Healthyroads

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Healthyroads
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Adding Years to Your Life and Life to Your Years

• To help employers build
• healthier environments
• through structured
• health promotion and
• complementary health
• care benefits.

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We Believe

• A healthy, happy, productive work force is
  essential
• Most chronic illness in the U.S. is preventable
• Workplace wellness can transform corporate
  cultures and improve lives

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Whos in Control of Your Health?
Contributing Factors to an Individuals Health
Status
Source Centers for Disease Control and
Prevention. (2000). Retrieved August 11, 2003,
from http//www.cdc.gov.
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Why Implement Wellness?

• Employees are your most important asset
• Improves presenteeism
• Reduces absenteeism
• Reduces chronic, systemic disease
• A happier, healthier workforce is a competitive
  advantage in business

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Obesity Trends Among U.S. Adults, 1985
WA
ME
VT
ND
MT
OR
MN
NH
ID
MA
NY
WI
SD
RI
MI
WY
CT
PA
IA
NJ
NE
NV
OH
DE
IN
IL
UT
CA
MD
WV
CO
VA
MO
KS
DC
KY
NC
TN
OK
AZ
AR
NM
SC
GA
AL
MS
LA
TX
AK
FL
HI
Source Behavioral Risk Factor Surveillance
System, CDC.
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Obesity Trends Among U.S. Adults, 1990
WA
ME
VT
ND
MT
OR
MN
NH
ID
MA
NY
WI
SD
RI
MI
WY
CT
PA
IA
NJ
NE
NV
OH
DE
IN
IL
UT
CA
MD
WV
CO
VA
MO
KS
DC
KY
NC
TN
OK
AZ
AR
NM
SC
GA
AL
MS
LA
TX
AK
FL
No data

Less than 10

HI
Between 10 and 14

Between 15 and 19

Greater than or equal to 20
Source Behavioral Risk Factor Surveillance
System, CDC.
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Obesity Trends Among U.S. Adults, 1995
WA
ME
VT
ND
MT
OR
MN
NH
ID
MA
NY
WI
SD
RI
MI
WY
CT
PA
IA
NJ
NE
NV
OH
DE
IN
IL
UT
CA
MD
WV
CO
VA
MO
KS
DC
KY
NC
TN
OK
AZ
AR
NM
SC
GA
AL
MS
LA
TX
AK
FL
Less than 10

HI
Between 10 and 14

Between 15 and 19

Greater than or equal to 20
Source Mokdad, A. H., et al. (1999). Journal of
the American Medical Association, 28216.
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Obesity Trends Among U.S. Adults, 2001
WA
ME
VT
ND
MT
OR
MN
NH
ID
MA
NY
WI
SD
RI
MI
WY
CT
PA
IA
NJ
NE
NV
OH
DE
IN
IL
UT
CA
MD
WV
CO
VA
MO
KS
DC
KY
NC
TN
OK
AZ
AR
NM
SC
GA
AL
MS
LA
TX
AK
No data

FL
Less than 10

Between 10 and 14

HI
Between 15 and 19

Between 20 and 24

Greater than 25
Source Mokdad, A. H., et al. (2001). Journal of
the American Medical Association, 28610.
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Obesity Trends Among U.S. Adults, 2003
WA
ME
VT
ND
MT
OR
MN
NH
ID
MA
NY
WI
SD
RI
MI
WY
CT
PA
IA
NJ
NE
NV
OH
DE
IN
IL
UT
CA
MD
WV
CO
VA
MO
KS
DC
KY
NC
TN
OK
AZ
AR
NM
SC
GA
AL
MS
LA
TX
AK
FL
HI
Source Behavioral Risk Factor Surveillance
System (BRFSS), CDC (2004).
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Obesity Trends Among U.S. Adults, 2004
WA
ME
VT
ND
MT
OR
NH
MN
ID
MA
NY
WI
SD
RI
MI
WY
CT
PA
IA
NJ
NE
NV
OH
DE
IN
IL
UT
CA
MD
WV
CO
VA
MO
KS
DC
KY
NC
TN
OK
AZ
AR
NM
SC
GA
AL
MS
LA
TX
AK
FL
HI
Source Behavioral Risk Factor Surveillance
System (BRFSS), CDC (2005).
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Obesity The Risk

• Obesity Is Associated With Increased Risk of
• Cardiovascular disease
• Diabetes
• Gall bladder disease
• Respiratory disease (asthma, sleep apnea)
• Specific cancers
• Musculoskeletal conditions (arthritis, DJD)
• Behavioral conditions (depression, stress)

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Americas Health Care Crisis

• 2000 Prevalence Data

Source Centers for Disease Control and
Prevention. (2000). Retrieved August 11, 2003,
from http//www.cdc.gov
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Root Causes of Obesity
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Root Causes of Obesity

• 10 of food purchases at restaurants is
  consumed in the car.
• Americans spend more on fast food than on new
  cars, computers, and college COMBINED.

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Root Causes of Obesity

• The Changing Nature of Work
• Number of Hours to Harvest One Acre of Wheat

Source Jeremy Rifkin The End of Work (1996).
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Reduction in Incidence of Diabetes with
Lifestyle Intervention
31 reduction
58 reduction
5 to 7 reduction in body weight exercise 30
minutes a day. Trial was discontinued after 17
months due to clear results.
Source Knowler, W. C., et al. (2002). New
England Journal of Medicine, 346, 393-403.
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Obesity Solutions?

• What is Available to Address This Growing
  Epidemic?
• Surgeryvarious types of gastric bypasses
• Pharmaceuticals (the magic pill)
• Behavioral and educational interventions

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Coaching

• 1 x per week (ongoing and long term)
• Motivational interviewingapproach
• Education during teachable moments
• Goal setting and evaluation
• Reinforcement

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Interdisciplinary Team
Handle more complex cases (BSx, poly pharmacy,
etc.)

• Registered Dietitians
• Registered Nurses
• Masters-level Clinicians (MPH, MS, MSW)
• Certified Health Education Specialists
• Certified Personal Trainers
• BA in a Health-related Field

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Healthyroads Coaching - One Size Does Not Fit All
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Healthyroads Impacts Individuals
Programs are available as non-insurance-based,
health education programs.
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Participation Drives Success
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Kick-off

• Member is welcomed to the program by his/her
  coach
• Rapport is established
• Motivation is assessed
• Short- and long-term goals are set

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Healthyroads Wellness ProgramsEducational
Resources
Weight management manual
Customized Fitness Meal Plans
Tobacco cessation manual
Supplemental Guides Get Started Kit!
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Program Overview
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Healthyroads Coaching ProgramGet Started! Reward

• Member Requirements
• Kickoff Call plus overview (Health Status
  Questionnaire)
• One coaching session
• Get Started! Reward Mailed to Member
• Healthyroads cookbook
• Four Healthyroads nutrition bars
• Pedometer (Talks to you)
• Exercise bands DVD
• Relaxation Skills CD Mental Imagery
• Healthyroads stress-relief card
• One bottle of multivitamins (30-day supply)
• Members Receive for Tobacco Cessation
• Up to 6 weeks of nicotine replacement therapy

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Healthyroads Coaching Program Get Healthy! Award
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Healthyroads Coaching ProgramShare Results! Award

• Member Requirements
• At end of year, we send an email reminder to
  members who qualified for Get Started! Reward to
  take Health Status Questionnaire (HSQ) again.
• Members Receive
• 35 "free stuff" voucher on Healthyroads.com.
  There are more than 2,400 discounted health
  products.

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Top 5 Mistakes Employers Make When Implementing
Wellness Programs
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Healthyroads Coaching Program ResultsCase Study

• Voluntary Employees Benefit Association (VEBA)
• Public schools in San Diego County
• 200 participants qualified by raffle All Obese
• 84 Female, Avg. Weight 235 Lbs.
• Program Design
• Healthyroads coaching program
• Healthyroads rewards
• ASH Networks fitness club membership and personal
  trainer benefits

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Healthyroads Coaching Program ResultsCase Study

• Participants Making Behavioral Changes

Nearly all (97.2) participants have made
behavioral changes.
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Healthyroads Coaching Program ResultsCase Study

• Participants Making Behavioral Changes

Average increases of fruit, vegetable, and whole
grain intake were 2 servings per day. Average
reduction in red meat consumption was 3 servings
per day.
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Healthyroads Coaching Program ResultsCase Study
24 of participants have lost enough weight to
move down an entire NIH risk category. In
fact, one VEBA member has lost 80 pounds in the
program thus far.
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Clients of Healthyroads Wellness Programs

• AHIP
• Barrington Hills Country Club
• Beverly Hills Hotel
• Bolton and Company
• Brown Brown of Washington
• CAVCO
• Centerre Construction, Inc.
• Cherry Hills Community Church
• City of Commerce
• Citizens Trust Bank
• Clark Atlanta University
• Comprehensive Rehabilitation
• CSEA
• Day Care of America

• DuCharme, McMillen, and Assoc.
• EDS
• Fabcon
• Financial Partners Credit Union
• FlexMagic
• Garden Fresh
• Garmat USA
• Gemini Group, Inc.
• Gustave A. Larson Co.
• Holland Residential
• Industrial Dynamics Co.
• Industrial Metal Supply
• Invitrogen Corp.
• Jenkins Athens Insurance

Source Wellness Consulting department,
2006-03-03.
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Clients of Healthyroads Wellness Programs

• JC Penney
• Knight Ridder
• Kyocera
• Mazak Corporation
• Medical Service Organization
• Mercy Hospital
• Morehouse College
• Morehouse School of Medicine
• Pacificare Health Systems
• Parker Smith Feek Inc.
• Paul Cole Motors, Inc.
• Perillo Construction
• Polaris
• Poway Unified School District

• RJ Ahmann Company
• RESMED Corp.
• Royal Buick Co, Inc.
• Southwest Foodservice
• State Bar of New Mexico
• Storehouse, Inc.
• Sunrise Growers, Inc.
• Trans Pacific Service
• Tucson Old Pueblo Credit Union
• VEBA
• Viejas Enterprises
• Wausau Homes
• Weather Shield
• Zones, Inc.

Source Wellness Consulting department,
2006-03-03.