Texas Employers Worksite Wellness Survey 2015

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Texas Business Group on Health and Department of State Health Services proudly present Texas Employers Worksite Wellness Survey 2015 1

2 The 281 survey responses from 40 Texas counties reflect employers of all sizes and multiple industry classifications

3

Nearly half of respondents are taking steps to encourage healthy eating Diabetes risk and condition management strategies at a glance 4

Trends in worksite smoking policies include e-cigarette policies ACA mandates smoking cessation as a preventive service, with no cost-sharing 5

Most common barriers to worksite wellness participation: Difficulty finding time Difficulty getting there 6

Participation rate is most common metric of success Lower healthcare costs and improvement in health outcomes are gaining ground 7

TBGH-DSHS 2015 Worksite Wellness Survey Report is available at Registration Desk and on TBGH website: www.tbgh.org 8

Surveyed Employers by Industry Health Serivce Region 6/5S 15% 41% 11% 11% 6% 6% 11% Health Care & Social Assistance Manufacturing Prof., Scient., and Techn. Services Other Finance & Insurance Educational services Public Administration

On-site Health Screening Health Serivce Region 6/5S 38% 34% 20% Biometric screening Diabetes screening Either biometric or diabetes screening

Physical Activity Strategies Health Serivce Region 6/5S Approximately 70% of responding employers actively support physical activity. 37% 41% 29% 25% 23% 23% 18% Time off or flex time Space/facilities for PA On-site walking paths On-site fitness classes Free or discount membership at local fitness center(s) Wellness competitions Incentive for achievement of PA goals

Incentives for Completion of Annual Health Risk Assessment or Annual Medical Exam Health Serivce Region 6/5S 46% 40% 36% Completion of health risk assessments Completion of annual check-ups with a health provider Completion of health risk assessment or annual check-up

Healthy Food Initiatives Health Serivce Region 6/5S 24% 18% 16% 14% 18% 10% 10% 2% 2% Increasing healthy foods in cafeterias Increasing healthy foods in vending machines and snack bars Limiting unhealthy foods and drinks in cafeterias Limiting unhealthy foods and drinks in vending machines and snack bars Nutrition standards/guidelines for cafeterias, vending machines and/or snack bars that address general nutritional content (calories, fat, etc.) Nutrition standards/guidelines for cafeterias, vending machines and/or snack bars that address sodium Signs/prompts to encourage choosing healthy options Policies to provide healthy food options at meetings, conferences and catered events A farm-to-work program or similar at an on-site or nearby location

Diabetes Programs and Policies Health Service Region 6/5S 22% 18% 16% 6% On-site diabetes risk and disease management education classes On-site lifestyle change classes addressing physical activity and healthy eating Promotion of off-site diabetes education classes Waiver of deductible or copay for diabetes medications/supplies/programs

Tobacco and Smoking Policies Health Service Region 6/5S 44% 28% 24% 32% 22% Whole campus smokefreee Whole campus tobacco-free Indoor smoke-free Indoor tobacco-free E-cigarettes/vapor restrictions

Stress Management Health Service Region 6/5S 57% 27% 14% 16% 4% 4% Flex time for all or most employees Compressed workweek for all or most employees Telecommute work option for all or most employees Childcare services at worksite or nearby without subsidy Childcare services at worksite or nearby with subsidy Counselling through an Employee Assistance Program (EAP) or similar services

Mother-Friendly Worksite Policies Health Service Region 6/5S Prenatal/breastfeeding education 4% Flexible work schedules/telecommuting for new mothers 14% Time-off for breastfeeding mothers to express their milk during work-day 25% A private, comfortable lactation room 47% None 45%

Barriers to Success Health Service Region 6/5S Lack of effective communication to eligible participants Inadequate incentives for employee participation Lack of credible and useful information about effective wellness behaviors Leadership does not believe wellness initiatives will change employee behaviors or health outcomes 2% 4% 6% 6% Too expensive Lack of senior management support Privacy concerns among employees 14% 16% 16% Not enough staff Employees do not understand or appreciate programs and their benefits Difficulty for employees to find time to participate 22% 29% 31% Difficult to maintain momentum Employees work in the field or at diverse locations 37% 39%

Most Common Barriers to Success Health Service Region 6/5S Employees work in the field or at diverse locations 39% Difficult to maintain momentum 37% Difficulty for employees to find time to participate 31% Employees do not understand or appreciate programs and their benefits 29%

Most Common Metrics to Evaluate Worksite Wellness Initiatives Health Service Region 6/5S Disability/workers compensation claims Changes in employee recruitment and retention Utilization of Employee Assistance Program Changes in absenteeism Changes in productivity Prevalence of disease conditions Engagement/satisfaction employee surveys 8% 12% 16% 18% 20% 20% 22% Health care costs Changes in health outcomes over time 31% 33% The number of employees participating 57%