Read more about Healthy IU objectives in this PowerPoint.
HEALTHY IU WILL EMPOWER, EDUCATE, AND OFFER ENVIRONMENTAL TOOLS TO ENCOURAGE MEMBERS OF THE IU COMMUNITY TO LIVE THEIR BEST LIFE. Healthy IU Steering Committee Kathryn George Bayless: Asst. Dean & Exec. Director, Campus Rec Sports Linda F. Brown: Health Psychology, Mindfulness-Based Therapies and Clinical Psychologist in Private Practice Jenny Rebecca Fleetwood: Work-Life Balance Coordinator, Human Resources James M. Gladden: Dean, IU School of Physical Education & Tourism Mgmt. Elin Christine Grimes: Registered Dietitian and Nutrition Counselor Tracy L. James: Senior News & Media Specialist, IU Communications Carol Kennedy-Armbruster : Sr. Lecturer, Kinesiology, School of Public Health Marilyn H. Kuhn: Chief Operating Officer, Lilly Family School of Philanthropy MaryFrances McCourt: Senior Vice President & Chief Financial Officer Sara Elaine Peterson: Director - Human Resources & Employee Development, Campus Facility Services Daniel U. Rives : Associate Vice President for University Human Resources Lisa K Staten: Associate Professor, Director, Social and Behavioral Sciences Department Richard A. Strong: Director, Environmental Health & Safety John Paul Tweedie : Senior Director of Administration & Finance Stephen F. Wintermeyer: Assoc. Professor of Clinical Medicine, Adjunct Assoc. Professor of Public Health Philemon Kiprono Yebei: Director, Budget Administration, IUK Patricia W. Hollingsworth: Director, Healthy IU P r o g r e s s To D a t e - E d u c a t i o n a l Programs FY 13 & 14 • • • Health Screenings - 10,165 participants screened in both years saw a 15% improvement in risk reduction. Learn Over Lunch Awareness Building Programs – (Workstation Workout, Ergonomics, Stress Management ) 1,765 participants Long Term Behavior Change programs (Diabetes Prevention Program, Mindful Way to Stress Reduction, Nutritional Counseling) – 1,293 participants 2,038 1,293 1,767 10,165 5,523 Health Screenings • Walking Challenges with Pedometer 2038 participants University Wide Survey- IUPUI Public Health Healthy Change Awareness Learn Over Lunch Long Term Behavior Change Programs • Fairbanks School of Public Health Workplace Wellness Survey – 5523 participants Walking Challenges P r o g r e s s To D a t e Environmental Changes “I did the Mindful Meditation series also, and it was extremely invaluable to my health and well-being! I am grateful for the opportunities and look forward to using the Fitbit and keeping the progress going in this very positive direction! Thanks!” • Blood Pressure Machines Installed – 26,394 BPs taken • Departmental Bikes Used in Facilities Service • Departmental scales • Increased re-fillable water stations • Marked indoor walking routes • Provided 264 movement trackers to focus groups in across several administrative departments I m p a c t o f E m p l o y e e We l l - b e i n g Implications for Employees at High to Moderate Risk • Greater probability of chronic health condition(s) • Higher out-of-pocket medical and pharmaceutical costs • Greater pain and suffering • Lower quality of life • Lower personal effectiveness on and off the job Implication for Employees at Low Risk • More independence/health • Lower medical costs • Greater energy and vitality • Increased life and job satisfaction Re: screening: “That was the wake-up call, I thought, I need to do something about this. I didn’t care until t h e n ” - Akash Shah I m p a c t o f E m p l o y e e We l l - b e i n g Implications for Employers with Employees at High and Moderate Risk • • • • • Higher prevalence of chronic health conditions Higher direct medical costs Higher absenteeism Higher disability and workers’ compensation costs Lower productivity due to higher presenteeism Implications for Employers with Employees at Low Risk • • Healthier, productive workforce Lower direct and indirect health-related costs “I was one of those kids in high school who hated gym, but when the Diabetes Prevention Program introduced exercise in week five and we learned how to incorporate being active into our everyday lives, it made sense. "Now I walk at work and make a point of finding other ways to not be so sedentary.” - Rob Aspy Fairbanks School of Public Health Findings Spring, 2013 33% (5523) of full time faculty and staff completed the survey • Statistical adjustment was applied to ensure results were representative of all fulltime employees • Survey similar to CDC Behavior Risk Factor Surveillance System • Survey was anonymous and confidential • Reassessment planned for Spring 2015 to measure risk migration 24% Medium Risk (3-4 Risks) Distribution of Risk • Strengths The majority of full-time employees report that • • • • • IU is supportive of their health Management believes health and safety are important Coworkers are supportive of efforts to be healthy Workplaces are perceived to be safe They make healthy food choices when those options are available Perceived health, physical activity levels, preventive services use, and smoking rates are also encouraging. IU Compared to Indiana, US, and Best State 100% 80% 90% 88% 80% 83% 84% 74% 77% 84% 86% 92% 77% 81% 60% 40% 24% 20% 20% 4% 11% 0% Good or Excellent Health Get Physical Activity IU Indiana Receive Routine Checkups U.S. Best Smoking Prevalence O p p o r tu ni t i e s While some rates of chronic disease are more favorable than national rates, there is still opportunity for improvement and prevention • • • • 40% have high cholesterol 26% have hypertension • An additional 11% have pre-hypertension 29% are obese • An additional 32% are overweight 6% have diabetes • An additional 6% have pre-diabetes IU Compared to Indiana, US, and Best State 50% 40% 40% 39% 38% 34% 30% 33% 31% 26% 23% 29% 31% 28% 21% 20% 6% 10% 11% 10% 7% 0% High Cholesterol Hypertension IU Indiana Obesity U.S. Median Best Diabetes prevalence O p p o r tu ni t i e s Stress & Mental Health IU Compared to Indiana, US, and Best State 60% 40% 43%39% 36% 40% 28% 22%20%18% 20% 20%19% 12% 14% 0% Had Poor Mental Health Days in Past Month IU History of Depressive Disorder Indiana U.S. Inadequate Social & Emotional Support Best Percent of Employees Percent of Employees Who are Unaware of Resources 80% 60% 60% 43% 40% 20% 0% Ergonomics EAP O p p o r tu ni t i e s Food Items of Interest to Employees 80% 60% 40% 20% 0% Percent of Employees Percent of Employees Employee Interests Indicated on Survey 70% 66% 51% Fresh fruits & vegetables Healthy food in Healthy options in cafeteria vending machines Resources of Interest to Employees 80% 73% 71% 60% 48% 46% 40% 20% 0% Exercise facility Walking program Stress Weight management management Steering Committee Compass for R e c o m m end at i on s Healthy IU Values: • Quality through respect for the uniqueness of each individual & campus • Transparency in Health IU design, delivery & evaluation • Individual responsibility for personal health & well-being • Collaboration & optimal use of resources • Utilization of IU campus resources to foster learning for all • Environments, systems and policies supportive of positive lifestyle Data: • Fairbanks School of Public Health Workplace Wellness Survey • CDC Scorecard • Ensure information meaningful, comprehensive and evidenced based P r o g r a m C o m p o ne nt s New or Impact Expansion Mental Well-being Timing Establish a university wide ad-hoc committee to create a comprehensive plan to address organizational issues surrounding stress and the impact on the university. Organizational issues to address include: flexible work Long High New schedule policy implementation, participatory decision making; scope of control; supportive environments; evaluation process and leadership communication. Address Awareness of Mental Well-being during health screenings with Short Medium New links to self-assessment and resources. Promote EAP mental health screenings and services Short High Expanded Ensure various modalities of ongoing "drop-in" or relaxation at your desk breaks on all campuses (example: mid-day mindfulness, tai chi, Mid Low Expanded chair yoga, 5 min massage, walking initiatives) Provide stress management programs on all campuses Short High Expanded Cross promote mental well-being services through Organizational Short Medium Expanded Development/Healthy IU/Work-Life. Expand existing work/life balance -life skills programs to all campuses Mid High Expanded Raise manager/supervisor awareness about workplace stress related issues and depression. Ensure managers and supervisors are aware of Mid Medium New services via awareness campaign. Raise awareness about the importance of employee participation in organizational decisions regarding workplace issues that affect job Mid High New stress. Pr o g r a m C o m p o ne nt s Organizational Support Continue the Steering Committee with rolling membership and recruit new members to ensure all campuses have at least one representative. The committee purpose is to provide guidance to the Healthy IU initiative including quality, evaluation, standards of care, communication, organizational support and technical support in the areas that impact the well-being of IU employees To mark change in employee health and well-being, reassess health/wellbeing of IU employees using the Fairbanks Study in spring 2015. Clarify employee wellness participation time allowance parameters. (on work time, on personal time, on work and personal time, supervisor permission.) Ensure strategic planning committees at the campus and university wide level address employee well-being and/or quality of life . Ensure all communications are provided at a 6th to 8th grade reading level. Modify message to engage unique constituents where possible. Evaluate the impact of environmental changes via a Health Impact Assessment or literature review to avail data/ strategies for future buildings and facility expansions. Establish a policy that considers impact on the well being of employees and students in new and renovated building Promote the benefits of healthy employees with supervisor and managers. And provide flexible work schedule policy awareness, education and utilization support. Promote spouse inclusion in wellness marketing and communications. Encourage health initiatives with mutually beneficial community partners that utilize best practice through campus coalitions. Timing Impact New or Expansion Short High Expanded Short High Expanded Mid Medium New Short Medium New Short High New Long Medium New Long Medium New Mid Medium New Mid Low Expanded Long Medium New P r o g r a m C o m p o ne nt s Weight Management & Diabetes Prevention Expand Diabetes Prevention Program (DPP) to offer a class on each campus. Work to improve the effectiveness of the DPP curriculum by making recommendations for additional program components based on participant feedback and outcomes. An example: providing activity tracking devices as an ongoing incentive to track healthy behaviors Provide a flexible, easily accessible weight management program that can provide a group and online programs for all campuses. High Blood Pressure & Cholesterol Continue health screening and expand the screening incentive program to include options that encourage positive lifestyle choices like: recreation memberships, weight watchers and fitbits. Update screening staff on new cardiovascular risk guidelines. Expand health screening resource materials (packet) to include information and resources on signs and symptoms of mental illness, stroke, heart attack, BP, cholesterol, PA, glucose, work/life, nutrition. Provide American Heart Association health risk assessment link in post screening e-mail. Create a map of BP machine locations and post on web & screening resource booklet. Pilot Chronic Disease Self-Management. Timing Pilot Pharmacy Brown Bag checks or promote existing community services Impact New or Expansion Short High Expanded Mid High Expanded Mid High New Short High Expanded Short Low Expanded Short High Expanded Short Low Expanded Mid High New Long Medium New P r o g r a m C o m p o ne nt Nutrition Establish a common healthy foods definition for all university campuses, we recommend: “A healthy food is a plant or animal product that provides essential nutrients and energy to sustain growth, health, and life while satiating hunger.” Establish University wide contracts with vending machine and other food vendors to provide healthy food and beverage choices using the guidelines from Reach Healthy Communities and Dietary Guidelines 2010. The initial goal is to provide at least 50% healthy food options in vending machines and ensure there are nutrient dense food options in cafeterias, snack bars, and other purchase points. Identify and publicize healthy food and beverages at all purchase points with university-wide symbol. Develop “healthy meetings guidelines” for foods and physical activity based on Reach Healthy Communities program Healthy Meeting Guidelines Promote healthy foods definition, symbol, meeting guidelines, etc. through online and print media. Promote university wide nutrition counseling and education services. Timing Impact Short New or Expansion New Long High New Mid High Expanded Mid Low New Mid High New Short Medium New Pr o g r a m C o m p o ne nt s Heart Attack and Emergency Response Install AEDs and directional signs so that each building has at least 1 available every IU building where people work, live and play. Long term, install an adequate number of AED units such that a person can be reached within 3–5 minutes of collapse. Create communication campaign raising awareness of signs and symptoms of heart attack and stroke, location of AED and CPR classes. Tobacco Enhance the tobacco free culture with expanded awareness, education and counseling by: a. Expanding the IUB parking lot intervention program which utilizes nicotine gum and cessation information to all campuses. b. Include face to face tobacco cessation counseling and 12 week group program currently provided at IUB and IUPUI as options for the tobacco benefit subsidy. d. Raise awareness about the inclusion of e-cigarettes in the tobacco free policy via web, print and news articles Encourage recruitment, admissions and student services to raise awareness about the tobacco free campus by: a. Noting on all student applications (including international students), acceptance letters and in orientation: “IU cares about your health and is a tobacco free campus”. Suggest: “if you currently utilize tobacco, we suggest you consider a tobacco cessation program before you arrive on campus” b. Provide tobacco cessation table with campus cessation resources at international and freshman orientation c. Provide a Tobacco Free Awareness Campaign at the beginning of every semester on all campuses. Ensure that all forms of tobacco use are addressed including e-cigarettes. Timing Impact New or Expansion Mid High Expanded Long High Expanded Short Low Expanded Short Medium Short Expanded Mid Expanded Short New Short Medium New P r o g r a m C o m p o ne nt s Physical Activity Timing Impact Implement and continue to seek enhancements to the built environment Short/Mid High which both promote and remove barriers related to physical activity a. Stairway signage and elevator skins b. Mark 1, 3 and 5 mile routes with way finders on each campus c. Mark indoor walking routes d. Continue to examine built environment for other opportunities Create infrastructure to support sustainable culture related to physical Short Medium activity promotion a. Hire Healthy IU coordinator to develop and oversee implementation of area wellness programs Create free or subsidized self-directed physical activity opportunities Short High a. Coordinate the use of individualized tracker tools in conjunction with long-term behavior change modification programs b. Create social networks around activities and stages of change Integrate Healthy IU physical activity efforts into academic efforts Short/Mid High a. Adapt existing Kinesiology efforts to include movement coaching, service learning, and workplace wellness education and delivery b. Evaluate all interventions for effectiveness on a regular basis c. Develop criteria for identifying and supporting effective physical activity programs Augment existing biometric screenings with movement screenings Long High a. Provide segmented opportunities for education, programming, and subsidized physical activity opportunities based on results of movement screening New or Expansion New New Expanded Expanded Expanded P r o g r a m C o m p o ne nt s Marketing & Communications Create a visual identity that represents the intention of Healthy IU. Refresh the Healthy IU website with the new visual identity designed by IU Communications. Hire a communications specialist to craft and implement a communication plan, maintain website, maintain social media accounts and ensure the visual identity is implemented throughout communications. Create a communication toolkit to help apply branding and the Healthy IU visual identity consistently across campuses in communication material, including websites, printed material and physical and electronic signs. Establish an ambassador program, which would be a crucial grassroots component of effective communications. Peer ambassadors would share Healthy IU information with their schools or workplaces and provide a conduit for feedback concerning employee needs. Create branded social media accounts and strategy for maintaining them, targeting audiences and collaborating with other social media specialists across the campuses. Create a communication plan that can be consistently implemented across the campuses using a task force drawn from the Healthy IU steering committee and subcommittees. Redesign the Healthy IU website to make it mobile friendly and so that it can better feature videos and other multimedia. Distribute branded items to ID role models (T-shirts, water bottles, buttons). This can be done by ambassadors, the communication specialist, wellness committees and service providers. Timing Short Impact High New or Expansion Expanded Short High Expanded Short High New Mid High New Short High Expanded Mid Medium New Mid Medium Expanded Short Low Expanded H i g h P r i o r i t y O b j e c t i v e s t o b e I m p l e m en te d by August 2015 1. Expand the Diabetes Prevention Program to all campuses 2. Implement enhancements to the built environment which both promote and remove barriers related to physical activity a. Mark 1, 3 and 5 mile routes with way finders on each campus b. Install signage to encourage stair use 3. Expand healthier food & beverage options on all campuses 4. Continue Steering Committee with special attention toward mental well-being. 5. Expand Marketing & Communications Additional Objectives to be I m p l e m ent ed b y A u g u s t , 2 0 1 5 Short or Mid Term Program Components Cross promote mental well-being services through Organizational Development/Healthy IU/Work-Life. Address Awareness of Mental Well-being during health screenings with links to self-assessment and resources. Promote EAP mental health screenings and services Provide stress management programs on all campuses Integrate Healthy IU physical activity efforts into academic efforts Create free or subsidized self-directed physical activity opportunities Update screening staff on new cardiovascular risk guidelines Expand health screening resource materials (packet) to include information and resources on signs and symptoms of mental illness, stroke, heart attack , BP, cholesterol, PA, glucose, work/life, nutrition. Provide American Heart Association health risk assessment link in post screening e-mail. Create a map of BP machine locations and post on web & screening resource booklet. To mark change in employee health and well-being, reassess health/wellbeing of IU employees using the Fairbanks Study in spring 2015. Ensure strategic planning committees at the campus and university wide level employee well-being and/or quality of life are addressed. Ensure all communications are provided at a 6th to-8th grade reading level. Modify message to engage unique constituents where possible. Impact New or Expansion of existing Medium Expanded Medium New High High High High High Expanded Expanded Expanded Expanded Expanded Low Expanded High Expanded Low Expanded High Expanded Medium New High New Ad d i t i o n a l O b j e c t i v e s t o b e I m p l e m ent ed b y A u g u s t , 2 0 1 5 New or Expansion Impact of existing Short or Mid Term Program Components Clarify employee wellness participation time allowance parameters. (on work time, Medium on personal time, on work and personal time, supervisor permission.) New Promote the benefits of healthy employees with supervisor and managers. And Medium provide flexible work schedule policy awareness, education and utilization support. New Develop “healthy meetings guidelines” for foods and physical activity based on Reach Healthy Communities program Healthy Meeting Guidelines New Low Establish an ambassador program, which would be a crucial grassroots component of effective communications. Peer ambassadors would share Healthy IU High information with their schools or workplaces and provide a conduit for feedback concerning employee needs. Enhance the tobacco free culture with expanded awareness, education and High counseling . Encourage recruitment, admissions and student services to raise awareness about Medium the tobacco free campus . Establish a common healthy foods definition for all university campuses, we recommend: “A healthy food is a plant or animal product that provides essential Low nutrients and energy to sustain growth, health, and life while satiating hunger.” New Expanded New New Pe r f o r man c e M e t r i c s Workplace Wellness Follow-up Survey via Fairbanks School of Public Health Program Specific Performance Participation Customer Service Survey Measured Health Outcome IU Bloomington Evaluation Student Evaluation of pilot programs example: fit bit pilot through the IUB School of Public Health Benchmark and track Healthy IU progress using CDC Scorecard and similar tools such as Healthiest Employers in Indiana or Indiana Chambers’ Workplace Wellness assessments. Compare participation rates and program scope with other Big Ten Universities. “Participants typically improve their eating habits during and after the DPP program but have trouble staying active”, instructor Gina Plummer said. “The trackers motivated people dramatically,” she said. “Some continued to lose more weight as a result of using the trackers. They called them the ‘silent Ginas’ since they no longer had me with them during the weekly core program, but now they had the trackers.”