Community-Focused Corporate Wellness Program in Omaha for Enhanced Health Education

1. Population focused plan and partnership UPS: Corporate Wellness Program Community: 68102 Ashley Spicka, Denise Gourley & Krystina Roy

2. Initial assumptions • Community • Lots of business and restaurants • Few housing opportunities • Business at day, party at night • Organization • Organize educational materials • Occupational nurse did not have a big role Change • Community • Confirmed thought of businesses and restaurants • Lots of housing opportunities • Lofts, apartments, run down houses • Business at day, party at night • Organization • Survey of current Wellness Program • Not helping with health education materials • Occupational nurse only provides indirect care

3. Windshield survey • Lots of businesses and buildings (restored vs. modern) • During business week, many people in work attire • During weekends, many people in casual dress walking dogs, shopping, etc. • Several economic groups represented • Fringes are rundown versus good upkeep in central • Much public transportation used on top of walking and biking • Parking garages, surface lots, etc. for those that do drive themselves or carpool • Income and housing lower than average

9. Community Resources • Businesses • Restaurants • Blue Sushi • Roja • Stokes • Spaghetti Works • Upstream • Jazz A Louisiana Kitchen • Union Pizzeria • Old Chicago • Indian Oven • Billy Frogg’s • Industry • ConAgra • Gallup • Omaha World Herald • Exchange Building • Chamber of Commerce • United Way • Religion • Holy Family Church • Christian Science First Church • Northside Community Lutheran Church • New Hope Mennonite Church • New Beginnings in Christ Church • Trinity Cathedral • Baha’i Faith • Grace Tabernacle Church of God in Christ • St. Mary Magdalene • City Services • MUD • OPPD • Police Department • Fire Department • Courthouse • Jail • Federal Building • Hotels • Embassy Suites • Courtyard Marriott • Hilton • Schools • Kellom Elementary • Liberty Elementary • Central High School • Creighton University • Parks • Gene Leahy Mall • Heartland of America Park • Freedom Park • Logan Park • Kellom Greenbelt Park • Pioneer Courage Park • Woodman Park • Recreation • Civic Auditorium • Qwest Center • Joslyn Art Museum • Rose Theatre • Children’s Museum • Orpheum • TD Ameritrade Park • Old Market/Farmer’s Market • River City Riverboat • River City Roundup • Ruth Sokolof Theatre • The Bodies Exhibit

10. Community & Organization: Status, Structure & Process

11. Assets • Community • KellomWellness Program (E. Nelson, personal communication, September 23, 2010) • Diverse community • Many doctor’s offices for medical care • Closest hospitals – Creighton Med Center & UNMC • United Way of Midlands, Lutheran Family Services, YMCA • Fluent in English and other languages, ESL programs in schools (E. Nelson, personal communication, September 23, 2010) • Leaders – principals, school leaders, police, mayor, city council members, school board representatives • Ben Gray & Chris Jerram; Nancy Houston • Communication – email, newsletters, newspapers, television media • Crime well controlled • Sources of pride – child and success seen in them (E. Nelson, personal communication, September 23, 2010), togetherness of community

12. Assets • Organization • All have insurance (part time and full time employees) (G. Zakaras, personal communication, September 12, 2010) • Health literacy – Wellness Program • Wellness boards in each division (D. Springer, personal communication, September 10, 2010) • Current survey helps with evaluating services provided • Over 400 workers in Omaha area • Fluent in English, some in Spanish • Wellness Champion for each division, Occupational Nurse

13. Needs or problems • Organization • Injuries to back, shoulders, and knees (G. Zakaras, personal communication, September 12, 2010) • Chronic disease – hypertension, diabetes, arthritis, hyperlipidemia • No onsite employee health • Health problems – back and knee injuries, arthritis (D. Springer, personal communication, September 10, 2010) • Health care gap where nobody showed much interest in survey or Wellness Program (D. Springer, personal communication, September 10, 2010) • Community • Lack of primary physicians (E. Nelson, personal communication, September 23, 2010) • Lack of follow through on child ailments (E. Nelson, personal communication, September 23, 2010) • Transportation is limited and high number or refugees (E. Nelson, personal communication, September 23, 2010) • Overwhelmed with poverty and great sense of hopelessness (E. Nelson, personal communication, September 23, 2010)

14. Gaps in Services • Community • Many resources but communication makes them either over or under used (E. Nelson, personal communication, September 23, 2010) • Lack of appropriate priced grocery store, gas stations, and corner stores for goods • Organization • Preventative care not covered in Unionized insurance (G. Zakaras, personal communication, September 12, 2010) • Need better presentation and follow up of Wellness Program and components

15. UPS project: Wellness Program Survey

16. Problem & Identification • Corporate Wellness Program was in place for several years. • Evaluation of the effectiveness of the Wellness Program had not been done. • Occupational Nurse wanted to know how the employees felt about the Wellness Program. • Worked with Wellness Champions to conduct survey before routes • Conduct survey of drivers to get feedback

17. Method • Questions were designed to ask about the drivers health and what they thought of the Wellness Program • Approximately 250 drivers from 4 divisions expected to be surveyed • One division was not available for the survey at the time the students were scheduled to be there

18. Results • 53 drivers responded to the survey • Complied and revealed information • Analyzed with help of Dr. Debbie Carlson

19. Wellness Program Topics

20. Interested topics

21. How to calculate BMI

22. Smoking

23. Physical Examinations

24. behaviors and future health

25. Insurance information access

26. Driver use of information Family use of information

27. summary • The survey was a good place to start, but only gave a rough idea of how effective the Wellness Program was. • Another survey would be indicated for more comprehensive results. • Results sent to Occupational Nurse to present to her supervisor • Occupational Nurse will utilize information for UPS benefit

28. Common Recent Research • Two studies evaluating the effectiveness of employer health programs • How the final report to the Occupational Health Nurse should be formatted (Carter, Gaskins & Shaw, 2005) • Other larger one used to get recommendations for future study if agency decides (Easton, Marx, & Bowie, 2007)

29. Conclusion • Barriers • Organization • Community • What went well? What did not? • What could be done differently? Questions?

30. References • Carter, M., Gaskins, S., & Shaw, L. (2005). Employee wellness program in a small rural industry: employee evaluation. American Association of Occupational Health Nurses Journal, 53(6), 244-248. • CDC. (2010). Smoking and tobacco use. Retrieved from http://www.cdc.gov/tobacco/data_statistics/vital_signs/index.htm • City-data.com. (2010). 68102 Zip Code Detailed Profile. Retrieved September 24, 2010 from http://www.city-data.com/zips/68102.html • Eaton, D. K., Marx, E., & Bowe, S. E. (2007). Faculty and staff health promotion: results from the school health policies and programs study 2006. Journal of School Health, 77(8), 557-566. • Thanks to our interviewees. • Gloria Zakaras, UPS Occupational Nurse • Debbie Springer, UPS Wellness Champion • Eric Nelson, Kellom Elementary School Principal • Thomas Lee, Central High School Dean of Students • Michael Pecha, Omaha Police Department • Thanks to Dr. Carlson for help with data analysis.