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A Dietitian’s Role in a Government Employee Health Program LCDR Sandra Magera, MS, RD, CDE

A Dietitian’s Role in a Government Employee Health Program LCDR Sandra Magera, MS, RD, CDE U. S. Public Health Service 2011 Scientific & Training Symposium. Objectives. Describe why dietitians are needed for the delivery of employee health programs

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A Dietitian’s Role in a Government Employee Health Program LCDR Sandra Magera, MS, RD, CDE

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  1. A Dietitian’s Role in a Government Employee Health Program LCDR Sandra Magera, MS, RD, CDE U. S. Public Health Service 2011 Scientific & Training Symposium

  2. Objectives Describe why dietitians are needed for the delivery of employee health programs List the different roles a dietitian can perform within an employee health program Describe the importance of creating partnerships and networks to enhance program effectiveness

  3. In support of President Obama's Federal Employee Worksite Wellness Initiative, andin an effort to improve the health of Federal employees, the Department of Health and Human Services (HHS) Secretary Kathleen Sebelius introduced FedStrive, an integrated Health, Wellness, and Work/Life Program.

  4. An Innovative Worksite Health and Wellness Program In alignment with the President’s wellness initiative, our mission is to: We accomplish this through: Comprehensive suite of wellness and health education programs Programs based on each individual’s readiness to change Maximum engagement through total integration and linkages Creation of a supportive social and physical environment Continuous evaluation and improvement Federal Occupational Health’s Fedstrive provides comprehensive health and wellness services to 3,000 employees at the Department of Health and Human Services (HHS) headquarters in Washington, DC Promote a culture of wellness that transforms the overall health and well being of the Federal workforce, resulting in reduced absenteeism, increased productivity, improved morale, and an overall reduction in healthcare costs First Lady Michelle Obama and HHS Secretary Kathleen Sebelius both spoke to the importance of the FedStrive Employee Wellness Program on October 13, 2009.

  5. Employee Engagement and Cultural Change The team draws on experience in the marketing of health and wellness programs. An integrated multimedia marketing campaign helps employees: • Embrace overall culture of wellness through Branding and Affinity • Understand information as it pertains to individual wellness objectives using Marketing Communications • Engage and activate, driving overall program utilization via Response Marketing • Participate in an encouraging, activity-based Incentives Program

  6. FedstriveServices Health Risk Appraisal (HRA): The HRA is an online health assessment tool that provides employees with pertinent information to improve their health Fitness Activities: Employees can participate in on-site activities such as Walk@Lunch Day, Fun Runs, Pedometer Challenges, and “Get Fit as You Sit” sessions Nutrition and Weight Management: On-site Dietitian consultations available in addition to healthy menu options at the Humphrey Café and through the Healthier Vending Program. Team Lean Challenge, a three-month group weight loss opportunity, is offered to employees annually Participation Incentives: A free one-year Fitness Center Membership available with the completion of the online HRA and a cholesterol screening

  7. FedstriveServices Go Green HHS: A website outlining the department’s plan for sustainability incorporating a monthly subsidy for bicycling to work Health Education Classes: Informational seminars offered on-site and on-line. Example lecture topics include: Preventing Diabetes, Heart Health, and Stress Reduction Tobacco Cessation Programs: Customized quit plan, free Nicotine Replacement Therapy products, group classes, and access to counseling FRESHFARM Market at HHS: Weekly farmers’ market offering employees the opportunity to improve their nutrition by purchasing locally grown produce

  8. Our online HRA tool collects the following data: Risk Stratification / Overall Self-Rating Existing Medical Conditions Risks for Cardiovascular Heart Disease Blood Chemistry Activity Levels and Other Readiness for Exercise Criteria Weight Management Use of Medical services and screenings Personal Safety habits Eating habits/patterns Substance Use / Abuse Psychological, Social, Cultural, and Spiritual beliefs/practices Readiness for Change The HRA collects detailed, population-specific data for analysis.

  9. Why dietitians are needed for employee wellness programs? Leading Health Indicators categorizing Healthy People 2020 objectives are: Overweight/obesity Physical activity Tobacco use/substance abuse use Mental health Access to health care Nutrition experts shape health outcomes for these indicators at an individual level (counseling/group education) and a population level basis (promoting nutrition where people work, shop, and eat).

  10. Dietitians serve various rolesin health programs Health Service Administrators Program Directors Contract Officer Technical Representatives/Contract Officers Project Managers Communications Directors Website Designers/Social Media Site Coordinators Educators/Health Coaches Policy Makers Think outside the lunch box!

  11. Networking enhances program offerings Dietetics/Health community Government NIH Office of Health Promotion/Disease Prevention USDA Corporate health care Non-profit organizations Grocery industry

  12. Partnering infuses energy Lectures by: MD Affiliate of Susan G. Komen volunteers NIH/CDC/HHS National Diabetes Education Program leaders Events co-presented by: HHS Office on Women’s Health Corporate health providers Blue Cross/Blue Shield Kaiser Permanente

  13. Office on Women’s Health May 8 – 14, 2011

  14. Invite Leaders to participate

  15. Our Accomplishments In just over 9 months, Fedstrive moved from a .01% to 37.4% Health Risk Appraisal utilization rate. More than 3,463 Federal employees participated in six Fedstrive Health and Wellness events held since launch in Oct. ‘09. All six events were supported by HHS leadership. A highlight event was National Walk@Lunch Day where more than 1,900 HHS employees laced up their walking shoes to walk for health with HHS Secretary Sebelius.

  16. Fedstrive Event Attendance 10/2009 through 10/2010

  17. Services Provided Oct 1, 2009 through Sept 30, 2010

  18. Leading the way for Federal Government Health and Wellness!

  19. References MacMunn, A. and Spittler, L. Portraits of Prevention: Approaches to Launching Successful Programs. ADA Times. 2011; 8, 3: 10-14. Balch, G. Employers’ perceptions of the roles of dietetics practitioners: Challenges to survive and opportunities to thrive. Jrnl of the American Dietetic Asso. 1996; 96,12:1301-1305. Position of the American Dietetic Asso: The Roles of Registered Dietitians and the Dietetics Technicians, Registered in Health Promotion and Disease Prevention. Jrnl of the American Dietetic Asso. 2006; 106, 11: 1875-1884. www.foh.hhs.gov www.motorola.com www.pfizer.com http://www.fsis.usda.gov/fsdiscoveryzone http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm257499.htm Photo of HHS Secretary Sebelius contributed by PHS Officer LCDR Loren Rodgers

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