/nchs/
http://www.nsbdc.org/demographer/pubs/
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.org
en español http://www.gethealthyclarkcounty.org/chronic_disease/diabetes.html
Click 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
[email protected]
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.org
Spanish:
www.diabetes.org/communityprograms-and-localevents/latinos.jsp
1-800-DIABETES
Business and Managed Care Diabetes Health and Resource Kit
www.diabetesatwork.org
National Institute of Diabetes & Digestive and Kidney Diseases
www.niddk.nih.gov
www.diabetes.niddk.nih.gov/spanish/index.asp (Spanish/Español)
National Diabetes Education Program (NDEP)
www.ndep.nih.gov
Information 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.gov
MedlinePlus www.medlineplus.gov
West 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.