Beginning & Rejuvenating Worksite Wellness Programs. May 19 th, Knox County Health Department

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1 Beginning & Rejuvenating Worksite Wellness Programs May 19 th, 2015 Knox County Health Department

2 Registration All attendees must sign in. Thank You

3 Announcements 2015 Local Food Guide Farmers Market magnets also available Living Well Knoxville Chronic condition management courses Six Tuesdays from 5:00-7:00 pm starting today Knoxville Track Club Expo 10K & 5K May 23 rd at 8:00 am at the 100 Block

4 Upcoming Meetings Look for Save the Dates July Employee Engagement Sept. Getting Active Nov. A Well Mind

5 Agenda Introduction & Announcements KCHD Worksite Wellness & Mini-Grants Beginning & Rejuvenating Worksite Wellness Programs Morning Star Child Development Center Senior Citizens Home Assistance Service, Inc. Knoxville's Community Development Corporation City of Knoxville's Public Service Department Mental Health Association of East Tennessee Lisa Ross Birth and Women's Center City of Knoxville Knoxville Convention Center

6 Knox County Health Department Worksite Wellness & Mini-Grants

7 KCHD Wellness Policies Equipment & Facility Employee Connections Mini-grants

8 KCHD Policies Bicycle Use Policy Breastfeeding Support and Promotion Flexible Schedule for Alternative Transportation Flexible Schedule for Physical Activity Healthy Food KCHD Tobacco-Free Environment Vending Health Services Available for KCHD Employees

9 Equipment & Facility

10 Employee Connections Signs Wellness Newsletter Challenges

11 Mini-Grants $2500 mini-grants for worksite wellness Nutrition and physical activity focus Sustainable projects This project is funded under an agreement with the State of Tennessee. Project Diabetes Grant Applications available in the fall

12 Questions

13 Morning Star Child Development Center

14 Getting Fit for Our Future and Theirs Morning Star is a child development center that provides daily care to children 6 weeks of age through Pre-K, as well as after school care for K-5th graders. We have approximately 45 employees. The needs of our employees included inexpensive and easily accessible opportunities to engage in physical exercise, as well as learn about health and wellness. Our staff also needed ways to help with stress reduction due to the nature of our work.

15 Getting Fit for Our Future and Theirs Before our effort to create a wellness program at Morning Star, there had been no previous attempts to foster health awareness among our teachers. We had one on-site drink machine that included all carbonated, sugary drink options and no healthy snack options. Also, prior to the wellness program, there were little to no opportunities to engage in physical activities individually or as a group, therefore limiting the interaction and development of relationships between co-workers outside of the classroom.

16 Getting Fit for Our Future and Theirs Kick-off and Success Story Luncheons 2 Nutritional Eating Classes Personal Training Sessions Yoga/Pilates Class and Demonstration New Healthier Vending Machines Individual Exercise Equipment Monthly Newsletters Employee Incentives

17 Looking Back Successes Continued training Sessions Newsletters (tips, events, recipes, encouragement) Increased comradery among co-workers Weight loss, better nutrition and stress reduction Challenges Motivation among individuals to workout outside of the group fitness classes. Use of the equipment is very limited We have learned that the group activities are more successful.

18 Megan s Success Story Megan suffers from Severe Generalized Anxiety Disorder. Before our program began, Megan was treating her anxiety with only different medications, but since has discovered that physical exercise also helps her to manage her symptoms. Megan has not only been attending the personal trainer sessions, but has also been using the exercise equipment on her own, and has since been able to reduce her medication usage. She has also reported that she has began adding running to her physical activity routine in order to better manage her stress. Go Megan!!

19 Tylese s Success Story At the beginning of our health program, Tylese had been told by her doctor that she was considered to be at an unhealthy and possibly dangerous weight. Through our program, Tylese has been attending all personal trainer sessions, guest speaker events, drinking more water, eating at home more, and has even signed a contract with the trainer to attend private sessions at his gym. Tylese continues to report that she not only feels better physically, but her clothes are fitting loser and she is sleeping better at night. She has reported in total a loss of 13 pounds and continues to work towards her goals!! Go Tylese!!

20 Program Highlights of Getting Fit for Our Future and Theirs

21 Program Highlights of Getting Fit for Our Future and Theirs

22 Program Highlights of Getting Fit for Our Future and Theirs

23 Program Highlights of Getting Fit for Our Future and Theirs

24 Program Highlights of Getting Fit for Our Future and Theirs

25 Questions

26 Senior Citizens Home Assistance Service, Inc. (SCHAS)

27 SCHAS Strong, RT Ready Assisted Living Facility, Homemaker Program, approximately 50 people Need to move more, healthier snacks Typical snack machine with candy & chips No exercise machines No formal encouragement

28 SCHAS Strong, RT Ready Over the past 6 months: Provided a free cholesterol check (Tennova) Measured off a walking track and placed encouraging, uplifting signs along the way

29 SCHAS Strong, RT Ready Purchased a stationary elliptical, two under desk ellipticals, and several stability balls Held contests for smoking cessation, weight loss, and counting miles moved Put up posters to encourage walking and taking the stairs

30 SCHAS Strong, RT Ready Invited speakers from local businesses to speak about diet, exercise and smoking Wrote a healthy vending policy and negotiated compliance with vendors Provided free healthy snacks to employees

31 Looking Back Successes 1,000 miles moved 53 lbs lost Reduced smoking Healthier snacks Increased awareness Renewed resolve, hiking, squat challenge Challenges Initial Time Investment Need for continued reminders/ encouragement

32 Questions

33 Knoxville s Community Development Corporation (KCDC)

34 KCDC Public Housing and Redevelopment Authority for City of Knoxville and Knox County Established in Locations in COK and Knox County Operate 3525 Apartment Units Manage 3700 Section 8 Housing Vouchers

35 Workforce 141 Employees Across 15 Locations Age Range: Average age: 51 51% Male/49% Female 76% White/23% Black/1% Other 65% Hourly/35% Salaried

36 The Healthy Track The Healthy Track began June 2007 Annual Biometrics Premium Incentives Monthly A1C, BMI, and Tobacco-free $25 for each standard achieved HRA/FSA Incentives for Exercise/Education Monthly HRA $125 single/$250 family FSA $25 non-participant in health plan Health Coaching High Risk: 4 face-to-face sessions annually Moderate Risk: 3 face-to-face session annually Wellness Graduate Status

37 The Healthy Track Potty Talks Bi-weekly Lunch N Learns Monthly Flu Shots Annually Mobile Mammography Annually 3-4 Wellness Challenges Each Year Dedicated Gym Space Given 9/2014 Personal Trainer on-site on Monday evenings

38 Gym before

39 Equipment before

40 Cardio before

41 Grant Funds KCDC used the grant funds to purchase additional equipment for our gym and host a wellness challenge Our goal was to engage male employees and have them use our gym New Equipment Purchased Kettlebells Kettlebell Rack Heavy Dumbbells Dumbbell Rack Adjustable Weight Bench Resistance Bands Stability Balls Stability Ball Rack Gym Mats Medicine Ball Rack

42 Gym

43 Cardio

44 Steps and Risers

45 Strength Equipment

46 Weight Bench

47 Kettlebells & Weights

48 Circular Things

49 Yoga Space

50 Video Library

51 Exercise Divas

52 Exercise Diva

53 Exercise Diva

54 Wellness Challenge New Year, New You..March Madness Challenge Guidelines: Keep a daily food and exercise log Drink 8 eight ounce glasses of water daily Follow Nutrition Do s and Don t from VitalSigns Attend 2 Lunch N Learns on Nutrition Complete two 30 minute cardio and one 30 minute strength training sessions weekly 2 Winners with highest % of excess body weight loss Each winner awarded $125 for athletic shoes or equipment

55 Data Collection Pre/Post Measures Weight Waist Circumference Pre/Post Fitness Test Chair Stand Test Arm Curl Test 2 Minute Step Test

56 Success Stories Beth Bacon 34% of excess body weight lost 3 Fitness Tests Improved Markedly Beverly Mack 1.9% of excess body weight lost 1 Fitness Test Improved

57 Looking Back Successes Gym is really looking up You have a great selection of dumbbells in there. Wow this is like a real gym! 10 field employees requested access to the gym for after hours usage 5 of these employees were males! Gym is used daily by employees Challenges Unexpected change in wellness vendor impacted timing of the challenge Engaging the male population Reflecting wellness culture in all we do No access to the gym on weekends and holidays Gym not open to family members

58 Looking Forward Will Do Invite family members to employee s health coaching sessions Continue incremental moves to establish a strong wellness culture Wish List Smoke-free campus Include spouse in biometric testing Add dressing rooms and showers to our gym Win KCHD Mini-Grant to expand our wellness offerings!

59 Questions

60 City of Knoxville s Public Service Department

61 Public Service The City of Knoxville Public Service Department (PSD) has 304 employees and is responsible for maintaining the City s infrastructure (i.e. brush/leaf collection, potholes, sidewalk repair, facility maintenance, etc.) Our employees perform labor-intensive jobs involving heavy equipment primarily in an outdoor environment. It is important that we remain physically fit and maintain our joint and muscular health in order to minimize the risk of injury. Employees have asked for years for exercise equipment. This grant allowed us the opportunity.

62 Wellness in the City The City s wellness program really focuses on proper diet and chronic diseases like diabetes, supplemented by occasional yoga or strength/conditioning classes. This equipment has allowed employees to exercise in addition to the classes offered through the City of Knoxville wellness program. We have built our current departmental program from the ground up and have made great strides over the past six months.

63 Wellness in Public Service The Public Service Department utilized this minigrant to purchase exercise equipment which is available to all employees. Public Service hosts a weekly dancing class in the afternoon at our facility. Public Service has recently created and launched a dynamic warmup program for injury prevention that is currently being utilized as a daily morning routine in some groups. We are actively working to expand this program.

64 Looking Back Successes This equipment in combination with an intensive diabetes program Increase in number of employees exercising Challenges Giving employee s time out of their normal work day Location Having a motivating work-out environment

65 Success Stories This is an outstanding opportunity to have exercise equipment for our employees. I have used the equipment myself and enjoy it. Chris Webster, Service Area Manager

66 Success Stories I like the treadmill. I use it every morning and walk 1.5 miles. It has helped me to get healthier and I have lost 10 pounds in the last six weeks! Jeff Roberts, Equipment Operator II I have lost four pounds in the last three weeks with the help of the exercise equipment bike and the treadmill. I workout 20 minutes a day, 3-4 days a week and alternate equipment. Tim Cordell, Equipment Operator I

67 Questions

68 The Mental Health Association of East Tennessee (MHAET)

69 W3 Wellness While Working Peer Recovery Call Center at the Mental Health Association of East Tennessee! We have sedentary, desk jobs People with a mental health diagnosis Shorter lifespan DIE 25 years earlier due to comorbid medical conditions & metabolic problems 6 months ago we ate chocolate covered everything! Donuts, sodas, cheese crackers, buttered popcorn with extra butter. Sedentary in our comfy chairs snacking away with no attention our bodies. We desperately needed a lifestyle change

70 W3 Wellness While Working W3 allows us to be active while working. Learning new activities from thinking outside the box. Stride Cycles under our desks provide perpetual motion through the day. The relaxation room provides down time from a difficult call, yoga or a peaceful lunch. Our dietitian has provided striking and provocative lifestyle changes. A balanced life style between exercise and food choices. Our W3 Team is 50 years young, except for 1. Pedometers for W3. Tennis shoes in the workplace, healthy snacks, walking, inches lost and weight loss.

71 Looking Back W3 Successes Planning and preparation began in November. We had a round table brain storming session to plan healthy choices and changes in the workplace. Two handicapped people are involved. The program has expanded to home projects. We have a monthly activity calendar posted. 119% increase in steps Over 3 million steps total And now do you really want to know what we have done? Challenges Weather. This made rescheduling difficult. We were able to reschedule. There was a Team member on FMLA.

72 Questions

73 Lisa Ross Birth and Women s Center (LRBWC)

74 LRBWC We are a nonprofit, freestanding birth center and women s health clinic. We offer well-woman care, prenatal care, births, breastfeeding consultations, pediatric care up to 5 years of age, and behavioral health services. We have about 30 employees. Our employees need quick tips and tricks on eating healthy while on-the-go and how to incorporate exercise and self-care in their daily routine. Often times our employees feel very limited on time due to demands of work and family life and need encouragement and realistic ways to fit exercise and healthy eating into their lives. Also, due to the nature of our work, employees need to be reminded it is ok to take time for themselves and to make time for enjoyable activities outside of work. Employees were consistently eating fast food, bringing in sweets, drinking sugary drinks, and reporting fatigue, headaches, body aches, depressed/irritable mood, etc.

75 LRBWC Weekly challenges to encourage a new healthy habit Facebook group to offer support and encouragement, as well as share recipes, articles, and other helpful tips. Walking at lunch Administrative changes flexible scheduling to allow for wellness activities YWCA partnership (at least 2 employees taking advantage) all employees now have a free membership and access to facilities Ordered many great exercise tools, healthy eating and lifestyle books, and tools to offer filtered water to increase water intake. Discussion of the wellness challenge in weekly lunches with employees Weekly yoga/mediation groups for employees on site

76 Looking Back Successes Participation in 5K / Marathon Increased gym memberships among employees Organizational awareness / employees talking about health and wellness Increase in overall physical activity of employees Increase in water intake of most employees and decrease of sodas/other drinks with sugar or artificial sweeteners Many employees have become more conscious of what they are eating; increasing intake of whole foods and decreasing intake of processed food Five staff members lowered their weight & BMI Challenges Getting more employees to actively participate Include some kind of consistent motivation for participation (either rewards, more acknowledgment) Get more employees involved in the planning and leading of this grant for more diversity and ability to manage and keep up program

77 Success Stories I discovered the wonderful, warm pool at the YWCA and have begun healing my ankle and my soul. I have had some fun getting to know [another staff member] more and sharing time with her at the pool. focusing on a more conscientious approach and seeking more information about the food I'm putting into my body and how it makes me feel, has helped me become more balanced! Thanks everyone for all the guidance, great advice and encouragement!

78 Success Stories Three staff members completed their very first road race!! Staff member that began a regular exercise routine and cleaner diet quickly saw results totaling a loss of 9 lbs!

79 Questions

80 City of Knoxville

81 My Fit Health The City of Knoxville has about 1530 benefit eligible employees and about 120 early retirees. With our population spread out in different parts of town and different shifts, we need multiple ways to deliver communications and programs to everyone. The City s My Health program began in 2011 and we needed another layer for employee engagement and accountability.

82 My Fit Health Through the City s relationship with Healthcare 21 became aware of Diabetes Prevention Program. Program sponsored by CDC First 16 weeks: 1 hour per week 1 hour per month 6 months Requires documentation of exercise and nutrition Program Goal: 5-7% of body weight Started a pilot program September 2014 (Voluntary) Rolled out another pilot March 2015 (Voluntary)

83 My Fit Health To help with exercise requirement, more equipment was purchased Power towers Weight rack Slam balls Dumbbells Kettlebells Battle ropes Yoga mats DVD s Projector Stereo System

84 Looking Back Successes First Pilot: 35% of eligible participants enrolled with 67% still enrolled in the program. Second Pilot: 50% of eligible participants enrolled with 85% still in the program. Challenges How can we spread the program to all shifts and job types? Spouses? Retirees?

85 Looking Back Pilot #1 Results YTD: Pilot #2 Results YTD:

86 Questions

87 Knoxville Convention Center (KCC)

88 HR Manager KCC is located in the heart of downtown Knoxville 36 full time (benefits eligible) 195 part time, on-call (not eligible for benefits) KCC employees need physical activity opportunities (group exercise, stand up desks) and healthy education (healthy cooking class, lunch and learns). 6 months ago the Wellness Program was losing momentum. Today it is revived!

89 KCC Walking Map Employees and the community utilize KCC as a walking loop. We created a KCC Walking Map showing 3 routes with distances. The map can be found in the lobby on the display screens and in a brochure format.

90 Stand Up Desks Purchased 4 Adjustable Stand-Up Varidesks $375 a piece 11 people tried it and 9 people loved it!

91 Other Activities One on one health coach Healthy cooking class Lunch and Learns Setting Healthy Goals Balance The Skinny on Healthy Fats Hip Hop Zumba Biggest Loser Challenge

92 Looking Back Successes Jon Verret thought he had arthritis in his knee. Through a one on one health coaching he discovered he had an inflamed tendon. With proper treatment, he has pain relief. Brian Cox has a hamstring injury. He has felt pain relief by utilizing the stand up desk instead of sitting all day. Biggest Loser group (8 people) lost 30.78% of their body fat. The winner lost 14 pounds! Challenges Sharing the stand up desks. We have 4 desks and 9 people who want to use them permanently. Relying on a vendor to complete the walking map has been difficult. It took longer to implement than originally scheduled.

93 Questions

94 Thank You

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