2. A grassroots community health and wellness
movement led and funded by
Crow Wing Energized
1st Annual Workplace Wellness Conference
Adam Rees
Crow Wing Energized Co-Chair
Essentia Health Central President
3. A grassroots community health and wellness
movement led and funded by
Time Topic Presenter
7:30 – 7:45 Breakfast & Registration
7:45 – 8:00 Welcome Introduction and WHY Workplace Wellness Adam Rees – Essentia Health Central
President
8:00 – 8:30 Keynote Speaker Stefan Gingerich – StayWell
1-Minute Exercise
8:30 – 9:15 Stress Reduction & Resiliency Building Community Leaders
9:15 – 9:25 BREAK
9:25 – 9:40 Tobacco Reduction Community Leaders
1-Minute Exercise
9:40 – 10:15 Active Living Promotion Community Leaders
1-Minute Exercise
10:15 – 10:35 Breastfeeding Promotion Community Leaders
1-Minute Exercise
10:35 – 11:15 Healthy Eating Promotion Community Leaders
11:15 – 11:25 Wrap Up Stefan Gingerich – StayWell
11:25 – 11:30 Partner Cards & Next Steps Cassie Carey
4. E N E R G I Z E
I have had a least
one serving of
fruit today.
I saw someone
stand during the
meeting today.
We did a one
minute physical
activity break
during the
meeting.
I saw someone
check their cell
phone.
I have a
workplace
wellness policy
at my place of
work.
I read the
Brainerd Dispatch
this morning.
I have attended a
goal group for
Crow Wing
Energized other
than workplace
wellness.
I have visited the
Crow Wing
Energized
Webpage.
This is my first
Crow Wing
Energized
Conference/
Meeting I have
attended.
I have heard the
word “partnership”
used today.
Someone in this
room is wearing
glasses.
I learned on thing
new that I can use
within my
workplace.
The Crow Wing
Energized
Workplace
Wellness Toolkit
was introduced
to the group.
I listened to the
radio while
traveling to this
conference.
I have received
one business card
or contact
information during
this meeting.
I have subscribed
for the Crow Wing
Energized
Newsletter off of
the webpage.
I saw someone
bring coffee or tea
this morning.
I have received a
grant from Crow
Wing Energized in
the past.
Someone left the
room before break
time.
This is not my first
Crow Wing
Energized
Conference/Meetin
g I have attended.
I have attended
a monthly
meeting for the
CWE Workplace
Wellness Goal
Group
I met one new
contact at today’s
conference.
I wrote something
I’m grateful for
and placed it on
the Attitude of
Gratitude Tree.
I have healthy
vending options/
healthy snack
options within my
workplace.
I got at least
seven hours of
sleep last night.
The Crow Wing
Energized
Workplace
Wellness Toolkit
was introduced to
the group.
Someone in the
room has a FitBit
on.
My workplace has a
workplace wellness
group to oversee
implementing
healthy projects,
activities, and
strategies.
I work for a small
business (20
employees or
less).
Cassie Carey,
CWE Coordinator,
has presented to
the group.
I have been
physically active
within the last 24-
hours.
I have a standing
desk within my
workplace.
I have a
workplace
wellness policy at
my place of work.
I have attended a
monthly meeting
for the CWE
Workplace
Wellness Goal
Group.
Someone has
their
computer/tablet
out at the
conference.
My workplace has a
breastfeeding room
for new moms in
the workplace to
come back to work.
Someone in the
room brought
their own water
bottle.
I have liked the
NEW Crow Wing
Energized
Facebook Page.
I have attended or
facilitated a
Lifestyle Change
Class/ NDPP
Class.
I work for a
large/medium size
business (more
than 20
employees).
5.
6.
7. Crow Wing Energized Mission
To improve the health and wellness of
Crow Wing County residents by engaging
formal and informal community leaders
so the healthy choice becomes the easy choice.
8. Guiding Principles
• We seek to create and sustain a united approach to improving health
and wellness in our community and surrounding area.
• We seek collaboration towards solutions with multiple stakeholders
(e.g. schools, worksites, medical center) to improve community
engagement and commitment focused on improving community
health.
• We seek to prioritize evidence based efforts around the greatest
community good that can be achieved through our available
resources.
9. Adam Rees Kara Griffin Cassie Carey Kathy Sell Joanna Collins Mark Ostgarden
Essentia Health Crow Wing County Crow Wing Energized Essentia Health Brainerd Family YMCA City of Brainerd
Brian Lehman Matt Killian Nathan Bertram Tom Gonzalez Gayle Nielsen
Lehman & Associates Brainerd Lakes Chamber Crow Wing County Pointway Church Essentia Health
Robin Loftis Paulette Thoennes Laine Larson Carolyn McQueen Renee Richardson Mara Larson
CLOW Stamping CTC Brainerd Public Schools University of Minnesota Extension Brainerd Dispatch Heartland Hospice
Steering
Committee
Members
10. Co-Chairs:
Robin Loftis, CLOW Stamping Loftis@clowstamping.com
Paulette Thoennes, CTC Paulette.Thoennes@connectctc.com
Purpose: To create a healthy and energized workforce.
Workplace Wellness Goal Group
20. A grassroots community health and wellness
movement led and funded by
15-37%
Healthy behaviors
mean lower
likelihood of
absence
Merrill, et al. 2013
Why Worksite Well-Being?
Health is associated with all of these financial issues as well.
Absence
$493 $490
$657 $667
Biometrics Emotional
health
Annual Payments
Low risk
Short-Term
Disability Overweight/Obes
e workers:
26%
to
45%
More likely to have
on-the-job injuries.
Gu, et al. 2016
Accidents
11/8/2017
Goetzel, et al. 2009.
22. A grassroots community health and wellness
movement led and funded by
0.35 0.33 0.32
0.23
0.15
0.08
-
0.10
0.20
0.30
0.40
0.50
Depression General Mental
Health
Anxiety Subjective
physical illness
CV disease Musculoskeletal
Correlationcoefficient
Why Worksite Well-Being?22
Strong correlation between health, well-being, and job satisfaction
11/8/2017
Faragher, et al. The relationship between job satisfaction and health: a meta-analysis.
http://oem.bmj.com/content/62/2/105
23. A grassroots community health and wellness
movement led and funded by
What’s important to employees when considering whether to
take a new job?
1. The ability to do what they do best
2. Greater work-life balance and better personal well-being
3. Greater stability and job security
4. A significant increase in income
5. The opportunity to work for a company with a great brand
or reputation
Why Worksite Well-Being?23
Well-being benefits can attract and retain employees.
53% of employees say a role that allows greater work-life balance and
better personal well-being is “very important” to them.
11/8/2017
Gallup. State of the American Workplace, February 2017.
24. A grassroots community health and wellness
movement led and funded by
Why Worksite Well-Being?24
APA survey: Feeling valued at work was associated with motivation and work
engagement
11/8/2017
93%
88%
33%
38%
0%
20%
40%
60%
80%
100%
Motivated to do their best work Feel engaged
Feel valued Don't feel valued
http://www.apa.org/news/press/releases/2012/03/well-being.aspx
27. A grassroots community health and wellness
movement led and funded by
CDC scorecard
– Focus on science-based
program implementation
– Online tutorials and guides
– Free!
HERO scorecard
– Regularly updated by
industry experts
– Benchmarking reports
– Free!
Devote some time
Involve your co-workers
There are lots of tools you can use to help you change
Why Worksite Well-Being?27
11/8/2017
28. A grassroots community health and wellness
movement led and funded by
Issues
38 days in, still adjusting
Long-standing client calls
or other meetings with
many people
Call center staffing: How
do you maintain service
levels?
“too much work to do”
30-minutes of well-being time
Why Worksite Well-Being?28
11/8/2017
Solutions
• Managers need to be on-board
• Staggered breaks in call-center
• Re-prioritize: Is the benefit of 30-
minute break greater than the
work that can be done during
that time?
• If/when everyone else takes a
break, some work has to wait 30
minutes
30. A grassroots community health and wellness
movement led and funded by
Why Worksite Well-Being?30
Some are good. Others aren’t. Usually they require many people.
11/8/2017
Considerations:
• Unintended consequences
• What will make or break the policy?
• Who needs to have a voice?
• How is this likely to be used or
abused?
31. A grassroots community health and wellness
movement led and funded by
Why Worksite Well-Being?31
Policies only work if you use them appropriately.
11/8/2017
32. A grassroots community health and wellness
movement led and funded by
Why Worksite Well-Being?32
Also called “built environment,” these are physical resources that
encourage or discourage certain activities.
11/8/2017
Environment
Walking
spaces
Healthy
food
available
Stress
break
room
Mother’s
room
No
smoking
signs
36. A grassroots community health and wellness
movement led and funded by
Talk to my boss about taking a walk every day.
Ask the facilities person about repurposing an empty office.
Plan a healthy meal for a lunch meeting
Talk to my team about 10 minute walk before each team
meeting
Familiarize yourself with benefits information, e.g. 401k,
EAP
Write down 3 things that you’re going to do as soon as you get
back to your workplace.
Today you’re going to hear from people like you who are improving the
well-being of their workplace. They have lots of ideas. Many of them
can be used in your workplace, or can be modified slightly to work for
you. Write down 3 of them that you can do tomorrow.
Why Worksite Well-Being?36
11/8/2017
37. A grassroots community health and wellness
movement led and funded by
American Psychological Association. Stress in the Workplace
Survey, 2012.
http://www.apa.org/news/press/releases/2012/03/well-
being.aspx
Faragher, et al. The relationship between job satisfaction and health:
a meta-analysis. Occupational and Environmental Medicine
2005;62:105-112. http://oem.bmj.com/content/62/2/105
Gallup. State of the American Workplace. Feb 2017.
Goetzel R, et al. The relationship between modifiable health risks
and health care expenditures. An analysis of the multi-
employer HERO health risk and cost database. JOEM. 1998.
40(10):843-54.
Goetzel 2009
Goetzel R, et al. Ten modifiable health risk factors are linked to more
than one-fifth of employer-employee health care spending.
Health Affairs. 2012. 31(11):2474-84.
Why Worksite Well-Being?37
11/8/2017
38. A grassroots community health and wellness
movement led and funded by
Gu J, et al. Prevalence of work-site injuries and relationship between
obesity and injury among U.S. workers: NHIS 2004–2012. J of
Safety Research. 2016. 58:21-30.
Merrill R, et al. Self-Rated Job Performance and Absenteeism
According to Employee Engagement, Health Behaviors, and
Physical Health. JOEM. 2013. 55(1):10-18.
Riedel J, et al. Use of a normal impairment factor in quantifying
avoidable productivity loss because of poor health. JOEM.
2009. 51(3):283-95.
White J, et al. A more generalizable method to evaluate the
association between commonly reported health risks and
health care expenditures among employers of all sizes. JOEM.
2013. 55(10):1179-85.
Why Worksite Well-Being?38
11/8/2017
41. Stress Reduction & Resiliency Building
Did you know:
Mental Health Conditions such as depression or
anxiety are impacting 1 out of 4 adults in Crow Wing
County.
42. A grassroots community health and
wellness movement led and funded
by
in the Workplace
Adverse
Childhood
Experiences
48. By making school
a priority in
childhood, as a
society, we’re
saying that what
happens to us in
childhood can
influence who we
are later in life.
Following that same line of thinking…
49. …it’s the good experiences and the adverse
experiences that can influence us throughout
our lives.
54. Swear at you, insult you, put you down,
or humiliate you?
Unwanted sexual touch
Hit you hard enough to leave marks
Feel that none of the adults in your
family love you or think you are special
Not have enough to eat of adults were
too loaded to take care of you
A biological parent lost to divorce,
abandonment, or other reason
Your mother/stepmother was physically
abused
Live with someone who was a problem
drinker or used hard street drugs
A household member depressed or mentally
ill. A household member attempted suicide.
Household member went to jail
*
*
*
*
*
*
*
*
*
*
ACE questions
61. LINE
THE BOTTOM
How does this
affect me and
my business?
ACEs not only lead to lifelong negative effects
for the child who experiences them, but also
creates a drain on businesses and taxpayers.
62. “The long-term effects of adverse
childhood experiences on the workforce
impose major human and economic
costs that are preventable. These costs
merit attention from the business
community in conjunction with
specialists in occupational medicine and
public health.”
One major study concludes:
67. help employees understand the root
origins of their physical and emotional
health concerns as being based in
Adverse Childhood Experiences.
help your company become trauma
informed — meaning to understand how
trauma (ACEs) affects a person, an effect
that can be reversed once understood and
treated.
70. What can be done?
Attitude of Gratitude
Attend/Host an ACE presentation
3 Good Things
71. ACEs 101
Ever wonder if what we experience in childhood
makes an impact on us as adults?
What about what our parents experienced?
chronic neglect
poverty
caregiver in prison
alcohol abuse
drug abuse
sexual abuse violence
living with mental illness
divorce
emotional abuse
Thursday, November 30th
3:00pm-5:00pm
Essentia Health SJMC (Thabes 1)
72. Do you want to host ACEs 101
or
a mini-ACE workshop at your
workplace?
See partner card in the left side of your packet!
73. A grassroots community health and
wellness movement led and funded by
AN ATTITUDE OF
GRATITUDE
Presented by: Ed Schulze and
Beatrice Comty-Charnock, MA,
LAMFT, LADC
74. Introductions
Ed Schulze and
Beatrice Comty-Charnock,
members of Crow Wing
Energized Mental Fitness
Goal Group and co-founders
of the “Attitude of Gratitude”
Subcommittee
75. What is gratitude?
Giving thanks to the
universe is giving love, and
what we give inevitably
comes back to us.
98. An attitude of gratitude and resiliency-building has impacted over 12,000 plus
community members by implementing simple strategies into their daily lives.
99.
100.
101.
102. Tobacco Reduction
Did you know:
Nearly 1 out of 5 (18%) adults
in Crow Wing County use tobacco
• 70.8% of current cigarette smokers stopped smoking for 1 or more
days in the past 12 months because they were trying to quit
• More than half (58.2%) of adults who currently smoke only eat 0-2
total fruits and vegetables
103. A grassroots community health and
wellness movement led and funded
by
LORD OF LIFE LUTHERAN CHURCH
MY LOVED ONE, IT IS MY PRAYER THAT YOU
MAY DO WELL IN ALL THINGS, AND BE HEALTHY
IN BODY, EVEN AS YOUR SOUL DOES WELL.
3 JOHN 1:2
WELLNESS FOR STAFF AND OUR
CONGREGATION
INCLUSION OF STAFF AND PARISHINERS
104. Reasons for supporting tobacco cessation, reduction,
and quitting efforts in the workplace!
105. TOBACCO EDUCATION AND CESSATION SUPPORT
• Educational Demonstrations
• One on One Assistance
• Referrals
• CO Breathalyzer
106. • Tobacco Cessation Specialists locally can assist in
cessation support for your employees!
• Quit Plan Mini Quits
• Making Your Worksite Tobacco
Free Tool (American Lung Association)
108. A History of Tobacco Usage
Brainerd Junior College
1938 - 1973
Brainerd Community College
1973 - 1991
Brainerd Staples Techincal College
1991 - 1995
Central Lakes College
1995 - Present
115. Are We There Yet?
A 2013 campus wide survey shows that…
• 35.2% of all students use some form
of tobacco
• 25% of all students use some form of
tobacco daily
• The campus is rated #2 in the top 5
places that students are exposed to
tobacco each week
120. Active Living Promotion
Did you know:
2 out of 3 adults in Crow Wing County are not
meeting the recommended 150 minutes moderate or
vigorous physical activity recommendations
121. A grassroots community health and wellness
movement led and funded by
LuAnn Cameron & Jenny Seelen
122. MnSTEP - Stretching Together
Employee Program
Office stretches routine (optional
morning participation)
Field stretches routine (required
morning participation)
Started in 2010
126. Headwater at Itasca to Gulf of
Mexico
Employees walked or
exercised
Trek of 2,300 miles one way
Employees who participated
– A Fit Bit Drawing
127. Now working on getting Fitness
Center in our building
• Through Crow Wing Energized Grant, obtained:
• Stationery balls
• Balance boards
• Free weights
• Yoga mat
THANK YOU!!!!!
128.
129. A grassroots community health and wellness
movement led and funded by
Small Business Implementation
Strategy:
City of Pequot Lakes
134. Staff of The Center: David, Dawn, Connie
Dave, Parker, Amanda and DeAnn
135.
136.
137. A grassroots community health and
wellness movement led and funded
by
Crow Wing Power
Wellness Initiatives
138. Wellness Committee: Currently 4 employees
What we do:
• Meet once a month to discuss new ideas
• Delegate projects
• Find ways to make it easier for our employees to be
healthier at work
139. Refrigerator with healthy options:
• Cheese sticks
• Fruit cups
• Greek Yogurt
• Meat & Cheese Packets
• Nuts
• Laughing Cow Cheese
• Turkey sausage, egg white breakfast
sandwiches on wheat bread
• Etc.
Wellness Bulletin Board:
• Healthy tips
• Gym coupons
• Articles
• Events
Chili Day:
• Healthier
option for
lunch
140. Other things we do:
• Fruity Tuesday
• Water Day
• Gym Memberships Reimbursements
• Recess at Work
• Food Days (Chili, healthy sandwich, smoothie day)
• Biggest Loser Challenge
• Walking Trail
• Giveaways such as stress balls, ChapStick®, sunscreen
• Self-Defense Class
• Monthly Newsletter
• Lifestyle change class
141. Cubii:
Under desk elliptical
• Tracks calories, miles,
strides
• Has challenges you can set
• Can challenge others
• Keeps history
Stand-up desk:
• Promotes less sitting
• Sitting is the new smoking
• Easily adjustable and works
for almost all heights
New for
2017/2018
142. A grassroots community health and
wellness movement led and funded
by
LORD OF LIFE LUTHERAN CHURCH
MY LOVED ONE, IT IS MY PRAYER THAT YOU MAY DO
WELL IN ALL THINGS, AND BE HEALTHY IN BODY, EVEN AS
YOUR SOUL DOES WELL.
3 JOHN 1:2
WELLNESS FOR STAFF AND OUR CONGREGATION
INCLUSION OF STAFF AND PARISHINERS
150. A grassroots community health and
wellness movement led and funded
by
Missy Lake, RN, IBCLC, ICCE
Essentia Health
Prenatal Education & Lactation Services Coordinator
Member of North Central Breastfeeding Network &
Cass/Itasca Breastfeeding Coalition
151. The Business Case for Breastfeeding is a
comprehensive program designed to educate
employers about the value of supporting
breastfeeding employees in the workplace.
152. A grassroots community health and wellness
movement led and funded by
Supporting Breastfeeding is a
WIN-WIN
for Companies and Employees
153. If 90% of US families could comply
with medical recommendations
to breastfeed exclusively
for 6 months, the United States
would save $13 billion per year
and prevent an excess 911 deaths
(M. Bartick, MD, et al. http://pediatrics.aappublications.org/content/125/5/e1048.full.html)
154. • Employee retention
• Less time off for
child’s illnesses
• Lower health care
& insurance costs
155.
156.
157.
158. • Basic needs for a lactation space
• 4’ x 5’ space minimum
• Chair and table or surface to place pump
• Electrical outlet
• Privacy – lock on door or signage
• Access to water nearby (optional)
159. Support
• Essentia Health Lactation Services
• Crow Wing County WIC Programs
• North Central Breastfeeding Network
• Minnesota Breastfeeding Coalition,
http://mnbreastfeedingcoalition.org/workplace/
• Business Case for Breastfeeding Toolkit,
http://mchb.hrsa.gov/pregnancyandbeyond/breastfeeding/
160. Community support by family, friends, the workplace and the general public is
essential for breastfeeding mothers. By working together we can meet the
Healthy People 2020 goals, which benefits the enter community health wise,
financially and environmentally.
Erica Schmid, CLC
WIC Breastfeeding Program Coordinator
Member of the North Central Breastfeeding Network
161. I reached my goal!!!
New goal…..
Saving the world
162. The Center for Breastfeeding
A major focus of
THE HEALTHY CHILDREN PROJECT, INC.
WIC currently has 4 Certified Lactation Counselors,
certified through the Academy of Lactation Policy and
Practice as well as two pending certifications. Thank you
CWE/SHIP for sending Bethany and Rachel! This helps us
to provide our families, communities and businesses with
extra CLC support. All hands on deck!
163. Healthy People 2020 Goals
Objective # Time 2020 Target
Crow Wing
County 2016
(Preliminary)
MICH-21.1 Ever 81.9% 81.7%
MICH-21.2 At 6 months 60.6% 23.9%
MICH-21.3 At 1 year 34.1% Not available
MICH-21.4 Excl. through 3 mo 46.2% Not available
MICH-21.5 Excl. through 6 mo 25.5% Not available
164. What is the most common
reason women stop
breastfeeding???
168. • Simple Application
• North Central Breastfeeding
Network will assist you and
provide you with the tools you
need
• CWE can provide up to $500 to
help support starting a lactation
room in your current space
• Newsletter Announcement to
promote the launch of your new
program
• Bonus!!! Win-Win. Great for
business and great for families!
169. A grassroots community health and
wellness movement led and funded
by
Lactation Policy Implementation
170. Lactation Policy
The purpose of this policy is to
ensure that employees who have
a need to express milk after the
birth of a child may do so, as
needed, in a safe, private
environment.
171. Space requirements are actually quite simple:
• Privacy – locking door
• Comfortable chair and table
• Electrical outlet
• Small refrigerator
172. 1st of the month fruit
Subsidized healthy vending
Annual biometric screening
Walk-a-Mile Day
Bike to Work Day
Biggest Loser Contests
Lunch and Learns (CRMC)
Annual Health Fair (CRMC)
Drinking Water contest
Physical Therapist Visits
Chair Massage
Healthy Breakfast Days
Seat Belt Day
Safety/Ergonomics
Group mountain biking (summer)
Other GPI Wellness Initiatives
174. Healthy Eating Promotion
Did you know:
2 out of 3 adults in Crow Wing County are not eating
the recommended 5 or more fruits and vegetables a
day
175. A grassroots community health and
wellness movement led and funded by
Deanna Olson
Health and Wellness Coordinator-Just For Kix
Alexa Hayes
Health and Wellness Coordinator- Mills Fleet Farm
Jackie Thurlow
Community Health Specialist -Crow Wing Energized
176. •Evidence-Based Program
•Community-based, lifestyle change program
•Offers diabetes prevention education and
support
•Year-long program
•1-Hour Sessions
Lifestyle Change Program:
National Diabetes Prevention Program
177. National Diabetes Prevention Program– Statistics for Central
Region
93
132
402
485
# Participants
Number of NDPP Participants
2014 2015 2016 2017*
20.6%
Increase
*Data is incomplete for the whole year.
Close to 44
classes hosted at
workplace sites!
178. Goals of NDPP:
1. Lose 5-7% of body weight
2. Increase physical activity up to 150 minutes per
week.
WHY?
If both goals are accomplished, participants cut their risk for type 2
diabetes by 58%. People older than 60 cut their risk by 71%.
1 out 3 individuals currently have pre-diabetes— but 9 out of 10 times
people don’t know it.(That’s about 79 million people)
179. Other activities participants
are doing:
• Getting more engaged in
their health
• Looking for more health
information
• Starting further “support
groups”
• Searching, sharing, and
trying healthy recipes
• Becoming coaches!
180. New lifestyle coaches joining the team soon!!!
February 20 & 21, 2018– Essentia Health St. Joseph’s Hospital
After this training you will know how to:
• Learn how to facilitate and utilize the evidence-based curriculum for the National Diabetes
Prevention Program by supplying diabetes prevention education and support to people with pre-
diabetes.
• Help support those to lose weight, increase physical activity, develop problem solving skills and
coping skills.
• Truly make a healthy difference in the lives of community members by helping others develop a
healthy lifestyle.
182. “Every great and commanding movement in the annals of the world are due to the triumph of enthusiasm—
Nothing great was ever achieved without it”
—Ralph Waldo Emerson
Real People! Real Relationships! Real Results!