a better way · • “we have a wellness program are looking for better engagement.” •...
TRANSCRIPT
Creating a Sustainable School-based Culture of Health
Kay Zimmerli HealthWorks Consultant, Kaiser Permanente
Jess Lawrence Director, Cairn Guidance, Inc.
Travis Reeser, Arlington High School Principal
March 25, 2013
A BETTER WAY to build the future
A BETTER WAY to build the future
Who’s in the room?
That’s me!
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A BETTER WAY to build the future
You may have chosen this session…
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• “We have a wellness program are looking for better engagement.”
• “We’re just starting a school wellness program I’m looking for tips on how to get started.”
• “My school is implementing a wellness program but we do a lot of things that aren’t healthy. We send inconsistent messages to our school community!”
• What else?
A BETTER WAY to build the future
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When you think of an organization or business that has a strong culture,
what comes to mind?
A BETTER WAY to build the future
How do we define culture?
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NOUN: – The totality of socially transmitted behavior patterns, arts, beliefs,
institutions, and all other products of human work and thought.
– These patterns, traits, and products considered as the expression of a particular period, class, community, or population: Edwardian culture; Japanese culture; the culture of poverty.
– These patterns, traits, and products considered with respect to a particular category, such as a field, subject, or mode of expression: religious culture in the Middle Ages; musical culture; oral culture.
– The predominating attitudes and behavior that characterize the functioning of a group or organization.
Houghton Mifflin: American Heritage Dictionary
A BETTER WAY to build the future
Culture is … group-specific behavior acquired from social influences.
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1. A new pattern of behavior is invented, or an existing one is modified.
2. The innovator transmits this pattern to others.
3. The form of the pattern is consistent within and across performers.
4. The one who acquires the pattern retains the ability to perform it long after having acquired it.
5. The pattern spreads across social units in a population.
6. The pattern endures.
A BETTER WAY to build the future
Describe a Healthy School environment in 6 words or less!
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Text message your response to KEYCODE: 22333 Begin text message with: ###### Followed by your 5 words
Example To: 22333 Message: ###### Chaotic, hierarchical, stifling, angry, and morbid
A BETTER WAY to build the future
Why Focus on School Wellness?
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Unhealthy behaviors
Health risks
Chronic disease
Employee- related expenses
Reason #1 – Financial
What can we do to prevent chronic disease and reduce health risks in our schools?
Health Care Statistics, PreventDisease.com
A BETTER WAY to build the future
Why focus on wellness?
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Health care premiums
Short term disability Long term disability
Absenteeism
Presenteeism
100
80
60
40
20
0
% total expenses Reason #2 – Increased Efficiency
A BETTER WAY to build the future
Why focus on wellness?
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71% 70%82%
91%
Cancers Stroke Heart disease Diabetes
Reason #3 – Support Employee Safety & Health
Cancers: National Cancer Institute Stroke: “Stroke Facts,” Stroke Association of Southern California. Heart disease: MJ Stampfer et al, July 2000. Diabetes: 2008 National Diabetes Association
A BETTER WAY to build the future
A Healthy School environment is…
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A BETTER WAY to build the future
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Healthy Eating
Good health matters
Workers who eat healthy are 25% more likely to perform better on the job.*
Physical Activity
Regular physical activity and good nutrition help students earn higher grades.†
+ Better Performance* =
*Ray M. Merrill, PhD, MPH, et al., “Self-Rated Job Performance and Absenteeism According to Employee Engagement, Health Behaviors, and Physical Health,” Journal of Occupational and Environmental Medicine, January 2013. †“Physical Inactivity and Unhealthy Dietary Behaviors and Academic Achievement,” 2009 National Youth Risk Behavior Survey, U.S. Department of Health and Human Services/Centers for Disease Control and Prevention.
A BETTER WAY to build the future
Staff Development
An uncoordinated school health system Absentee
Rate
Community Based Organizations
Parent Involvement
Psychological Services
Nutrition Education
Graduation Rate
Colleges & Universities
Student & Family
Drop Out Rate
Social Services
Academic Intervention
Assessment Results
Health Services
Community Leadership
School Board Leadership
Student Achievement
School
After School Programs
Physical Education
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A BETTER WAY to build the future
Coordinated school health
http://www.cdc.gov/HealthyYouth/CSHP/
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A BETTER WAY to build the future
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Primary Goal • Improved health,
productivity, academic achievement, schools census as co-benefits
Focus Areas • Healthy Eating • Active Living • School Climate
Targets • Students • Staff and teachers • School environment
Key Strategies
Peer-to-peer learning
Youth empowerment
Parent & community
engagement
Staff as wellness
champions
District Leadership engagement
Thriving Schools – Scope and Design
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A BETTER WAY to build the future
Winning strategies for success
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1. Start at the top 2. Paint a picture 3. Tell everyone 4. Support each other 5. Make it fun
What could possibly go wrong?
A. Lack of leadership support B. Employee buy-in/trust C. Limited participation
A BETTER WAY to build the future
Many factors shape health
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Medical Care 10% Personal
Behaviors 40%
Environmental and Social
Factors 20%
Family History and Genetics
30%
Source: McGinnis et al, Health Affairs, 2002
A BETTER WAY to build the future
School Employee Wellness Planning Guide Assess current state Get leadership endorsement Review and collect data to determine
areas to target
18
STEP 2
Plan
STEP 1
Assess
STEP 3
Engage
STEP 4
Measure
1
2 Develop a strategic plan Form a wellness committee Set goals and agree on metrics Determine incentives Develop a calendar
4 Measure, and celebrate success! Evaluate your program Share the results
Engage your workforce Implement your workforce health program Keep employees engaged through ongoing
communication
3
March 25, 2013 | © Kaiser Permanente 2013. All Rights Reserved.
A BETTER WAY to build the future
Thrive Break!
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A BETTER WAY to build the future
Why Wellness?
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A Case Study: Arlington School District Travis Reeser, High School Principal 541-454-2632 [email protected]
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Our goals
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•Increase activity level of staff
•Increase nutritional awareness of staff
•Provide an outlet and support system for staff
Change the attitude of staff Change school and community culture
A BETTER WAY to build the future
Our process
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•Engaging Administrators -data to support program -Minimal to no cost -No added work to them •Designated Key Staff Members -Staff Survey •Designate and secure funds -district funds -grant dollars
•Secure Facilities -School -Church •Schedule classes and activities •Design incentives •Design tool for tracking activity
A BETTER WAY to build the future
Survey
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•Limited response (culture issue)
•Many responses “I don’t know” or “It doesn’t matter”
•Took specifics and my own ideas and ran with them
A BETTER WAY to build the future
Key learnings
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•Target the right people initially
•Provide incentives that are meaningful
•Make parts of it competitive (but be careful)
•Listen to their ideas
A BETTER WAY to build the future
Overall impact
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•Slight Culture Shift -Baby steps -Unity -Trust •Increase in staff energy – in and out of the class •Improved community relationships
Impact on Sick Leave
21% savings year one 53% savings in year two
$8,380 Total savings in two years
Days/Per Per/Empl Total
Sick Days Empl Cost Cost Savings
2010-2011 46 5.75 $1437.5 $11500 $0
2011-2012 36.5 4.56 $1140 $9120 $2380
2012-2013 22 2.75 $687.5 $5500 $6000
A BETTER WAY to build the future
Considerations
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•Your approach – Don’t start too fast and furious
•Ease into it
•Avoid making people feel “fat” •Contests/challenges •Base them around activity – not fat loss •Make them fun – something that everyone can participate in (pedometer challenge)
A BETTER WAY to build the future
Look for synergy
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Crosswalk: Aligning current school health initiatives with
SEW efforts/ideas
A BETTER WAY to build the future
Create your own work plan
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A BETTER WAY to build the future
Take the next step…
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A BETTER WAY to build the future
Foundations for a successful program
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Frame the information to make it compelling
Shape the environment
Break the change into bite-size pieces
Leverage the power of the social network
Make it personal and meaningful
Build mastery and self-efficacy
Recognize and celebrate success
A BETTER WAY to build the future
School employee health planning guide Assess current state Get leadership endorsement Review and collect data to determine
areas to target
31
STEP 2
Plan
STEP 1
Assess
STEP 3
Engage
STEP 4
Measure
1
2 Develop a strategic plan Form a wellness committee Set goals and agree on metrics Determine incentives Develop a calendar
4 Measure, and celebrate success! Evaluate your program Share the results
Engage your workforce Implement your workforce health program Keep employees engaged through ongoing
communication
3
March 25, 2013 | © Kaiser Permanente 2013. All Rights Reserved.
A BETTER WAY to build the future
Workforce health and student-focused changes
32
Improving school lunches
Healthier vending machine choices
Increasing physical activity
March 25, 2013 | © Kaiser Permanente 2013. All Rights Reserved.