WELCOME Thank you for your commitment to Wellness

WELCOME! � Thank you for your commitment to Wellness! � Housekeeping � Restrooms � Handouts � Please silence your cell phones � Dishes � Thank you to the American Institute for Preventive Medicine for providing the 2014 calendars included in your packets � Program review

2014 FABOH Wellness Conference Jeff Butz – Wellness Director January 9, 2014 Stayer Center-Marian University Arthur H. Sadoff Auditorium

FABOH Wellness Steering Committee �Jackie Braatz - City of Fond du Lac �Joanne Schneider - Mid-States Aluminum �Krista Arnhoelter - Society Insurance �Susan Henderson - Hierl Insurance �Lori Schrage - Moraine Park Technical College �Tanya Smith - Sadoff and Rudoy �Kristine Kiesow – Fives Giddings & Lewis

Agenda �Self-Care Program Update �Well City Fond du Lac �Community Physical Activity Challenges �FABOH Internship Program � 2014 Educational Opportunities �Looking into the Future…Pre-Diabetes

Before we get started….

FABOH Self-Care Program

FABOH Self-Care Program � What: A comprehensive Self-Care intervention offered to FABOH Member companies � Eligible: All FABOH Member companies � Resources provided by FABOH include: �Self-Care books �Customizable Power. Point presentation to train employees on how to use the book and the value it provides �Follow-up quizzes to ensure employee engagement �Program evaluation materials (WELCOA Specific) �WELCOA Personal Health Record document to distribute to participants �Personal support and assistance from FABOH Wellness Director

Program Statistics Since Last Year’s Conference: � 11 member companies participated � 2, 229 Self-care books were distributed to FABOH Members Overall including FABOH Wellness Grants from previous years: � 14 member companies participated � 3, 059 Self-Care books were distributed to FABOH Members

Evaluation Outcomes Includes data from 4 employers going back to surveys collected in March 2013: � 179 surveys returned � 55. 8% reported referring to the book � Average of 3. 43 times per � 28 completed a Personal Health Record (Implemented in 2013) � 95. 3% satisfied or very satisfied with the program � 60 doctor’s visits avoided � Cost avoidance of $11, 220 ($187 per visit) � 10 emergency room visits avoided � Cost avoidance of $11, 260 ($1, 126 per visit) Total Cost Avoidance of $22, 480

Key Take Away Points �The shelf-life of these books is no less than 3 years �To date the program has nearly paid for itself in cost avoidance based on the reporting of only 4 of the 14 employers �Economic return from these books will continue as long as promotion of the books continue and programming remains constant �This program meets the requirements for the Self. Care intervention needed to achieve Well Workplace designation

Well City Fond du Lac Update Our progress since last year’s conference:

What is Well City? Well City is an initiative based around WELCOA’s (Wellness Council of America) Well- Workplace award designed to engage entire business communities in improving the health and well-being of their workforce The Vision: To make Fond du Lac’s workforce one of the healthiest in America by developing and delivering results‐oriented, evidence‐based health promotion programs at the worksite

The Goal of Well City Fond du Lac To ensure that a minimum of 20 employers, who collectively employ 20% (~5, 900 employees) of the area’s workforce, achieve Well-Work Place designation within a three year period

Committed Employers • • • • Agnesian Health Care • Aurora Health Care • Citizens. First Credit Union • City of Fond du Lac FABOH • FCEDC • • FDL Association of Commerce • Fives Giddings & Lewis Fond du Lac County Fond du Lac School District • Guaranty Service Group, Inc. • • Hierl Insurance • Holiday Automotive Horicon Bank Jackson Kahl Insurance Lutheran Homes and Health Services Mc. Clone Insurance Mid-States Aluminum Moraine Park Technical College North Fond du Lac School District Quality Packaging Sadoff & Rudoy Society Insurance YMCA

2013 in Review… January � Pre-application approved by the Wellness Council of Wisconsin April � 1 st Advisory board meeting – approval of Well City Fond du Lac logo May � Strategic Plan submitted to Wellness Council of Wisconsin August � Strategic Plan approved (Deadline to meet 20/20 requirement – August 31, 2016) � Marks the official launch of the Well City Fond du Lac initiative September � Advisory board meeting � Launching of committee structure October � Well-Workplace University hosted in Fond du Lac November � Well City Fond du Lac Kick-Off Celebration December � First learning circle held FDL YMCA

Well City Fond du Lac Committees � Marketing and Communications �Chair: Jen Walters, Aurora � Training and Resources �Chair: Jayne Tettenborn, Agnesian Healthcare � Recruitment �Chair: Aaron Sadoff, North Fond du Lac School District � Project Management and Mentoring �Chair: Caitlin Buretta, IN Balance LLC. � Fundraising and Sponsorship �Co-Chairs: � Gary Thorpe, Lutheran Homes and Health Services � Marian Sheridan, Fond du Lac School District � Event Coordination �Chair: TBD - First meeting scheduled for 1/28/14

Well City Fond du Lac Evaluation Vendor: Data Mining Research Consultants LLC. Methodology: Tracking of Low, Medium, and High risk prevalence for each biometric measure below using standard cut points from baseline measurement to project completion Measurement Low Risk Title/Range Moderate Risk Title/Range High Risk Title/Range Systolic Blood Pressure Normal Less than 120 Prehypertension 120 -139 High Blood Pressure 140+ Diastolic Blood Pressure Normal Less than 80 Prehypertension 80 -89 High Blood Pressure 90+ HDL Cholesterol Optimal 60+ Mid-Range 40 -59 Low Less than 40 LDL Cholesterol Optimal Less than 100 Moderate risk 100 -129 Borderline high/High 130+ Glucose Normal 74 -99 Pre-diabetes 100 -125 Diabetes 126+ BMI Normal 18. 5 -24. 9 Overweight 25 -29. 9 Obese 30+

2013 Community Wide Physical Activity Challenges

National Employee Health & Fitness Day Employer Challenge What: A one week physical activity and healthy behavior challenge offered to Fond du Lac County Employers �A turn-key toolkit was available for all site leaders to help maximize participation �All participants in the program received a 1 -week free trial membership at participating fitness centers within the area �Participants tracked their minutes of strength, cardiovascular and stretching exercises as well as their completion of bonus point activities �Employers logging the most minutes per participant and highest participation percentage within their division were recognized

National Employee Health & Fitness Day Employer Challenge Winners Point per Participant: �Guaranty Title Services �EP Direct �Moraine Park Technical College �Fond du Lac County Winners Participation: �FABOH �EP Direct �Fives Giddings and Lewis �Fond du Lac School District

2013 Get Up & Go Employer Challenge What? � A 3 -month exercise incentive program/Community Challenge (9/9 – 11/22) Who was eligible to participate? � All employers in Fond du Lac County How the challenge worked? � Participating employers used the comprehensive toolkit provided to customize a program layout and incentive strategy which fit their specific objectives and budget � Similar sized employers competed against each other to earn public recognition, a trophy, and most importantly bragging rights until next year’s challenge � Participants logged minutes using the FABOH Exercise Tracker to minimize the resources needed to implement ** Program design and evaluation materials met the requirements needed for the Exercise intervention within both the WELCOA Small Business and Well Workplace applications**

Program Stats: � 14 employers participated � 694 participants �Average participation percentage of - 20% �~370, 000 points logged

Participating Companies 300+ Division 50 -299 Division 1 -49 Division • Fond du Lac School District • Fond du Lac County • Moraine Park Technical College • Ripon Printers • Fond du Lac YMCA • Lutheran Homes and Health Services • Mid-States Aluminum • Sadoff Iron and Metal • • • EP Direct Fond du Lac Library Guaranty Service Group Guaranty Title INFO-PRO Mortgage Jackson Kahl Insurance

2013 Employer Challenge Winners Ripon Printers – Winners of the 300+ Division � Nikki Willner – Site Leader � Lori Welch Sadoff Iron and Metal – Winners of the 50 -299 Division � Tanya Smith- Site Leader

EP Direct – Winners of the 1 -49 Division Sheri Amidon-Site Leader

FABOH Internship Program � 2013 Wellness Intern: Anna Linke �May – August 2013 �UW-Stevens Point - Health Promotion

Anna’s Accomplishments: � FABOH � Created Get Up & Go Challenge and all materials � Developed multiple promotional and educational flyers for member companies to use � Quality Packaging � Developed and implemented two turn-key wellness incentive programs including all educational and promotional materials � Society Insurance � Updated the existing interest survey and cultural audit to meet the requirements of the WELCOA Well-Workplace designation � City of Fond du Lac � Developed a simplified user guide for the Know and Go software � Updated program materials for the Healthy Habits program � Mid States Aluminum � Provided newsletter articles on a variety of wellness related topics � Created tobacco cessation resource materials � Fives Giddings and Lewis � Updated Don’t Gain, Maintain program materials � Healthy Fond du Lac County 2020 � Developed a blog posting for website

2014 Internship Program �FABOH will again be recruiting a wellness intern to assist and support member companies with their wellness programming �If you are interested in taking advantage of this value added service, be sure to keep your eyes peeled for communications regarding this opportunity coming in the next few weeks �If you know of a qualified intern candidate who may be interested in applying for this position, please email me at jbutz@faboh. com

2014 Educational Opportunities Mark Your Calendars… Well City Fond du Lac - Learning Circle Schedule: � Q 1 2014 �Date: 3/20/14 �Time: 7: 30 -8: 30 A. M. �Topic: “How to” Developing a wellness operating plan �Location: Moraine Park Technical College � Q 2 2014 �Date: 6/19/14 �Time: 7: 30 -8: 30 A. M. �Topic: Well Workplace Award application �Operating Plan Review Workshop, 8: 30 -10: 00 a. m. �Location: Lutheran Homes and Health Services

2014 Educational Opportunities �Q 3 2014 �Date: 9/18/14 �Time: 7: 30 -8: 30 A. M. �Topic: Interventions - Tentative �Location: Aurora-Fond du Lac �Q 4 2014 �Date: 12/11/14 �Time: 7: 30 -8: 30 A. M. �Topic: Wellness budget/incentives - Tentative �Location: Agnesian Healthcare

2014 Educational Opportunities Well Workplace University: �One day comprehensive training centered around implementing WELCOA’s 7 -C model at your worksite �Fall 2014 – Date TBD

Our Next Opportunity…Pre. Diabetes

Pre-Diabetes Defining Pre-diabetes: �Pre-diabetes is a serious health condition that increases the risk of developing type 2 diabetes, heart disease, and stroke � Those with pre-diabetes - have blood sugar levels that are higher than normal, but not high enough for a diagnosis of diabetes �Without lifestyle changes to improve their health, 15% to 30% of people with pre-diabetes will develop type 2 diabetes within 5 years

Pre-Diabetes The Magnitude: �Nationwide- 79 million Americans – 35% of those aged 20 or older have pre-diabetes �Statewide- 1. 46 million aged 20 or older have pre-diabetes �It is estimated that Fond du Lac County has 26, 040 pre-diabetics. (2011 Burden of Diabetes in Fond du Lac County) �An estimated 21. 5% of FABOH members are in the pre-diabetic range (Averaged from HRA results of 9 members)

Pre-Diabetes The Cost of Diabetes: � Nationwide (2012 data): �$176 billion for medical costs �$69 billion productivity costs (indirect) �Total Cost: $245 billion � Statewide (2009 data): �$4. 07 billion in direct costs �$2. 04 billion in indirect costs �Total Cost: $6. 1 billion � Fond du Lac County (2009 data): �$79. 3 million in direct costs �$39. 7 million in indirect costs �Total Cost: $119 million

Creating a Successful Strategy at Your Worksite: 1. Raise awareness of pre-diabetes amongst employees � Just 7% of people with pre-diabetes are aware they condition (CDC) � Provide biometric screenings including glucose with HRA’s � Send targeted letters to those with pre-diabetic glucose levels � Launch an educational campaign on the dangers of pre-diabetes 2. Identify successful intervention options � Research shows that modest weight loss (5 -7% of body weight) and regular physical activity can help prevent or delay type 2 diabetes by up to 58 percent in people with pre-diabetes (CDC) � Getting at least 150 minutes each week of physical activity, such as brisk walking, also is important (CDC) � The National Diabetes Prevention Program led by the CDC � Health Coaching � Intervention from health care providers 3. Develop incentives to drive engagement 4. Implement and evaluate

Questions