BY: JASMINE DAVEY, MELISSA NALL, KEVIN ARK

JM & ArK, Inc. Reduced Stress & Nutrition Program Proposal

STRESS
Problem Identification
Type Hypertension Heart Disease # of Claims 21 2 Total Cost $24,150 $7,642 Average Cost/Claim $1,150 $3,821

Alcohol Abuse
Smoking Insomnia

4
13 16

$4,800
$18,577 $36,480

$1,200
$1,429 $2,280

Reduce Stress
Goal

Reduce the number and average individual cost of hypertension, heart disease, alcohol abuse, smoking, and insomnia claims related to stress in the workplace by 20% within the first year of the program.

ENVIRONMENTAL ASSESSMENT-STRESS
Data
Demographics

Sources
Human Resource Manager

Scope
Age Range: 23-65 Female: 65% Male: 35% Management: 10% Non-management: 90% Hypertension: 30% Heart Disease: 3% Alcohol Abuse: 5% Smoker: 19% Insomnia: 23% 9 of 10 lifestyle indicators rated poorly in more than 75% of respondents

Specific
Average: 37 Median age: 45

Employee Health Records

Occupational Health Nurse

1/3 of hypertension cases are unmanaged. Insomnia cause 45% of lower productivity ratings in the workforce. 5 highest risk indicators: Mental Stress Personal Stress Alcohol & Substance Abuse Insomnia Physical Inactivity

Health-risk assessment

JM & Ark Staff

Environmental Assessment
Data
Medical Claims

Sources
Benefits Manager

Scope
Outpatient costs rising 7% each year. Inpatient cost rising 4% each year.

Specificity
Diagnostic testing comprises 70% of all outpatient costs vs. 60% last year. 4 lowest indicators: Physical Environment Overworked or heavy work load Little break time Lack of physical activity or healthy eating habits Presenteeism is twice as high in office or administrative workers.

Culture Audit

JM & Ark Staff

Perceptions on 4 out of 5 cultural indicators revealed low ratings.

Productivity

All previously mentioned sources

Absenteeism: 5% Presenteeism: 65% Disability: 5%

Worksite Strategies-Stress
Company Target Program Features Pre-shift stretching, safe lifting techniques, lower healthcare costs for good biometric health screenings, Life Resources counseling Classes in tai chi, biofeedback, meditation, yoga, muscle relaxation, guided imagery and cognitive restructuring Impact 75% Drop in workers compensation claims. 55% report better work life balance.

Corning

30% Lower absenteeism. 20% of employees reported better sleep. 50% reduction in tension headaches.

Kaiser Permanente

Download stretch break reminders, walk breaks, mobile wellness units, family days, classes and phone consultations, relax program.

61% of people who have completed the program report reduced stress.

Resource Assessment
On-site Inventory Available & Necessary Resources
Available

Resources: Facility: Large Facility with additional space.

Promotional Materials: Newsletter Posters Paycheck Stuffers Budget: $5,500 per year is available in the Human Resource Department Discretionary Fund. Needed Equipment: Equipment: None. Incentives: Quarterly Incentives (Sweepstakes, Prizes, etc.)

Proposed Program

Phase 1 (March)-Awareness & Publicity:

Each week during the month of March will be an awareness week on Hypertension, Heart Disease, Alcohol & Substance Abuse, Smoking, and Insomnia. The monthly newsletter, posters, and paycheck stuffers will have tips to help resolve claims, explain the new wellness program, and share more information on next months phase. Occupational Health Nurse will be doing a meet and greet for all employees. The nurse will go over problem topics like Hypertension, Heart Disease, Alcohol & Substance Abuse, Smoking, and Insomnia and ways to prevent these problems. The nurse will also conduct individual health assessments for employees and take employees blood pressure for future monitoring.

Phase 2 (April)-Training & Health Assessments:

Proposed Program

Phase 3 (May)-Incentives:

Worksite posters, newsletter, and paycheck stuffers will inform employees during this month of the incentives involved in the program Employees without claims can compete for prizes and participate in contests. (Prizes: Spa Certificates, Gift Cards, additional time-off, etc.)
During the month reduce stress exercises, stretches, and proper breathing techniques will be practiced. More opportunities for small breaks through out the day to help reduce stress in the workplace. Healthy food options will also be made available. Occupational Health Nurse will review and evaluate data, conduct health risk assessment every 6 months to determine the impact of the program. The nurse will recheck employees blood pressure, and continue to monitor individual health assessments for all employees.

Phase 4 (June/July)-Implementation:

Phase 5 (August)-Monitoring & Evaluation:

Expected Costs
Annual Operating Costs for Program Proposed Personnel:

Occupational Health Nurse: (70 employees X $30 per person X 2/yr) = $4,200

Program Cost
$1,000 $114 $-

Facility: No additional cost (will be using existing space) Equipment:

Newsletter ( 12/yr X $0.30/issue) = $3.60 Posters (15 posters X $5.00/poster) = $75 Paycheck Stuffers (70 employees X 0.50/check stuffer) = $35
Personnel Equipment

$4,200

Incentives: $250 Quarterly = $1,000 Total Estimated Cost: $5,314

Facility Promotions

Expected Benefits
Key benefits of our wellness program:
Reduced costs from workers compensation claims Increased productivity Lower tension between employees Lower absenteeism Improve morale and lower turnover rate

Overall Benefit-Cost Projection

Claims Avoide d
1 2 3 4 5 6 7 8 9 10

Benefit
$2,700 $5,400 $8,100 $10,800 $13,500 $16,200 $18,900 $21,600 $24,300 $27,000

Program Cost
$5,314 $5,314 $5,314 $5,314 $5,314 $5,314 $5,314 $5,314 $5,314 $5,314

Benefit-Cost Ratio
[0.51|1] [1.02|1] [1.52|1] [2.03|1] [2.54|1] [3.05|1] [3.56|1] [4.06|1] [4.57|1] [5.08|1]

Program Cost: $5,314 Average Claim Cost: $2,700 20% drop in claims (11 claims)

11

$29,700

$5,314

[5.59|1]

NUTRITION
Problem Identification
Type Diabetes High Cholesterol Overweight Obesity Lack Physical Activity # of Claims 6 25 25 20 33 Total Cost $13,200 $32,500 $29,850 $28,580 $23,397 Average Cost/Claim $2,200 $1,300 $1,194 $1,429 $709

Nutrition
Goals

Reduce the number and average individual cost per claim by 10% by promoting healthy eating habits, physical activity to prevent and manage overweight, obesity, and other diseases like heart disease and diabetes. Program would increase number of servings of Fruits and Vegetables, reduce fatty food intake, and incorporate physical activity for at least 30 to 90 minutes to help prevent claims and increase healthy nutrition.

ENVIRONMENTAL ASSESSMENT- NUTRITION

Data
Demographics

Sources
Human Resource Manager

Scope
Age Range: 23-65 Female: 65% Male: 35% Management: 10% Non-management: 90% Diabetes: 8% High Cholesterol: 36% Overweight: 36% Obesity: 29% Lack Physical Activity: 47% 7 of 10 lifestyle indicators rated poorly in more than 75% of respondents

Specificity
Average: 37 Median age: 45

Employee Health Records

Nutritionist

30% employees eat more fatty foods during work hours. 35% decrease in productivity with employees who have poor eating habits. 5 highest risk indicators: Mental Stress Personal Stress Overweight or obesity High Cholesterol Physical Inactivity

Health-risk assessment

JM & Ark Staff

Environmental Assessment
Data
Medical Claims

Sources
Benefits Manager

Scope
Outpatient costs rising 9% each year. Inpatient cost rising 5% each year.

Specificity
Diagnostic testing comprises 65% of all outpatient costs vs. 45% last year. 5 lowest indicators: Physical Environment Unhealthy eating habits Low servings fruits and veggies Stress Lack Physical Activity Presenteeism is twice as high in office or administrative workers.

Culture Audit

JM & Ark Staff

Perceptions on 5 out of 5 cultural indicators revealed low ratings.

Productivity

All previously mentioned sources

Absenteeism: 8% Presenteeism: 60% Disability: 8%

Worksite Strategies-Nutrition
Company Program Features Impact

Hallmark

Employees can attend Weight Watchers meetings and programs during the workday on topics from parenting to Alzheimers disease. Employee cafeteria prepares salads, sandwiches, main dishes, sides and desserts for employees to purchase and take home for their families. There is onsite fitness center. Enabling employee participation via online programs no matter the time of day or proximity to a health center. On-site physical therapy, fitness program and rehabilitation services provide quick, easy access to care that would typically require significant time spent away from work We cover medical for full-time benefits eligible employees as well as dental and vision, life and disability insurance, and private counseling resources. On-site health and wellness clinics, Weight Watchers memberships and discounts to local gyms are just a few other ways we help employees feel their best.

20% Reduction in the risk of developing high cholesterol, type 2 diabetes and high blood pressure. 46% reduction in vending machine purchases.

Walgreens

30% reduction in absenteeism 10% increase in employee retention and increased attractiveness to potential employees.

Gap Inc.

20% increase in productivity. 10% reduction in healthcare costs.

Resource Assessment
On-site Inventory Available & Necessary Resources

Available Resources: Facility: Large Facility with additional space.

Promotional Materials: Newsletter Posters Paycheck Stuffers Budget: $3,500 per year is available in the Human Resource Department Discretionary Fund. Needed Equipment: Equipment: Exercise/Yoga Mats, and Resistance Bands needed for exercise on-site. Incentives: Quarterly Incentives (Sweepstakes, Prizes, etc.) Online Resources: MyFitnessPal, Noom, Super Tracker, ChooseMyPlate.gov, etc.

Proposed Program

Phase 1 (March)-Awareness & Publicity:

Each week during the month of March will be an awareness week on Diabetes, High Cholesterol, Overweight & Obesity, and Lack Physical Activity. The monthly newsletter, posters, and paycheck stuffers will have tips to help resolve claims, explain the new nutrition wellness program, and share more information on next months phase.

Phase 2 (April)- Introduction to On-site Nutritionist & Online Resources:

On-site Nutritionist will meet with employees for 2 hours during the month to do one-onone council/coaching session. The monthly newsletter, posters, and paycheck stuffers will introduce online resources available to employees starting this month. Healthy food options will also available. Team meetings at end month will promote physical activity.

Proposed Program

Phase 3 (May)-Incentives:

Worksite posters, newsletter, and paycheck stuffers will inform employees during this month of the incentives involved in the program Employees who keep an updated tracking food & exercise log can compete for prizes and participate in contests. (Prizes: Spa Certificates, Gift Cards, additional time-off, etc.) Managers will lead by example by taking a few minutes every day to do stretches, yoga, and resistance band exercises to promote physical activity. Employees will start tracking their food intake and physical activity by keeping a journal or using online resources like MyFitnessPal. Monthly Team Meetings to encourage, support, and help each other accomplish healthy lifestyle.

Phase 4 (June/July)-Implementation:

Phase 5 (August)-Monitoring & Evaluation: On-site Nutritionist will review & evaluate data, and conduct health risk assessment to determine the impact of the program. Employees will submit confidential progress reports to Nutritionist for extra incentives. The Nutritionist will continue to monitor individual healthy habits for all employees and provide additional guidance, support and encouragement to employees.

Expected Costs
Annual Operating Costs for Program Proposed

Personnel: Nutritionist: ($125/session X 2 hours X 2/yr) = $500 Program Cost Facility: No additional cost (will be using existing space) $500 $Equipment: $1,400 Newsletter (12/yr X $0.30/issue) = $3.60 Posters (20 posters X $5.00/poster) = $100 $1,329 Paycheck Stuffers (70 employees X 0.50/check stuffer) = $35 Personnel Facility Floor Mats ($9 X 70 employees) = $630 Equipment Incentives Resistance Bands ($8 X 70 employees) = $560 Incentives: $350 Quarterly = $1,400

Total Estimated Cost: $3,229

Expected Benefits
Key benefits of our wellness program:
Reduced costs from workers compensation claims Increased productivity Lower tension between employees Lower absenteeism Improve morale and lower turnover rate

Overall Benefit-Cost Projection

Claims Avoided Program Cost: $3,229 Average Claim Cost: $2,200 10% drop in claims (11 claims)
1 2

Benefit
$2,200 $4,400

Program Cost
$3,229 $3,229

Benefit-Cost Ratio
[0.68|1] [1.36|1]

3
4 5 6

$6,600
$8,800 $11,000 $13,200

$3,229
$3,229 $3,229 $3,229

[2.04|1]
[2.73|1] [3.41|1] [4.09|1]

7
8 9 10

$15,400
$17,600 $19,800 $22,000

$3,229
$3,229 $3,229 $3,229

[4.77|1]
[5.54|1] [6.13|1] [6.81|1]

11

$24,200

$3,229

[7.49|1]