Wellness and Disease Management

Lesson 1: Definition and Purpose of Wellness and Health Promotion

  1. Personal Wellness: The Six Dimensions of Wellness Defined
    1. Physical
    2. Social
    3. Emotional
    4. Intellectual
    5. Occupational
    6. Spiritual
  2. Health Promotion: The Organization of Wellness at the Worksite
    1. Definition
    2. Purpose
  3. History of Worksite Health Promotion
    1. Emergence of the Wellness Model
    2. Evolution of Worksite Wellness
      1. The Health and Fitness Model
      2. The Wellness Management Model
      3. The Health and Productivity Model
  4. Health and Productivity Management: Best Practices
  5. Employer – Employee Partnership
    1. Benefits to Employer
    2. Benefits to Employee

Lesson 2- The Business Case for Worksite Wellness

  1. The Business Case for Worksite Health Promotion – An Introduction
  2. Iceberg Phenomenon: Direct and Indirect Costs
    1. An Overview
  3. Health Care Costs
  4. Risk Factors (Single and Multiple)
  5. Absenteeism
  6. Worker’s Compensation
  7. Short Term / Long Term Disability
  8. Employer of Choice / Retention
  9. Presenteeism
  10. Productivity
  11. Cost Savings and Return on Investment (ROI)
    1. Other Examples of ROI

Lesson 3: The Healthcare Continuum: Managing Modifiable Health Risks

  1. Introduction to the healthcare continuum concept
  2. Five segments of the healthcare continuum
    1. Low Risk
    2. At Risk
    3. Acute Illness/Injury
    4. Chronic Disease
  3. Catastrophic / Traumatic Injury or on Disability
  4. Cost associated with the Healthcare Continuum
    1. Costs of Chronic Disease
  5. Health productivity management / wellness programming integrated along the Healthcare Continuum

Lesson 4: The Role of Disease Management

  1. What is disease management?
  2. How disease management programming works
  3. A typical disease management program for treating diabetes
  4. The business case for disease management
    1. Asthma
    2. Congestive Heart Failure
    3. Diabetes
    4. Depression
    5. Multiple Conditions

Lesson 5 Worksite Wellness Program Basics

  1. Program Lifecycle
    1. Start Up and Pilot Testing
    2. Integration and Cross Promotion
    3. Maintenance
    4. Growth
  2. Organizational Pond
  3. "High Tech vs. High Touch" Challenge
  4. Legal Considerations

Lesson 6: Program Development: Phases of a Worksite Wellness Program

  1. Initial Planning
    1. Management Commitment and Support
    2. Program Champions
    3. Wellness Team
      1. Wellness Team Role
    4. Data Collection and Analysis
  2. Conceptual Definition
    1. Philosophy and Scope (Strategic Plan)
    2. Program Design (Operating Plan)

Lesson 7: Program Development: Phases of a Worksite Wellness Program (Continued)

  1. Implementation and Evaluation
    1. Program Activation
    2. Program Delivery and Marketing
    3. Program Evaluation
      1. Process
      2. Outcome
      3. Impact
      4. Cost Effectiveness Analysis

Lesson 8: Best Practice Worksite Wellness Programming Components

  1. Worksite Wellness Best Practices: A Summary
  2. Program Mix
  3. Levels of Programming (Depth)
    1. Awareness
    2. Behavior Change
    3. Environmental Support
  4. Program Line
    1. Stress
    2. Healthy Eating
    3. Physical Activity
    4. Back Health
    5. Tobacco Dependence
    6. Parenting

Lesson 9: Best Practice Worksite Wellness Programming Components (Continued)

  1. Diffusion of Innovation
  2. Social Support Systems
  3. Momentum and Culture Change
    1. Climate and Culture
    2. Cultural Change Process
      1. Phase I
      2. Phase II
      3. Phase III
      4. Phase IV
  4. Selection of Consultants and Vendors
  5. Conclusion: More on Achieving Best Practices

Lesson 10: Wellness Programs Ideas that Impact Modifiable Health Risks

  1. Modifiable Health Risks
  2. Matrix of Program Lines and Levels of Intensity
  3. Program Ideas
    1. Biometric Screenings
    2. Health Risk Appraisal (HRA)
    3. Health Fairs
    4. Buddy Programs
    5. Challenges and Team Activities
    6. Wellness Coaching
    7. Health Counseling
    8. Nutrition Environment / Dining Services
    9. Work Life Policies
    10. Tobacco Policies
    11. Wellness Ambassadors
    12. Brief Engagement (ASAP)
    13. Walk the Floor
    14. Workshops and Lunch and Learns
    15. Multi-session Classes
    16. Support Groups
    17. Supportive Environment Projects and Capital Expenditures

Lesson 11: Participation, Motivation and Incentive Systems

    1. Health Behavior Change Concepts and Tools
      1. What makes health practice change work?
      2. What initiates successful behavior change?
    2. Incentive Systems
      1. Verification b. Extrinsic / Intrinsic (Tangible / Intangible) Incentives
      2. Cash is King
    3. Legal and Regulatory Issues
      1. Health Insurance Portability and Accountability Act (HIPAA)
      2. American with Disabilities Act (ADA)
      3. Tax Issues
    4. Alignment with Job Performance
    5. Summary of Incentive Principles