worksite health promotion … career options for the 21st century east carolina university...
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Worksite Health Promotion
…Career Options for the 21st Century
Worksite Health Promotion
…Career Options for the 21st Century
East Carolina UniversityEast Carolina UniversityDepartment of Health Education & PromotionDepartment of Health Education & Promotion
----------------------------------------------------------------------------------------------------------------------College of Health & Human Performance
East Carolina UniversityEast Carolina UniversityDepartment of Health Education & PromotionDepartment of Health Education & Promotion
----------------------------------------------------------------------------------------------------------------------College of Health & Human Performance
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The Evolution of Worksite Health PromotionThe Evolution of Worksite Health Promotion
Worksite: “A setting, influenced by organizational, cultural, and environmental factors, where work is performed and employees services are provided.”
RecreationalBenefits
Enhancement
Alcohol Abuse
Treatment
1890’s 1930 1950 1970 1980 1990 2000 2010
StructuredExercise
< - Health Management - >
“Wellness”Programming
Horseback rides, gymsindoor swimming, etc.
•Pullman•Nat’l Cash
Register
• Hershey Foods
Employee Assistance Programs
Safety
OccupationalSafety & Health
Act
•All worksites
•PepsiCo•NASA
• Kimberly-Clark• Sentry Ins.
• Quaker Oats• Union Pacific
• Steelcase• Chevron
• First Chicago Bank
“Business Strategy”
• Many Fortune500 firms
Health &ProductivityManagement
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Why are worksites doing WHP? Why are worksites doing WHP?
Enhances ImageBoosts job SatisfactionRecruitment & RetentionEnhances CompetitivenessDecreases absenteeismContains Workers CompContains health care Costs
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USA Medical Costs - Double Every DecadeUSA Medical Costs - Double Every Decade
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
$3,500
1960 1970 1980 1990 2000 2010Proj.
Source: Centers for Medicare and Medicaid, Office of the Actuary.Source: Centers for Medicare and Medicaid, Office of the Actuary.
$ Billions $ Billions
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Business & Industry Pay 50% of the USA Health Care Tab…
Business & Industry Pay 50% of the USA Health Care Tab…
In 2004, employer-paid health insurance became the most expensive employee benefit since fringe benefits were first
granted in the 1940’s…
Medical33%
V/H/SL32%
Other35%
Source: 10th Annual Employer Report. Employment Policy Foundation, Washington, D.C. August 2005.
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58%22%
8%
7% 5% Health Care
Turnover
Unsched.AbsencesNon-occup.DisabilityWorkers'comp
Poor Health and Lost Productivity Costs by Percentage
[ Median annual costs per employee = $8,621 ]
Source: American Productivity and Quality Center. “Health and Productivity Management: Consortium Benchmarking Study, Best-Practice Report.” 1998. Houston, Tx.
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Work Impairment Tied to LifestyleKessler RC, et al. J Occup Environ Med. 2001; 43(3): 218-225.
Work Impairment Tied to LifestyleKessler RC, et al. J Occup Environ Med. 2001; 43(3): 218-225.
Prevalence of Conditions/30-Day Work Impairment
0% 10% 20% 30% 40% 50% 60% 70%
Arthritis
Asthma
Diabetes
High blood pressure
Autoimmune disease
Ulcer
Cancer
Heart disease
Major depression
Panic
General anxiety disorder
Substance dependence
Percent With Work Impairment
Work impairment/condition
Prevalence of Conditions/30-Day Work Impairment
0% 10% 20% 30% 40% 50% 60% 70%
Arthritis
Asthma
Diabetes
High blood pressure
Autoimmune disease
Ulcer
Cancer
Heart disease
Major depression
Panic
General anxiety disorder
Substance dependence
Percent With Work Impairment
Work impairment/condition
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Why the Focus on HPM/WHP?Why the Focus on HPM/WHP?
Lifestyle Risk Factors•Physical inactivity
•Stress•Smoking
•Poor nutrition•No seat Belts
•Multiple Health Risks
Clinical Risk Factors•Obesity•Blood pressure•Cholesterol•Blood sugar •Musculoskeletal
Direct Health Impact•Medical problems•Health status
Indirect Outcome•Health care utilization•Health care cost•Absenteeism•Employee productivity•Job/life satisfaction•Other
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Lifestyle Behaviors Account for 50% of Lifestyle Behaviors Account for 50% of a Person’s Health Status…a Person’s Health Status…
Health care10%
Genetics19%
Environmental20%
Lifestyle51%
Sources: Centers for Disease Control and Prevention;
U.S. Department of Health & Human Services.
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Source: Behavioral Risk Factor Surveillance System, CDC.
19961991
2003
One Target for WHP at Worksites: Obesity Trends* Among U.S. Adults
No Data
<10%
10%-14% 15%-19% 20%-24%
25%
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BRFSS, 1985BRFSS, 1985
No Data <10% 10%–14%
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BRFSS, 1990BRFSS, 1990
No Data <10% 10%–14%
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BRFSS, 1995BRFSS, 1995
No Data <10% 10%–14% 15%–19%
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BRFSS, 2000BRFSS, 2000
No Data <10% 10%–14% 15%–19% ≥20
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BRFSS, 2001BRFSS, 2001
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
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No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
BRFSS, 2002
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No Data <10% 10%–14% 15%–19% 20%-24% 25%
Source: Behavioral Risk Factor Surveillance System, CDC
BRFSS, 2003BRFSS, 2003
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How Can WHP Programs Impact:
How Can WHP Programs Impact:
• Obesity?
• Physical inactivity?
• Stress?
• Smoking?
• Diabetes?
• Hyperlipidemia?
• Other risk factors?
• Health information
• Technology
• Personal coaching
• Incentives
• Competitions
• On-site media center
• Fitness centers
• Walking trails
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Where Is WHP Happening?
Everywhere!
Where Is WHP Happening?
Everywhere!
• Small business • Large industrial manufacturing
• Large service operations• Health Care/Hospital
• Municipalities, e.g., city / state government• Federal agencies
• Military bases
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In small business…In small business…
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In mid-sized business settings…
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In military settings…
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Hospitals and Clinics…Hospitals and Clinics…
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Fitness and Rehabilitation Centers…
Fitness and Rehabilitation Centers…
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In City and County Government…
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In large organizations…
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What WHP Specialists Do?What WHP Specialists Do?
Conduct basic health screenings(blood pressure,
body fat, flexibility, etc.)
Assess ergonomic factors and
workstations
Conduct/facilitate pre-work stretch sessions
Plan and administer rehabilitation programs
Coordinate/manage fitness center and
recreation activities
Work with O.H. nurses and medical directors in treating employees with on-
the-job injuries
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Develop departmental competitions..
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Planning Programs
Health Screening
Coordinating EventsWorking with employees
Worksite Health Promotion…
Fitness Prescriptions
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How ECU’s Program Prepares
You for a Career in WHP…
How ECU’s Program Prepares
You for a Career in WHP…
• Undergraduate academic program comprised of market-driven courses
• Electives to be business savvy
• Internships in more than 25 states
• Professors with real WHP experience
• Membership in WELCOA’s University Affiliate Program
• Undergraduate academic program comprised of market-driven courses
• Electives to be business savvy
• Internships in more than 25 states
• Professors with real WHP experience
• Membership in WELCOA’s University Affiliate Program
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WELCOA’s University Affiliate Program…connects you to the
world!
WELCOA’s University Affiliate Program…connects you to the
world!• ECU is one of only 20 university
members of UAP, which provides our WHP majors:- membership to access WELCOA’s website for case studies, an on-line journal, career planning, job listings, and on-line links to hundreds of state and federal associations and agencies…
free of Charge!
• ECU is one of only 20 university members of UAP, which provides our WHP majors:- membership to access WELCOA’s website for case studies, an on-line journal, career planning, job listings, and on-line links to hundreds of state and federal associations and agencies…
free of Charge!
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Professional Skill Development
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Screening X X X X
Issues X X X X X X
Evaluation X X X X
Data Analysis X X X
Exer. Physiol. X
Psychology X X
Technology X X X X X
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Many Local, State, and National Internship Opportunities…Many Local, State, and National Internship Opportunities…
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Local settings…ViQuestLocal settings…ViQuest
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More Opportunities…More Opportunities…
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Where Have ECU’s WHP Majors Interned?
17 states since 1984
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ECU’s WORKSITE HEALTH PROMOTION GRADS
Where Do They Work?
NORTH CAROLINA BAPTIST HOSPITAL/BOWMAN GRAY MEDICAL CTR. ALBEMARLE HEALTH SYSTEM WAKE MEDICAL CENTER VIQUEST [EASTERN CAROLINA HEALTH SYTSEM] UNITED HEALTHCARE GLAXOSMITHKLINE NORTEL CORPORATION SCOTT BENEFIT SERVICES YMCA OF CHARLOTTE
VIRGINIA ARLINGTON (VA) HOSPITAL SYSTEM HEALTH MANAGEMENT CORPORATION
GEORGIA CENTERS FOR DISEASE CONTROL AND PREVENTION KIMBERLY-CLARK CORPORATION FLORIDA GENEX, INC. MARYLAND NATIONAL INSTITUTES OF HEALTH
CALIFORNIA HEWLETT-PACKARD CORPORATION
NEW YORK PFIZER CORPORATION
NEW JERSEY JOHNSON & JOHNSON
ECU’s WORKSITE HEALTH PROMOTION GRADS
Where Do They Work?
NORTH CAROLINA BAPTIST HOSPITAL/BOWMAN GRAY MEDICAL CTR. ALBEMARLE HEALTH SYSTEM WAKE MEDICAL CENTER VIQUEST [EASTERN CAROLINA HEALTH SYTSEM] UNITED HEALTHCARE GLAXOSMITHKLINE NORTEL CORPORATION SCOTT BENEFIT SERVICES YMCA OF CHARLOTTE
VIRGINIA ARLINGTON (VA) HOSPITAL SYSTEM HEALTH MANAGEMENT CORPORATION
GEORGIA CENTERS FOR DISEASE CONTROL AND PREVENTION KIMBERLY-CLARK CORPORATION FLORIDA GENEX, INC. MARYLAND NATIONAL INSTITUTES OF HEALTH
CALIFORNIA HEWLETT-PACKARD CORPORATION
NEW YORK PFIZER CORPORATION
NEW JERSEY JOHNSON & JOHNSON
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Employment of ECUWorksite Health Promotion majors
Employment of ECUWorksite Health Promotion majors
15%
5%
5%
20%
5%10%
15%
15%
10%
Lge Manuf.Mid-size mfr.RehabCaseMgmtHealthcareCollege/UnivCommercial FitCenMan. CareHlth Dept.ContractVendors
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Looking for the Right Major? Consider Worksite Health
Promotion
Looking for the Right Major? Consider Worksite Health
Promotion
Skills-oriented curriculum
Internships
Market-driven courses
Careers in business, industry, healthcare, government, etc.
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Questions…www.ecu.edu/hlth/
Questions…www.ecu.edu/hlth/
For more information on exciting careers in Worksite Health Promotion,
contact:Dr. David Chenoweth
Director of Worksite Health Promotion2209 Carol Belk Building