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This presentation by Dr. Chng Shih Kiat, Deputy Medical Director at Raffles Medical Group, explores the evaluation of workplace health programs (WHP). Covering the program planning cycle, it delves into needs assessment, intervention selection, and implementation. Key reasons to evaluate WHP include understanding effectiveness, justifying expenditure, and improving performance. It discusses both quantitative and qualitative evaluation methods, benchmarks against industry, national, and ideal standards. Finally, it emphasizes the importance of health promotion, psychological well-being, and facility evaluation for a holistic approach to workplace health.
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Evaluating Your Workplace Health Programmes Dr Chng Shih Kiat Deputy Medical Director Raffles Medical Group
The Programme Planning Cycle in WHP Needs Assessment Evaluate Select Interventions Market & Implement Programme Plan
Why Evaluate? • Understand what works and what doesn’t • Justify worth of programme • Improve programme performance • Reduce wastage • Contribute to body of evidence • Refocusing direction of the Workplace Health Programmes
What to Evaluate? 2 main evaluations • Quantitative improvement of data • Qualitative assessment of interventions
What to Compare with? Setting standards • Previous data of the company • Industry standards • National standards • Ideal standards
Previous Data • Data from needs assessment • Company health screening results, lifestyle survey results • Eg percentage of people who have high cholesterol, percentage of people who do exercise 3 times a week for 30 minutes • To evaluate after intervention, need to repeat assessment and compare
Industry Standards • Compare your set of data with what can be obtained from companies in the same industry • Have to ensure almost similar staff demographic • Difficult to administer due to confidentiality issues
National Standards • National Health Survey results published by Ministry of Health • NHS 2007 results will be out this year • Comparing data with NHS results • Understanding of where the company stand in the big picture of Singapore
Ideal Standards • Does being consistent with NHS results, means that you are OK? • Some issues should have an ideal standard • Eg Smoking rate should be zero Exercise rate should be based on 5 times a week for 30 minutes each occasion • Have to be realistic and evidence based • Eg Having no staff with high cholesterol is not realistic
Important Data to Evaluate Individual • Health related • Health promotion related (lifestyle modification) • Psychological health related Facility
Health Related • Disease risk factors • Cholesterol • High blood pressure • Obesity • Diabetes • Important as lowering will lead to less health care cost (Primary Prevention) • Evaluate whether intervention leads to decrease disease risk factors
Leading Causes of Death in Singapore Cancer Ischaemic Heart Disease Pneumonia Stroke Other Heart Diseases 19.2% 14.5% 9.7% 5.6% Ministry of Health Annual Report 2004
Health Promotion Related • Focus on lifestyle and behaviour modification • Percentage of staff who • Exercise regularly • Eat 2 or more servings of fruits and vegetables a day • Don’t smoke • Trim fat from meat before eating etc • Evaluate whether intervention is able to change mindsets and behaviours
Health Promotion Related • Other than evaluating percentages can also evaluate function improvements • Eg Conduct fitness testing to assess function • Can also evaluate improvements in health promotion knowledge of staff
Psychological Health Related • STRESS levels • Evaluate company culture, work life balance, staff morale etc
Facility Evaluation • Is there a change in food provided by the canteen? • Has there been more water coolers? • Healthier items in snack dispensing machines? • Implementing designated smoking areas? • Evaluate management support and you as a sales person
Qualitative Evaluation of Interventions • Evaluate your marketing skills, perception of your intervention by your targeted participants • Eg • Participation rate • Satisfaction of participants • Drop out rate etc • Provide immediate directions as to where you may have gone wrong • Poor marketing, planning and organisation • Poor matching with staff expectation • Knowledge gap about importance of intervention
Stakeholder Interest The BIG picture • Reduced health care cost • Reduced staff turnover and manpower cost • Improving staff morale and productivity • Work with HR to generate data from year to year • Evaluating your WHP goal in the long run
Food for Thought Protect your health. Without it you face a serious handicap for success and happiness. - Harry F. Banks So many people spend their health gaining wealth, and then have to spend their wealth to regain their health. ~ A.J. Reb Materi, Our Family ~