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The City of Colorado Springs Reach Your Peak Wellness Program Year 10 3 Step Wellness Program November 1, 2013 October 31, 2014 Wellness Activities & Point Distribution Program Activity STEP 1: KNOW YOUR NUMBERS Point Value On-site Health Screening Required 1 STEP 2: HEALTH AWARENESS Personal Health Assessment (PHA) Required 1 STEP 3: HEALTH IMPROVEMENT PROGRAMS (Must earn an additional 15 Points) Building Blocks to Better Health Challenge (January 2014) 3 3 Time to Move Challenge (March 2014) 3 3 Gimme Five Challenge (June 2014) 3 3 Stress Busters Challenge (September 2014) 3 3 Health Coach Visit with UCCS Wellness Nurse 5 15 Health Coach Activity 3 9 Department Level Activities 3 9 Fitness Tracking 6 12 Healthyroads E-Coaching Courses 1/Course 4 Wellness Representative 5 5 Preventive Screening 1 3 Annual Max Changes for Year 10: Point allocation for Health Improvement Programs (HIP) revised to reflect the level of involvement needed to complete the activity. Remember: Health Screenings will be offered at various locations throughout the RYP program year. The City Employee Medical Clinic will do screenings by appointment only. (No co-pays charged) Health Screenings from your personal health care provider will not be accepted. Official typed copies of lab results within the past 6 months of your health screening appointment will be accepted in place of a Cholestech finger stick at the health screening. The results must include: glucose, total cholesterol, HDL and LDL cholesterol, and triglycerides. (The rest of the Health Screening is still a requirement.) City Health Coaches will be at all Health Screenings to discuss Risk Factors. City Health Coaches will offer various classes throughout the RYP program year that will count toward the required HIP points. If you have a Risk Factor(s), you must show improvement from the previous year s result (or within the last 6 months) in at least one Risk Factor and earn all points by the end of the program year in order to qualify for the reward. Improvement in a Risk Factor will be a 10% decrease in at least one Risk Factor or moving below the published Risk Factor guideline. It is suggested that you have your Health Screening by 3/31/14 in the event you need a second screening in 6 months. 1

You may complete a Personal Health Assessment every 30 days to monitor your progress! Spouses are not able to participate in the Reach Your Peak Wellness Program. INCENTIVE CRITERIA STEP 1: Have a required City Health Screening. Health Screenings must be completed at a City sponsored Health Screening (available at different locations throughout the year) or the City Employee Medical Clinic (available by appointment only). Credit for your screening will be tracked by the UCCS Wellness Nurses. Health Screenings from your personal provider will not be accepted. If you have had lab work done in the past 6 months that checked cholesterol levels and glucose AND you bring a copy of the original results to the screening, you can bypass the finger stick station. You will still need to complete the rest of the health screening. You MUST bring a copy of the original lab results, they cannot be hand written on another paper and the results MUST include: fasting glucose, cholesterol, triglycerides, HDL cholesterol & LDL cholesterol. If you have a risk factor(s), you must show improvement in at least one risk factor by the end of the program year (10/31/2014) in order to qualify for the reward. Please refer to the Track 1, 2, or 3 and Risk Factor Sections for further details. It is encouraged that you have a health screening no later than 03/31/14 in the event you need to show improvement in a risk factor. STEP 2: Go to the Reach Your Peak (RYP) website at www.healtyroads.com and use your Health Screening results to complete the required online Personal Health Assessment. STEP 3: Earn 15 additional Health Improvement Program (HIP) Points and enter the points online no later than 10:00 PM MST on 10/31/14. Points can be earned by participating in Challenges, Health Coach Activities, Department Level Activities, Community Classes, Fitness Tracking (must track manually), serving as a Wellness Representative for your department, or meeting with a UCCS Wellness Nurse for Health Coaching. REWARD: Complete all steps and requirements and enter all points on the RYP website no later than 10:00 PM MST on 10/31/2014 to earn your reward. Reward amount: $300 taxable cash reward Only benefits eligible Active Employees and Retirees are eligible to receive the reward if the program requirements are met. Spouses are encouraged to participate in the program to help promote a healthy lifestyle, but will not have access to the website. The reward will be paid to active employees who qualify on the first paycheck in December 2014. The reward will be paid to Retirees who qualify by a check mailed to their home address in December 2014. NOTE: If you elect to permanently waive out of the retiree medical plan, or if your employment is terminated any time prior to October 31, 2014, this reward is forfeited. 2

Risk Factors: The values identified below indicate whether a risk factor is present. You must have a demonstrated improvement in at least one risk factor by the end of the program year (10/31/2014) in order to qualify for the reward. Total Cholesterol/HDL Ratio: Over 5.0 LDL: Greater than 130 Triglycerides: Greater than 200 Blood Sugar: Greater than 105 Blood Pressure: Systolic: Greater than or equal to 140 mm Hg OR Diastolic Greater than or equal to 90 mm Hg BMI/Waist Circumference: BMI: Greater than 29 AND Waist Circumference: Females: Greater than 35 inches Males: Greater than 40 inches Smoking: Current use of tobacco products The definition of improvement for your numbers will be a 10% decrease in at least one Risk Factor or moving below the Risk Factor guideline. The City is committed to helping you work towards your best health. Rewards for participating in a wellness program are available to benefit eligible employees. If you think you might be unable to meet a standard for a reward under this wellness program, you might qualify for an opportunity to earn the same reward by different means. Contact a UCCS Wellness Nurse at 385-5190 or email them at cityhealthcoach@springsgov.com and we will work with you (and, if you wish, with your doctor) to find a wellness program with the same reward that is right for you in light of your health status. RYP Year 10 PROGRAM ACTIVITY DESCRIPTIONS STEP 1: On-site Health Screening Required Free health screening events will be available at different locations throughout the year. You may also have a screening through the City Employee Medical Clinic. All screening results are confidential and credit for your screening will be tracked by the UCCS Wellness Nurses. Health Screenings from your personal provider will not be accepted. If you have had lab work done in the past 6 months which checked cholesterol levels and glucose AND you bring a copy of the original or faxed typed results to the screening, you can bypass the finger stick station. You will still need to complete the rest of the health screening. You MUST bring a copy of the original or faxed lab results, they cannot be hand written on another paper and the results MUST include: fasting glucose, cholesterol, triglycerides, HDL cholesterol & LDL cholesterol. Biometric screenings that will be recorded in the Health Risk Assessment include blood pressure, glucose, triglycerides, total cholesterol, HDL, and LDL. Members are encouraged to enter this data into the online Personal Health Assessment (PHA) right away to complete Step 2 of the program. STEP 2: Personal Health Assessment (PHA) Required Complete the online PHA available on the Reach Your Peak website at www.healthyroads.com. The assessment will measure 5 medical and 7 lifestyle risk factors. Medical risk factors include body mass index (BMI), blood pressure, cholesterol, triglycerides, and glucose. Participants are encouraged to complete the online PHA upon receipt of their health screen results. Entering biometric data is optional, although height and weight values to measure BMI are required. Lifestyle risk factors include lack of physical 3

activity, inadequate servings of fruits and vegetables, high intake of dietary fat, stress, alcohol consumption, tobacco use, and lack of seat belt use. When completing the PHA, you will be required to answer all questions (except for the biometric measures) before you can advance to the next screen. Immediately upon completion of the online PHA, personal feedback is provided with customized recommendations for improvement and identifies on-line webcasts to view, as needed. This report is accessible to you at any time. Aggregate data is collected for interpretation of the population risk factors and for future program design. The Personal Health Assessment will be available throughout the Reach Your Peak program year in order to accommodate new employees and late starters. Remember: You may complete a PHA every 30 (thirty) days to monitor your progress. STEP 3 HEALTH IMPROVEMENT PROGRAMS (HIP) Must Earn 15 HIP Points Below are descriptions of the Health Improvement Programs offered for the Year 10 Reach Your Peak program. WORKSITE WELLNESS CHALLENGES CHALLENGE 1 - Building Blocks to Better Health Challenge (3 HIP Points) (January 2014) This new challenge will provide you with different daily habits you can incorporate into your life. When it comes to improving your health, you have plenty of options besides just visiting a gym. Participate in the different activities listed in Healthyroads.com and you ll be looking forward to a healthier future. Employees can enroll in the challenge online at Healthyroads.com. Participants who reach the goal will have successfully completed the challenge. Printed tracking forms are available on the RYP website; however, all points must be entered online in order to receive credit for completion of the Challenge. CHALLENGE 2 Time to Move Challenge (3 HIP Points) (March 2014) This challenge gives employees a reason to break a sweat, walk a while, or play in a football free-for-all with this challenge. It s the stuff healthy habits are made from! Employees enroll in the challenge online at Healthyroads.com. Participants exercise for a certain number of minutes a day so many days a week and track their progress online throughout the challenge period. Employees can enroll in the challenge online at Healthyroads.com. Participants who reach the goal will have successfully completed the challenge. Printed tracking forms are available on the RYP website; however, all points must be entered online in order to receive credit for completion of the challenge. CHALLENGE 3 Gimme Five Challenge (3 HIP Points) (June 2014) You can easily count on your hand the ways to improve your nutrition. But one simple way is to take part in the Gimme Five health challenge. By participating, you ll learn ways to add fruits and vegetables to your diet and doing so will help improve your health in countless ways. When you sign up for Gimme Five, you ll have access to an online logbook to track your progress as you incorporate fruits and vegetables into your diet. This will help you to see how you re doing over time. And by the end, you ll be giving yourself a hand for developing new healthy habits. Employees can enroll in the challenge online at Healthyroads.com. Participants who reach the goal will have successfully completed the 4

challenge. Printed tracking forms are available on the RYP website; however, all points must be entered online in order to receive credit for completion of the challenge. CHALLENGE 4 Stress Busters Challenge (3 HIP Points) (September 2014) Stress Busters Stress management techniques, along with healthy diet, exercise, and lifestyle choices, can go a long way in de-stressing employees. This challenge will encourage employees to learn simple techniques for managing tense situations which can lower blood pressure, and reduce chronic pain, headaches and muscle tension. Practice the stress-management skills found on Healthyroads.com and track your efforts. In the end, you ll be a pro at staying cool, calm and collected when things get crazy. Employees can enroll in the challenge online at Healthyroads.com. Participants who reach the goal will have successfully completed the challenge. Printed tracking forms are available on the RYP website; however, all points must be entered online in order to receive credit for completion of the challenge. ADDITIONAL HEALTH IMPROVEMENT PROGRAMS (HIPs) City Health Coach Activity (3 HIP Point) (Max 9 HIP Points) Health Coach Activities include classes that the City Health Coaches may provide at different times throughout the program year. The Health Coaches will conduct events at different departments and help facilitate various activities depending on the needs of that department. If you attend a class conducted by a Health Coach, you may enter points for that activity. Some examples of a Health Coach Activity are: Cooking Healthy, Walk-A-Mile, Biggest Loser, and Donate Your Fat. City Health Coach Visit with UCCS Wellness Nurse (5 HIP Point) (Max 15 HIP Points) If you would like assistance getting your risk factors under control, you have the option to meet with a City Health Coach and develop a plan that can assist you in reaching your goals. The Health Coach will determine the points you receive for these meetings based on the nature and duration of the customized program. Departmental Level Activities (3 HIP Point) (Max 9 HIP Points) Departmental Level Activities are organized and promoted at each department. The department director or a designee identifies and approves the health activity. If you are interested in participating in a departmental level activity, please complete the Departmental Level Activity Form located on the RYP website or on the RYP page located on the City s Intranet and submit the form to the UCCS Wellness Nurses office for approval before the activity is scheduled to begin. Fitness/Physical Activity Tracking (6 HIP Points) (Max 12 HIP Points) Frequent physical activity is important for your health. To encourage participation in a combination of moderate-intensity, vigorous-intensity, and/or muscle-strengthening activities, participants will earn 6 HIP Points for every 3000 minutes of physical activity during the 12 month program year, max of 12 Points. 3000 minutes is equivalent to exercising for 30 minutes 3x/week for 8 months. Participants will have to record their daily minutes on the Fitness Tracking form available on the Reach Your Peak-Wellness section of the Springsgov.com website. The activity must be at least 10 continuous minutes to count. Moderate-intensity physical activity means working hard enough to raise your heart rate and break a sweat, yet still being able to carry on a conversation. Routine activities of daily living are not included. Aerobic, endurance and muscle-strengthening exercises that promote heart health and physical independence include walking, cycling, jogging, cardio exercise machines, group 5

exercise classes, hiking, swimming and water exercises, basketball, racquet sports, volleyball, soccer, progressive weight training and resistance exercises that use the major muscle groups. Healthyroads E-Coaching Courses (1 HIP Point) (Max 4 HIP Points) The self-guided courses can help you learn more about a variety of health and fitness topics at your own pace. The goal is to give you the information you need to help you reach your goals. Each course is based on up-to-date clinical information, and made up of interactive classes and tools you can view from your home or office. Class handouts, quizzes, and optional articles are also provided to help you get more from your learning experience. Course Levels Courses are designed to guide you step by step. Each course within a given topic will give you different information that can increase your knowledge and awareness of the topic or promote action to improve your health. The courses are set up in a sequence that may be most helpful, however you can take the courses and classes within each course in ANY order you choose based on your interest. Required Tools Most of the courses you take will include one or more required tools. In some cases you may be asked to take a quiz. Using these interactive tools will help you track your progress and learn more about how to reach your goal. Course Certificates Each time you complete all the tasks and use the required tools for a course, you will earn a course certificate. This is to remind you of your success and encourage you to keep working on healthy goals. Wellness Representative (5 HIP Points) (Max 5 HIP Points) Wellness Representative will serve as the Wellness Champion in their department. A City Health Coach will meet with each Champion to see what type of activities will address the needs of the department and encourage participation. The Coach will assist the Champion set up a Department Level Activity which will be eligible for RYP points. The Wellness Representative will be required to attend all committee meetings and help organize an activity for their department in order to earn 5 HIP points. Preventive Screening (1 HIP Point) (Max 3 HIP Points) In addition to your City sponsored Health Screening (Step 1), you can earn points for preventive screenings included, but not limited to, dental exams, vision exams, prostate exams, mammograms, PAP smears, and colonoscopies. TRACK 1, 2, or 3 Follow a Track below to help you plan for your RYP Year 10 program health screen and risk factor requirements. 6 It is encouraged that you have a health screen no later than 03/31/14 in the event you need to show improvement in a risk factor. TRACK 1: NEVER HAD A CITY HEALTH SCREENING? You must have a City Health Screening during the 12 month RYP program year. The screening must be done at a City Health Screening or the City Employee Medical Clinic. The clinic will have limited availability and will see you by appointment only. Have a risk factor(s)? You will be required to have an additional screening, at least six months after your first screening, during the 12 month RYP program year.

You must show improvement in at least one Risk Factor as well as earn and enter all required points on the RYP website by 10/31/14 in order to qualify for the reward.* No Risk Factor(s)? Earn and enter all required points on the RYP website by 10/31/14 in order to qualify for the reward. TRACK 2: HAD A CITY HEALTH SCREENING LAST YEAR WITH A RISK FACTOR(S)? You must have a City Health Screening during the 12 month RYP program year. The screening must be done at a City Health Screening or the City Employee Medical Clinic. The clinic will have limited availability and will see you by appointment only. Your Health Screening results must show an improvement from the previous year in at least one Risk Factor. If not, you will be required to have an additional screening, at least six months after your first screening, during the 12 month RYP program year. You must show improvement in at least one Risk Factor as well as earn and enter all required points on the RYP website by 10/31/14 in order to qualify for the reward.* TRACK 3: HAD A CITY HEALTH SCREENING LAST YEAR WITH NO RISK FACTOR(S)? You must have a City Health Screening during the 12 month RYP program year. The screening must be done at a City Health Screening or the City Employee Medical Clinic. The clinic will have limited availability and will see you by appointment only. Have a risk factor(s)? You will be required to have an additional screening, at least six months after your first screening, during the 12 month RYP program year. You must show improvement in at least one Risk Factor as well as earn and enter all required points on the RYP website by 10/31/14 in order to qualify for the reward.* No Risk Factor(s)? You must then earn and enter all required points on the RYP website by 10/31/14 in order to qualify for the reward. *Refer to the Risk Factor section for details Questions about Reach Your Peak: Call: 719-385-5125 OR Email: CityBenefitsHelp@springsgov.com Questions about Health Screens or Risk Factors: Email: CityHealthCoach@springsgov.com 7