HealthWire

CEO Letter
Health Care Reform Without This Component: A Formula for Failure

It’s a disturbing statistic you’ve likely heard: 75 million adults of working age lack health insurance. The current presidential race hotly debates how to best provide universal access to medical services—an essential step toward achieving optimal health for all Americans. But this step alone will not address all important health needs.

Health care reform must also include a strategy to reduce unnecessary medical care expenditures—and the best way to achieve this is through prevention.

Research estimates that 50 to 70 percent of total health care costs are behavior driven. Poor nutrition and physical inactivity contribute to obesity, which in turn affects the recent rise in chronic diseases such as diabetes. The American Diabetes Association, for example, reports the prevalence of diabetes increased 13.5 percent from 2005-2007.

To curb the growth of this and other costly diseases, many Americans must learn new skills to choose and sustain healthy lifestyle choices.

This includes raising awareness of health risks through health risk assessments, biometric screenings and educational seminars. It requires readily available tools and support to effectively motivate and engage individuals in long-term healthy change. And individuals must be given strong personal financial incentives for adopting healthy behaviors.

At HealthFitness, our solutions are designed to educate and engage individuals—your employees—for the long term so they can improve their health and reduce health care costs not only for your company, but also for themselves.

We offer health improvement solutions that require employees to ‘own the change’ as opposed to our staff simply telling employees what to do. We empower individuals with freedom of choice for how they receive a lifestyle intervention: face-to-face, telephonic, Web-based or a combination of these methods. And we also offer tailored incentives to reward employees and sustain their momentum towards adopting healthy lifestyle choices.

The next few years are certain to be turbulent ones in the health industry as health care reform takes shape. But one thing that will remain unchanged is the importance of prevention to your employees to reduce health care costs and absenteeism.

Through our continued collaboration, we look forward to playing an important role in helping your total population prevent health risks—and in improving the productivity of your employees.

Yours in good health,

Gregg O. Lehman

Inside HealthFitness
New Tool Quickly Calculates Impact of Incentives on Your Participation, ROI
What incentive amount will significantly drive employee participation in your health initiative? How critical are senior management support and benefits-related incentives to motivating enrollment? And what kind of return on investment (ROI) can you anticipate from different incentive amounts?

Many employers struggle with even estimating effective incentive levels for their unique employee population and culture.

But not anymore.

HealthFitness introduces a new forecasting tool that quickly estimates expected enrollment into a health risk assessment and coaching programs based on the incentive amount, program elements, and demographics of the company. While no calculator can exactly account for every penny, our tool calculates approximate savings and ROI (by year two) based on the expected impact of the program.   

Additionally, we can further refine expected results based on information such as spousal eligibility and annual claims costs. We can also use the tool to estimate the impact of using benefit cost sharing in contrast to an incentive.

Interested in learning more about this free value-added service? Please contact your program manager. Or visit our booth for a demonstration of our incentive calculator at the DMAA: The Care Continuum Alliance conference, Sept. 6-9, in Hollywood, Fla.

HealthFitness’ New Educational Seminars Spark Participant Interest in Health
HealthFitness launched Mind Your Health educational seminars this September, designed to raise awareness and provide a client’s total population with useful strategies for making positive lifestyle changes. The one-hour seminars are available at client locations where HealthFitness provides on-site, dedicated staff.  HealthFitness staff delivers the seminar presentations.

Mind Your Health gives employees a fun, social environment to learn actionable health tips that reduce their health risks. All content used during the presentation and in participant handouts is scientifically validated and uses up-to-date health industry guidelines. Plus, the seminars use language that the layperson understands.

Available seminars include:

Diabetes–Awareness and Prevention: Symptoms of diabetes, risk factors for pre-diabetes and diabetes, and best strategies for preventing diabetes

Back health–Preventing Pain and Strain: Why back health matters, back pain triggers and preventive back care tips 

Manage Stress–Before it Manages You: How to identify stress-related symptoms; how to categorize stressors and when to take action or use coping skills; and quick relaxation techniques

Heart Healthy Living–The Beat Goes On: What causes heart disease, controllable and uncontrollable risks for coronary artery disease, and lifestyle choices for a healthy heart

Blood Pressure–A Vital Force for Life: What your blood pressure should be, risk factors for high blood pressure, and how to take control of your risk

Healthy Weight–Set Yourself Up for Success: How to develop a lifetime eating plan, improve eating behaviors and how to lose weight safely

Lifestyle and Cancer–Reduce Your Risks: Key lifestyle factors that affect cancer risk and screening guidelines to help detect cancer early

Women’s Health–Take Care of You: Basics of a healthy lifestyle; tips for heart, breast and bone health; and how to manage menopause symptoms

Healthy Eating–Step Up to the Plate: Tools to personalize your eating plan, healthy eating tips, and how to eat healthy without breaking your budget

Fitting in Fitness–Exercise Options for Busy People: Guidelines for a balanced fitness program, tips to fit in fitness, and five keys to success for healthy behaviors

To learn more about offering Mind Your Health seminars at your site, contact your program manager.

Inside Our Science Advisory Board: Meet Penny M. Kris-Etherton, Ph.D., R.D.
To ensure the quality of our solutions, stay on top of industry trends and spark development concepts, HealthFitness draws on the subject matter expertise of our six-member Science Advisory Board. These independent professionals are nationally recognized in areas such as nutrition and obesity, exercise and fitness, behavior change, outcomes research and managed care.

One of our board members is Penny M. Kris-Etherton, a distinguished professor of nutrition in the Department of Nutritional Sciences at Pennsylvania State University. Her research has emphasized exploring how nutrients and other bioactive elements affect risk factors for cardiovascular disease. 

Throughout her career she has played a role in the widespread communication of nutrition messages to health professionals, government representatives, policy makers, consumers and the media. She is also actively involved in educating and training future dietitians and nutrition scientists.

Kris-Etherton has published more than 150 scientific papers, 10 book chapters and co-authored four books. Her research program has been funded by National Institutes of Health, U.S. Department of Agriculture and the private sector.

Additionally, she has served on many U.S. national committees and review panels including the 2005 Dietary Guidelines for Americans Advisory Committee, the National Academy of Sciences Panel on Macronutrients, the American Heart Association Nutrition Committee, NIH's Nutrition Study Section, the National Cholesterol Education Program Second Adult Treatment Panel, the ASCN/AIN Task Force on Trans Fatty Acids, and WomenHeart.

To date, Kris-Etherton has reviewed our Senior Healthy Eating Guide materials for the Senior Risk Reduction Demonstration project with Pfizer Health Solutions. She also provided feedback on the nutritional questions that are included in our INSIGHTŪ International Health Risk Assessment.

Visit http://www.hfit.com/sboard.asp to learn more about members of our Science Advisory Board.

Best-in-Class Practices and Awards
Brock Successfully Reduces Injuries with HealthFitness JOBFIT Services

Within one year, the Operations Support Group of Brock Services Ltd., a multi-craft industrial services provider, has significantly reduced its OSHA injury rate with help from HealthFitness' JOBFIT occupational health services.

For Brock's Kingsport, Tenn., location, HealthFitness provides work conditioning—an exercise, conditioning and work simulation program to prepare the worker for the demands of the job.

Brock's goal with using the program is to reduce injuries and increase productivity among employees performing line manufacturing tasks. Due to the labor-intensive nature of the work, Brock's initial concerns for employee health were related to back and shoulder issues.

Today, more than 300 Brock employees participate in HealthFitness' work conditioning program. T1 to T2 results, covering a 72-month time frame, showed that participants quantifiably increased strength, flexibility and endurance. Plus, the entire Fibers Support Group saw its OSHA recordable rate of injuries drop from 2.84 in 2006 to 1.5 in 2007.

Occupational health is an important contributor to a culture of health—a mindset that embraces the preservation of health and the prevention of illness. Work conditioning, injury prevention and other occupational health programs also help to measurably increase the health and productivity of employees.

To learn more about HealthFitness' occupational health services, please contact your program manager.

Spotlighting Integrated Health Benefit Design at Florida Power & Light
Connecting the dots between employee health benefit programs—from fitness and health coaching services to on-site primary care delivery—can build a more productive workforce and improve the bottom line. A new issue brief from HealthFitness outlines the steps to success employers can take to create a more comprehensive approach to integrated employee health benefits.

The issue brief, “Integrated Health Benefit Design Powers Florida Utility Company’s Workforce,” draws on the strength of experienced voices. The report features insight from Andrew Scibelli, manager of Employee Health & Well-being for FPL GROUP, and presents a case example of that company’s integrated program.

FPL-WELL, the company's health and well-being program, manages health care benefits for its more than 15,000 employees that integrate five major program elements: fitness centers, primary and urgent care health centers, health promotion, nutrition and weight management services and employee assistance programs. The program has reduced the rate of health care cost increases for the self-insured company over the years and produced a positive return on investment of 3:1.

The free issue brief, “Integrated Health Benefit Design Powers Florida Utility Company’s Workforce,” is available online at http://www.hfit.com/briefs.cfm.

Industry Insights
The Buzz from Recent Research
Non-cigarette Tobacco Products Gain Popularity

U.S. cigarette sales have declined by 18 percent since 2000 and now appear to be at an all-time low. However, according to a recent study in the Journal of the American Medical Association, about 30 percent of this decline has been offset by an increase in non-cigarette tobacco-related products.

During a seven-year period, the sale of moist snuff, roll-your-own loose tobacco and small cigars increased by more than a billion cigarette pack equivalents as estimated from their tobacco and nicotine content. Study researchers believe this shift was partly because the primary focus of marketing and media campaigns has been cigarettes. As a result, the public might have a false sense of security with other forms of tobacco, according to experts at the Harvard School of Public Health. Furthermore, since smoking is now prohibited in many public buildings and places of employment, this could be encouraging the switch to other non-cigarette tobacco products.

The rising cost of cigarettes has also influenced the use of non-cigarette tobacco products. The weekly cost for a typical user of premium moist snuff is 55 percent less than for a typical cigarette smoker. This cost differential between non-cigarette products and cigarettes is keeping tobacco addiction affordable.

According to researchers, all forms of tobacco, including pipes, cigars and snuff can increase cancer risk and may contribute to heart disease and high blood pressure. As a result, the study encourages health educators to consider targeting all tobacco products in public health campaigns and intervention programs.

Source: Journal of the American Medical Association Connolly G, Alpert H "Trends in the use of cigarettes and other tobacco products, 2000-2007" JAMA 2008; 299: 2629-2630

Keeping a Food Diary Increases Weight Loss
A recent study in the American Journal of Preventive Medicine reported that keeping a food diary can significantly boost weight loss. Researchers found that those who kept daily food records lost twice as much weight as those who kept no records, and the longer food and physical activity records were kept, the more weight was lost.

Among the 1,685 participants in the study, 21 percent were overweight and 79 percent were obese, as measured by body mass index. In addition to keeping a food diary, study participants were asked to exercise at least 180 minutes per week, follow the DASH (Dietary Approaches to Stop Hypertension) eating plan, and attend weekly behavior intervention sessions. After six months, the average weight loss was 13 pounds. Two-thirds of the participants lost at least nine pounds—an amount experts agree is enough to reduce health risks, such as hypertension and diabetes.

Researchers attributed the simple act of keeping a food diary to helping study participants with the following:

  • Increase awareness of where extra calories are coming from 
  • Ability to identify cravings and eating triggers
  • Opportunity to reflect on and target specific behaviors that needed to be changed
  • Accountability—to self and others 

Source: Hollis J, et al "Weight loss during the intensive intervention phase of the Weight-Loss Maintenance Trial" Am J Prev Med 2008; DOI: 10.1016/j.amepre.2008.04.013.

Lehman Featured in Panel Discussion on Industry Best Practices
HealthFitness CEO Gregg O. Lehman participated in a roundtable of industry leaders regarding best practices with company wellness programs in a HR Management magazine article titled, “All’s Well that Ends Well.”

In the article, Lehman addresses trends with reporting real ROI with corporate wellness programs, the effect of wellness programs on worker satisfaction and productivity, and more.

Visit www.hrmreport.com to read the full story. Here you can also access an article authored by Lehman on HealthFitness’ unique approach to engaging employees in health called “21st Century Vision for Health Benefit Design.”

Where We’ll Be Next
HealthFitness looks forward to meeting you at these upcoming events.

DMAA: The Care Continuum Alliance
The Forum 08
Sept. 6-9
Hollywood, Fla.
www.dmaa.org

Health Enhancement Research Organization
HERO Forum for Employee Health Management Solutions
Sept. 23-25
New Orleans
www.the-hero.org