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GUIDELINES and GRADING CRITERIA

Workplace Health Promotion Program Project

Description of Assignment: Students will select a company and design a workplace health promotion program which will focus on needed health issues within that workplace. A workplace profile will be required as well as a detailed program including assessment, design, implementation and evaluation. Please reference all borrowed information: APA style.

A 10 minute presentation using PowerPoint is also required.

Company Profile Company profile is complete -name -location -type of industry / business (what does the company produce or services provided) -company mission (how can it be linked to wellness?) -CEO/management (also does management support wellness?) -workforce demographics number of employees gender makeup ethnic makeup average age union or nonunion -built environment -work rotation -major work activities -profit trends (last 5-10 years) -types of health promotion programs already available
Assessment Assessment is complete -identification -identifies health-related problems (ex: obesity, tobacco use, high blood pressure, joint injury, low-back pain, etc.…) -list the identification strategies used, and why (ex: workforce demographic data, employee health records, health care claims and costs, workers’ compensation claims and cost data, worksite environment and health risk appraisal data)

-Assessment -assesses employee’s interest survey -feasibility study 5 questions for a feasibility study:

1) What are the organization’s motives for considering the development of a program? (Ex. absenteeism, aging workforce, image, productivity, etc.….) and what are the organization’s goals for considering the development of a program? (Ex. lower health cost, more productive employees, etc.…..) 2) Is this program cost effective for the organization? Yes or no and why. 3) What is the level of support, need, and interest among employees, middle managers and top managers? 4) Does organization have access to resources needed? 5) What are the key factors to be considered during the design of the program?

Design/Planning Review collected data in previous section to answer the following four questions: 1) How prevalent is the problem? 2) What are the consequences of the problem? 3) What are the causes of the problem? 4) Which workers in the company are at greatest risk?

-Develop vision and mission statement -Develop goals and objectives (these should be specific and measurable) and activities. -Budget clearly established with justifications.

Implementation -Develop a marketing strategy using the 4 Ps of marketing -Develop a promotion poster or newsletter -Describe methods to promote program adherence and recruitment of employees that do not participate and high risk employees: -verbal support -written feedback -discuss incentives -discuss how to identify employee’s values, interests and readiness to participate (surveys, incentives, rewards) -Discuss how these influencing factors might affect implementation: -management support -employee support -wellness committee member’s responsibility -knowledge and experience of wellness director
Evaluation -Review your program’s goals and objectives. establish a time frame, measurement intervals design.(questionnaires, health risk appraisals, health care claims data report, absenteeism logs, productivity reports, etc.…)

-Perform measurement process evaluation: Questionnaires designed for feedback from employees about the program to determine if changes are needed to be more effective outcome evaluation: Data which will determine if the program actually improves the health/lifestyles/productivity of employees. This can be obtained by health risks appraisals, healthcare claims data report, absenteeism logs, productivity reports or specific results such as fitness level, weight, etc.…

-Discuss how you will provide feedback to employee and management

References

APA Format & Presentation Style

Provides reference for the materials being reviewed. Presentation was presented with knowledge of content.

PH 402 WORKSITE HEALTH PROMOTION PLANNING PROCESS

(GO OVER THESE QUESTIONS BEFORE YOU CONDUCT YOUR COMPANY INTERVIEW. SOME OF THESE QUESTIONS MAY BE ANSWERED BY THE COMPANY.)

COMPANY PROFILE

NAME

LOCATION

TYPE OF INDUSTRY / BUSINESS (WHAT DOES THE COMPANY PRODUCE OR SERVICES PROVIDED)

COMPANY MISSION (HOW CAN IT BE LINKED TO WELLNESS?)

CEO/MANAGEMENT (ALSO DOES MANAGEMENT SUPPORT WELLNESS?)

WORKFORCE DEMOGRAPHICS

NUMBER OF EMPLOYEES

GENDER MAKEUP

ETHNIC MAKEUP

AVERAGE AGE

UNION OR NONUNION

GEOGRAPHICAL MIX (WHAT TYPE OF AREA IS IT LOCATED)

BUILT ENVIRONMENT

WORK ROTATION

MAJOR WORK ACTIVITIES

PROFIT TRENDS (LAST 5-10 YEARS)

TYPES OF HEALTH PROMOTION PROGRAMS ALREADY AVAILABLE

BASIC PHASES OF HEALTH PROMOTION PROGRAM DESIGN

I. INITIATING WORKSITE HEALTH PROMOTION

II. PLANNING WORKSITE HEALTH PROMOTION PROGRAMS

III. ACCOMPLISHING AND EVALUATING WORKSITE HEALTH PROMOTION

PHASE I

MUST FIRST ANSWER FOUR BASIC QUESTIONS: (THESE CAN BE ANSWERED FROM THE COMPANY PROFILE INTERVIEW)

1. ORGANIZATION’S READINESS FOR A WHP?

2. DOES THE COMPANY EXPECT REALISTIC OUTCOMES?

3. HOW PARTICIPATIVE WILL MANAGEMENT BE?

4. HOW EXTENSIVE DOES MANAGEMENT WANT THE PROGRAMS TO BE?

PHASE II

(COLLECTING DATA) DETERMINES IF THE ORGANIZATION SHOULD OR SHOULD NOT DEVELOP A PROGRAM

-IDENTIFICATION

IDENTIFIES HEALTH-RELATED PROBLEMS

(EX: OBESITY, TOBACCO USE, HIGH BLOOD PRESSURE, JOINT INJURY, LOW-BACK PAIN, ETC…)

LIST THE IDENTIFICATION STRATEGIES USED, AND WHY

(EX: WORKFORCE DEMOGRAPHIC DATA, EMPLOYEE HEALTH RECORDS, HEALTH CARE CLAIMS AND COSTS, WORKERS’ COMPENSATION CLAIMS AND COST DATA, WORKSITE ENVIRONMENT AND HEALTH RISK APPRAISAL DATA)

-ASSESSMENT

ASSESSES EMPLOYEE”S INTEREST

-INTEREST SURVEY (SAMPLE: TEXTBOOK CH. 2)

-FEASIBILITY STUDY

5 QUESTIONS FOR A FEASIBILTY STUDY:

1. WHAT ARE THE ORGANIZATION’S MOTIVES FOR CONSIDERING THE DEVELOPMENT OF A PROGRAM? (EX. ABSENTEEISM, AGING WORKFORCE, IMAGE, PRODUCTIVITY, ETC….) AND WHAT ARE THE ORGANIZATION’S GOALS FOR CONSIDERING THE DEVELOPMENT OF A PROGRAM? (EX. LOWER HEALTH COST, MORE PRODUCTIVE EMPLOYEES, ETC…..)

2. IS THIS PROGRAM COST EFFECTIVE FOR THE ORGANZATION? YES OR NO AND WHY.

3. WHAT IS THE LEVEL OF SUPPORT, NEED, AND INTEREST AMONG EMPLOYEES, MIDDLE MANAGERS AND TOP MANAGERS?

4. DOES ORGANIZATION HAVE ACCESS TO RESOURCES NEEDED?

5. WHAT ARE THE KEY FACTORS TO BE CONSIDERED DURING THE DESIGN OF THE PROGRAM?

· FEASIBILITY GRID OF TOP THREE INTEREST FROM INTEREST SURVEY (SAMPLE: TEXTBOOK CH.2)

-PLANNING

REVIEW COLLECTED DATA IN PREVIOUS SECTION TO ANSWER THE FOLLOWING FOUR QUESTIONS:

1. HOW PREVALENT IS THE PROBLEM?

2. WHAT ARE THE CONSEQUENCES OF THE PROBLEM?

3. WHAT ARE THE CAUSES OF THE PROBLEM?

4. WHICH WORKERS IN THE COMPANY ARE AT GREATEST RISK?

DEVELOP VISION AND MISSION STATEMENT (SAMPLE: TEXTBOOK CH 3)

DEVELOP GOALS AND OBJECTIVES (THESE SHOULD BE SPECIFIC AND MEASURABLE. EX. PROGRAM GOAL = IMPROVE THE HEALTH OF HIGH-RISK EMPLOYEE BY REDUCING THE HIGH-RISK CATEGORY BY 10% IN 1 YEAR) EX. PROGRAM OBJECTIVE = AT THE END OF 1 MONTH, AT LEAST 80% OF ALL EMPLOYEES WILL BE ACTIVELY INVOLVED IN A PERSONALIZED RISK-REDUCTION PROGRAM.

EXAMPLE OF ORGANIZATIONAL HEALTH INDICATORS

· REDUCTION IN MEDICAL COSTS

· ENHANCED IMAGE

· IMPROVED PRODUCTIVITY

EXAMPLE OF EMPLOYEE HEALTH INDICATORS

· TOBACCO USE

· BODY WEIGHT

· COPING SKILLS

· EATING HABITS

BUDGET: EXPENSE MANAGEMENT GRID

FILL IN THE MAJOR EXPENSE CATEGORIES FOR YOUR PROGRAM. YOU DO NOT HAVE TO USE ALL CATEGORIES. WE WILL ASSUME YOU WILL NOT HAVE TO PAY FOR FACILITIES OR UTILITIES.

USE THIS INFORMATION TO ESTIMATE YOUR ONE YEAR BUDGET.

PERSONNEL FACILITIES UTILITIES EQUIPMENT MATERIALS ADVERTISING MAINTENANCE
FULL-TIME N/A N/A
PART-TIME N/A N/A
SERVICES NEGOTIATED N/A N/A
SERVICES CONTRACTED N/A N/A
SERVICES DONATED N/A N/A
ON-SITE OPERATION N/A N/A
OFF-SITE OPERATION N/A N/A
PURCHASE NEW N/A N/A
PURCHASE USED N/A N/A
LEASED N/A N/A
DONATED N/A N/A
RENTED N/A N/A
OTHER (LIST) N/A N/A

TOTAL ESTIMATED ONE YEAR BUDGET =

BUDGET NARRATIVE:

PERSONNEL

SALARIES & WAGES:

DIRECTOR SALARY $ XX,XXX

FRINGE BENEFITS (SALARY X 26%) $ X,XXX

CONSULTANTS ($$/HR)

OTHERS???

EQUIPMENT

WEIGHTS

CARDIO EQUIPMENT

ADDITIONAL EQUIPMENT

OTHERS???

MATERIALS

SUPPLIES (TOWELS, DISINFECTANT, SOAP, ETC)

OTHERS???

ADVERTISING

BROCHURES

SIGNS

OTHERS???

MAINTENANCE

MAINTENANCE OF EQUIPMENT

TRAINING OF NEW PERSONNEL

OTHERS???

TOTAL BUDGET $XX,XXX

PHASE III

DEVELOPMENT & IMPLEMENTATION

DEVELOP A MARKETING STRATEGY USING THE 4 PS OF MARKETING

(ANSWER THE QUESTIONS IN TEXTBOOK ON THE 4 PS OF MARKETING CH 7, TABLE 7.1)

DEVELOP A PROMOTION POSTER (EX: TEXTBOOK, FIGURE7.1)

DESCRIBE METHODS TO PROMOTE PROGRAM ADHERENCE AND WAYS TO RECRUIT EMPLOYEES THAT DO NOT PARTICIPATE AND HIGH RISK EMPLOYEES

· VERBAL SUPPORT

· WRITTEN FEEDBACK

· DISCUSS INCENTIVES

· DISCUSS HOWTO IDENTFY EMPLOYEE’S VALUES, INTERESTS AND READINESS TO ACT (SURVEYS, INCENTIVES,REWARDS)

DISCUSS HOW THESE INFLUENCING FACTORS MIGHT AFFECT IMPLEMENTATION

· SECURING EMPLOYEE SUPPORT

· COMMITTEE MEMBER’S JOBS

· KNOWLEDGE AND EXPERIENCE OF WELLNESS PLANNER

· PROFITABILITY & ORGANIZATION TRANSITIONS (ECONOMIC SITUATIONS, LAYOFFS, ETC.)

EVALUATION

· REVIEW YOUR PROGRAM’S GOALS AND OBJECTIVES. ESTABLISH A TIME FRAME, MEASUREMENT INTERVALS

DESIGN.(QUESTIONNAIRES, HEALTH RISK APPRAISALS, HEALTH CARE CLAIMS DATA REPORT, ABSENTEEISM LOGS, PRODUCTIVITY REPORTS, ETC…)

· PERFORM MEASUREMENT

· PROCESS EVALUATION: QUESIONNAIRES DESIGNED FOR FEEDBACK FROM EMPLOYEES ABOUT THE PROGRAM TO DETERMINE IF CHANGES ARE NEEDED TO BE MORE EFFECTIVE

· OUTCOME EVALUATION: DATA WHICH WILL DETERMINE IF THE PROGRAM ACTUALLY IMPROVES THE HEALTH/LIFESTYLES/PRODUCTIVITY OF EMPLOYEES. THIS CAN BE OBTAINED BY HEALTH RISKS APPRAISALS, HEALTHCARE CLAIMS DATA REPORT, ABSENTEEISM LOGS, PRODUCTIVITY REPORTS OR SPECIFIC RESULTS SUCH AS FITNESS LEVEL, WEIGHT, ETC…

· DISCUSS HOW YOU WILLPROVIDE FEEDBACK TO EMPLOYEE AND MANAGEMENT

1)

hecklist For A Successful Program

Possible Solutions for Your Workplace
Check the items that apply to your workplace. If fewer than 10 items are checked yes, more work is needed.
Yes No 1. Top management supports the program.
2. The company has a designated budget for health promotion.
3. The program is free or inexpensive to employees.
4. Qualified personnel operate the program.
5. The program staff seeks regular input from both management and employees.
6. Opportunities to participate in the program are convenient for all employees.
7. Health screenings and staff surveys are conducted regularly to assess employees’ needs and interest
8. Attractive and informative program materials are available for employees to use at work and at home.
9. When possible, health promotion activities are open to dependents and retirees.
10. The company’s mission statement cites a healthy workforce among its top priorities.
11. The program provides both general and customized health promotion activities for employees at all work locations.
12. The company gets involved in local health promotion programs to show its commitment to improving the community’s health status.

The Four Ps of Marketing (text pg. 123)

Questions to Address Considerations Your Workplace
Product 1. What is our product, program or service?

2. Is it tangible, visible and measurable?

3. What is the employee’s or client’s need for the product, program or service:

· To look better?

· To feel better?

· To be more productive?

· To lower health risk?

· To socialize with others?

Define the product, program or service in precise, easy to understand terms.
Price 1. Should participants be charged?

2. Can employee/company reasonably afford the product, program or service?

3. Does the product, program or service produce a greater benefit than costs?

Cost may be an extremely important factor in small businesses and other organizations with tight budgets. Determine the probable cost savings of the product, program or service with cost-effectiveness analysis or benefit-cost analysis (Chapter 8).
Placement 1. Who will receive the product, program or service:

· All employees?

· Employees with specific risk factors?

· Only high-risk employees?

· Only men or only women?

2. Which employees are likely to benefit from the product, program or service?

Consider breaking the workforce into segments based on specific attributes:

· Age

· Family size

· Education level

· Work shift

· Past participation status

Promotion 1. What types of incentives can be used to make the product, program or service appealing?

2. What is the best time to promote the product, program or service?

3. Where should promotional efforts be directed?

4. What promotional techniques should be used?

1. A demonstrated benefit must be shown to employees: freebies, discounts, personal coaching / training.

2. Periods of layoffs, sluggish business or talks of mergers are not good times.

3. On-site: workstations, cafeterias, break areas, health clinics, or safety meetings. Off-site: mailings to employee homes.

4. Emails, company website, newsletter, bulletin boards, on-site television channels, health-plan benefit week.

Coaching Strategies Tailored to Specific Stages of Change Stages of Change Model describes the various levels of a person’s readiness or motivation to change behaviors. (Prochaska, Norcross and DiClemente 2004).

Stage Coaching Strategies
1. Precontemplation -Assess personal health status of client

-Assess priorities related to personal health with client

-Assess client’s level of readiness to act

-Inform client that taking action is important, personally beneficial and achievable

2. Contemplation -Ask open-ended questions to assess client’s intentions and readiness to act

-Avoid giving action-oriented instructions, such as adopting a particular diet plan

-Help client understand the advantages of acting outweigh disadvantages of not living a high-quality life

-Use reflective listening to build client’s self-esteem (e.g. It seems as if you understand the connection between a lack of regular exercise and lacking energy)

-Help client identify positive role models

-Ask clients to set realistic goals

3. Preparation -Ask clients to set realistic goals, if they haven’t already done so

-Help clients identify an incentive that would motivate them to take action

-Ask clients to identify potential barriers to action and ways to overcome them

-Encourage clients to act on their goals in progressive steps

4. Action -Reinforce clients good actions

-Encourage clients to tract personal progress and tell others

-Ask clients to identify potential barriers to action and ways to overcome them

-Encourage clients to act on their goals in progressive steps

-As clients progress, encourage them to move beyond initial goal

5. Maintenance -Reinforce clients good actions

-Encourage clients to review personal progress and revise goals, if necessary

-Encourage clients to track personal progress and tell others

-Ask clients to identify potential barriers to action and ways to keep them from causing a relapse

-Provide clients with handouts, articles, testimonials, and personal screening and progress results to reinforce the benefits of maintaining

-In subsequent coaching sessions, encourage clients to personally set a new goal or add some variety to their personal health plan

Framework for Incentives & Rewards

After reviewing this framework for incentives and rewards, fill out the following worksheet for your workplace.

Types Tangible

· Merchandise

· Discounts on health-plan premiums

· Wellness days off

· Lottery for free trip

· Health club membership

· Lifestyle/health coaching

Intangible

· Recognition

· Sense of belonging

· Competition

· Participating on company time

· Self-accomplishment

Best time

To administer

Incentives are offered before participation, rewards are offered when certain goal are achieved.

Note: Tangible incentives should be aggressively offered early on to boost enough participation to produce intrinsic (internal) rewards. Tangible incentives may be necessary at certain intervals to maintain participation.

Promotion Techniques Several weeks prior to a program:

E-mail

Printed mailing to employees’ residences

Worksite posters

Table tents cards

Newsletters

Suggested Financial Investment HRA participation rates increases about 10% for every $50 increase

For each $100 increase, program participation is likely to increase 5% -0 10%

Incentives ranging from $350 – $550 typically generate program participation levels of 60% to 80%

Note: Choose a financial value that can be sustained for a long period of time

Evaluation method Aggregate HRA data

Participants’ self-report

Corporate medical costs

Medical claims

Biometric screening results

Legal considerations (HIPPA) Avoid incentivizing test results

Financial incentives can’t exceed 20% (30% in 2014) of the annual cost of an employee’s health plan.

Offer reasonable alternatives as incentive criteria based on health status or activity (example: if rewarding nonusers of tobacco, a reasonable alternative for tobacco users must be established, such as participating in a smoking cessation program).

Legal considerations

(GINA)

If using an HRA, exclude any questions relevant to family history, personal medical history or genetics

Framework for Incentives & Rewards

Your Workplace

Types Tangible Intangible
Best time

To administer

Promotion Techniques Several weeks prior to a program:
Suggested Financial Investment
Evaluation method
Legal considerations (HIPPA) Issue specific to your workplace:
Legal considerations

(GINA)

Issues specific to your workplace:

Managing Risk and Liability at Your Workplace

Read the following procedures for managing your risk and liabilities at the workplace. Consider your workplace and what procedures are in place versus what needs to be implemented.

Procedures Process in place Need to implement process
Have clear and concise policies posted and explained to all participants
Use only certified exercise instructors and staff
Require participants in high-risk activities to wear appropriate clothing and use appropriate equipment at all times
All equipment and facilities should feature clear, easy-to-see instructions with precautionary warnings
Explain possibly injuries associated with aerobics, racquetball, weightlifting and other activities to all participants before they begin
Require employees to sign an informed consent form before participating
Use only nationally recognized screening test and procedures
Develop and follow a reliable system of injury reporting
Have a clearly established system and support personnel in place to handle any injuries or emergencies
Develop a hierarchy of supervision to ensure accountability for all phases of the program and facility operations
Designate specific duties and chain of command
Others
Type of Worker Characteristics Challenges
Die-hard Workers Strong interest and regular participation in health programs Easy to reach

Utilize their enthusiasm for promoting program

Do not take this group for granted, keep their interest and needs in mind when planning programs

The Dependers Express interest in their health, but often need tangible incentives and regular encourage from family members, coworkers and staff members to regularly participate in health enhancement activities Harder to reach

Reminders and follow-up is essential to keep them engaged

Keep family involved as much as possible

The Conditionals Might participate if the conditions are personally appealing Offer free programs on company time

Encourage buddy system

Make participating as easy as possible

The Resisters Little interest in personal health

Delay lifestyle change until major crisis

Interest surveys can help staff determine their values and interest and design programs accordingly
Other Types

 

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