1. 1 WorkWell Missouri Toolkit Karla Voss, CHES

2. Picture here Toolkit Pilot Project Includes: Training Surveys (pre and post) Contact with a regional contact At least 6 months Funds may be available 2

3. (MAP) Of regional contacts and pilots 3

4. WorkWell Missouri Toolkit Step 1: Purpose Step 2: Getting Started Step 3: Assessing Step 4: Planning Step 5: Implementing Step 6: Evaluating Appendices: Checklists, Samples and Resources http://extension.missouri.edu/hes/workwell/ 4

5. The Process 5

6. What is Worksite Wellness? An ideal healthy worksite has opportunities for employees to: O Be physically active O Eat healthful foods O Live tobacco-free O Reduce stress 6

7. Step 1: Purpose employers: Potential benefits to employers: Employee turnover Absent/presenteeism Cost for chronic illness Organizational commitment to health employees: Potential benefits to employees: Productivity, fitness, health and morale Out-of-pocket health care costs Social support within the workplace Safer work environment 7

8. Return on Investment O Studies have shown an average of AT LEAST $3.14 in benefits for every dollar spent on worksite wellness programs 8

9. Step 2: Getting Started O Gain commitment from stakeholders O Create a wellness committee O Designate a coordinator O Committee meetings Refer to: O Appendix A: Wellness Coordinator Checklist O Appendix G: Samples for Worksite Wellness Committee 9

10. Step 3: Assessing O Helps identify where to start O Creates a baseline O Shows existing resources and areas needing improvement O Best if done by committee, not 1 person O Surveys employees to gauge interest O Used as a measure for evaluation 10

11. Sample Assessments 11

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13. Step 4: Planning O Prioritize- CDC ScoreCard O Small successes first O WhoWhatWhen O Who will do What by When? O Gather feedback 13

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15. Environment & Policy Changes Environment supports healthy choices Increases the chance for success Helps sustain healthy behaviors 15

16. Policy Changes Formal or informal written statements in place to create an environment that promotes: O Healthy habits O Behavioral incentives O Access to resources 16

17. Environmental Change O The physical or cultural factors at and nearby the workplace that help protect and enhance employee health 17

18. Developing the Content Factors to Consider Importance Cost Time Commitment Reach 18

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22. Employee Readiness to Change Pre-contemplation -not thinking about changing Contemplation -beginning to think about changing Preparation -have tried to change Action -taking real steps to change -slip is most likely to occur Maintenance - have changed 22

23. Evidence-Based Resources and Interventions O Physical activity O Nutrition and breastfeeding O Mental health O Tobacco cessation 23

24. Sample Strategies Low resources Support PA breaks during the day Send healthy food messages Medium resources Promote indoor/outdoor walking paths or maps Offer healthy food choices at meetings High resources Provide an on-site exercise facility Provide incentives for participation in activities 24

25. Wellness Objective Example: Goal 1: Our workplace will have healthier food choices for on-site cafeterias and vending machines O Objective 1: By year 1, cost estimates will be gathered from different vendors for the selected foods and ingredients O Objective 2: By year 2, employees will be surveyed on what items they would buy 25

26. Communication is Key! Step 5: Implementing O Market your program -Email, flyers, or announcements at meetings O If you have staff savvy with marketing, recruit them O Wellness Coordinator -Success is linked to time and ability

27. Creating Interest and Motivation O Time O Access O Knowledge and awareness O Cost O Key time periods O Goal setting O Buddy system or teams O Campaigns 27

28. Incentives Motivation~ incentive items attached to small successes Achievement awards Public recognition Food Entertainment Merchandise Monetary rewards or rebates Time off 28

29. Initiative Launch O Should be fun! O Energize employees O Fit the worksite culture O Promote interventions without demanding attendance 29

30. When Implementing: DON’T O Be pushed into a fast startup O Fail to act on employee needs and interests O Overuse incentives O Just focus on the high-risk group O Forget the fun factor 30

31. Step 6: Evaluating How do you know if what you did improved the environment and the bottom line? O Attendance O Sick leave usage O Employee turnover O Morale O Productivity O Health attitudes 31

33. Common Challenges O Budget O Time and resources O Lack of participant engagement 33

34. DHSS Website http://health.mo.gov/living/wellness/worksitewellness/index.php 34

35. Thank You to our Partners 35

36. Picture here Thank You! Pilots should take Pre-Survey http://extension.missouri.edu/hes/workwell/ Good Luck! Your Regional Contact will be in touch with you. 36

37. For More Info: Karla Voss MO Department of Health and Senior Services Jefferson City, MO (573) 751-6197 karla.voss@health.mo.gov karla.voss@health.mo.gov Donna Mehrle University of MO Extension Columbia, MO 573-884-0929 mehrled@missouri.edu 37