Loading...
HomeMy WebLinkAboutAgenda - 10-20-2009 - 4dORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: October 20, 2009 Action Agenda Item No. ~{-- SUBJECT: Grant Application to North Carolina Association of County Commissioners for Wellness Program DEPARTMENT: Human Resources PUBLIC HEARING: (Y/N) No ATTACHMENT(S): 1. NCACC Grant Application 2. Wellness Activities 2006-present INFORMATION CONTACT: Michael McGinnis, HR Director, 245- 2552 Diane Shepherd, Benefits Mgr., 245- 2558 Nidhi Sachdeva, Senior Public Health Educator, 245-2440 PURPOSE: To authorize the submission of the County's wellness grant application to the North Carolina Association of County Commissioners (NCACC) Risk Management Pool for Employee Wellness Program funding; to accept any funds awarded; and to establish a grant project ordinance to monitor expenditures per the grantor's request. BACKGROUND: The NCACC provides a wellness grant for members of the risk management pool. Grants are based on the number of employees to a maximum of $7,500. As a member of that pool, it is proposed that Orange County submit a grant (Attachment 1) that will provide printing, materials and incentives for the 2010 employee wellness program referred to as SLICE (Successful Lifestyles Initiatives for County Employees). The grant application is a collaborative effort between the Health Department and Human Resources Department, with input from the Employee Wellness Committee of the Employee Relations Consortium. Grant funds are to be used beginning within 90 days of receiving the grant money. Since 2006, Orange County has provided numerous activities to promote employee health and wellness (See Attachment 2). In 2006, Orange County received a grant of $14,000 from the NCACC which provided funding for health risk assessments, health screenings, employee communications and participation incentives (a sport bag) to employees. Over 200 employees participated in the health screenings. In 2007, when no incentive was available, fewer than 75 employees participated in the same health screenings and risk assessment. Due to costs, Orange County has not funded incentives for wellness activities. Since 2006 the County has relied on the NCACC for incentives (picnic baskets, smoothie makers, sports bags filled with health-related items, etc.) for wellness activities, which are distributed as a drawing and not available to every participant. Despite communication and promotional efforts, only 10%-15% of employees participated in all wellness activities each year. In 2009, CIGNA introduced a new online assessment developed by the University of Michigan Health Management Research Center. Employees were informed of this tool, called My Health Assessment, and the Health Advisor program, which provides free online and telephonic coaching designed to encourage and improve healthy behaviors. In 2009, as a voluntary program, approximately 5% of employees completed the assessment. As part of the Board 2010 Benefits Recommendation approval, employees and retirees must complete the health risk assessment (HRA) to avoid paying a $10 per month health insurance premium. Once the HRA is completed the $10 premium will be forgiven for the rest of the year. The premium will encourage a large number of employees to complete the assessment. Additional communication and incentives will encourage more employees to complete the assessment. The NCACC grant will be used to encourage 100% participation in HRA completion and will support other wellness activities for 2010. FINANCIAL IMPACT: The grant request is for $7,500. A County match is not required. Grant funds will be expended from January 2010-December 2010. Therefore, any funds received will be placed in a multi-year, grant project fund. RECOMMENDATION(S): The Manager recommends that the Board: 1. Authorize submission of the County's wellness grant application to the North Carolina Association of County Commissioners; 2. Accept any funds awarded; and 3. Pending grant approval, establish a grant project ordinance to monitor expenditures per the grantor's request. Attachment 1 0 3 N O R T H C A R O L I N A ASSOCIATION OF COUNTY COMMISSIONERS Eligibility for the Wellness Grant Program The following criteria shall apply to any member wishing to apply for a grant: 1. Any member of the Group Health Pool is eligible to apply. 2. The county who receives a wellness grant must begin the program within 90 days of receiving the grant money. 3. Members may submit a proposal for the Wellness Grant Program at any time during the fiscal year. Grants will run a twelve month cycle. 4. Submissions are only for new programs. No ongoing programs will be considered. 5. As a condition for receiving a grant, all applicants must have a smoking cessation program, or include plan for one in the application. 6. All applications will be reviewed by the NCACC Risk Management Grant Committee. 7. The amount of money that a member can receive depends upon the number of Pools in which the member participates, and the number of full-time employees the member employs at the time of the grant application. The maximum amount that can be awarded to a group each year is $7500.00. 8. The County Health Plan Health Education Coordinator will monitor and audit grant compliance. Grant recipients will be required to report measurable outcomes for each initiative entered into their timeline prior to the end of the grant cycle. NCACC Risk Management: 215 N. Dawson St., Raleigh, NC 27603 I Phone: 919-719-1100 I Fax: 919-719-1101 Attachment 1 INSTRUCTIONS FOR WELLNESS GRANT PROGRAM SUBMISSIONS GRANT APPLICATION Complete the attached grant application in addition to the program description, projected budget and timelines for the proposed wellness program. PROGRAM DESCRIPTION 1. Provide a description of the wellness program being proposed for consideration for the grant. 2. Provide a projected program budget for upcoming year. 3. Provide a program timeline. PROJECTED PROGRAM BUDGET FOR THE YEAR Present the budget by type of expenditures. Be specific: Expenditure Cost (List using the following categories :) Health risk assessment screening Hypertension screening Smoking Cessation program Additional Program Options (insert) Communication Activities (insert) Other Activities (insert) TIMELINE FOR PROGRAM Complete a timeline for your program and attach it to this application. NCACC Risk Management: 215 N. Dawson St., Raleigh, NC 27603 I Phone: 919-719-1100 I Fax: 919-719-1101 2 Attachment 1 O Wellness Grant Application Member Name: Name of Person Title of Person Phone of Person Completing Completing completing Orange County Assessment: Assessment: Assessment: Government • Nidhi Sachdeva Senior Health . 919-245-2440 • Donna King Educator -- Health . g19-245-2449 Diane Shepherd • Promotion . g19-245-2558 Dir., Health Promotion & Education Services • Benefits Manager Mailing Address: 300 W. Tryon St., Hillsborough, NC 27278 Name of person Title of person coordinating Phone of person coordinating wellness wellness program: coordinating the wellness program: program: Senior Health Educator -- Nidhi Sachdeva Health Promotion 919-245-2440 The wellness The wellness program will be available only to the following program will be department(s): N/A available to all employees: Yes No ^ NCACC Risk Management: 215 N. Dawson St., Raleigh, NC 27603 I Phone: 919-719-1100 I Fax: 919-719-1101 Attachment 1 (0 List the departments who will be a part of the wellness program and the number of emplovees assigned to each location. If a department does shift work indicate the number of emplovees per shift. Department Name Number of Employees As~i ned to Location Shift Work? A in &OPT 31 Animal Services 28 Board Of Elections 4 Bud et 4 Child Su ort 12 Coo erative Extension 5 Count Attorne 3 Count Commissioners 11 Count Mana er 8 Economic Develo ment 5 Emer enc Services 80 76 Environmental & Resources 14 Financial Services 6 Health 74 Housin & Communit Develo ment 8 Human Resources 8 Human Ri hts & Relations 5 Information Technolo 12 Land Records 5 Libra Services 17 Plannin & Ins ections 33 Public Works 40 Purchasin & Central Services 6 Recreation & Parks 20 Re ister of Deeds 14 Revenue/ Tax Collector 12 Sheriff 131 115 Social Services 152 Soil & Water/Landfill 4 Tax Assessor 14 Visitors Bureau 5 Grand Total 837 NCACC Risk Management: 215 N. Dawson St., Raleigh, NC 27603 I Phone: 919-719-1100 I Fax: 919-719-1101 Attachment 1 O 7 The following are key components for a successful wellness proaram The questions are included to help members think about the areas involved in putting together a program and to identify the areas that will need attention in the planning stage Support A. Strong support from top management is critical in developing and maintaining a wellness program. Please indicate the level of support from management for this program, how management was engaged to get their support for the program and how they will be involved in the program. Management is defined as the governing board, county manager and department heads. Management_Support Support for wellness activities comes from the highest levels of Orange County. The County Manager, Health Director and Human Resources Director are eager to implement a variety of wellness activities that will result in healthier lives for employees and retirees. Department Heads support their staffs' participation on the Health and Wellness Committee. The Health Director has assigned 0.2 FTE of staff to support a wellness program. Additionally, it is hoped that these activities will result in lower costs for health care over the long term. Since Orange County currently provides health care at no cost to most retirees (for life), it's hoped that by developing healthier habits as employees, retiree health costs will not escalate to untenable amounts. 2. Employee Committees How have employee-based committees with representatives from management and departments been utilized in the planning of this grant project? Employee Committee The Employee Relations Consortium Wellness Committee (WC) represents a cross-section of departments and employees and reflects the diversity of Orange County employees. This WC has been integral to the development of the program plan presented here. The Committee provided key input and feedback on proposed program components, helped select effective incentive options, and provided information on how well the proposed components would be utilized by employees in the departments they represent. The Benefits Manager is a member of the Wellness Committee and has had an active role in grant writing by providing statistics and claim data, as well as participating in the program planning process. Health Department representatives have also played an integral role in the development of this proposal. They have provided guidance and shared their expertise to ensure that the program components proposed are theory- and evidence-based and based on proven strategies to encourage behavior change among Orange County Employees. NCACC Risk Management: 215 N. Dawson St., Raleigh, NC 27603 I Phone: 919-719-1100 I Fax: 919-719-1101 Attachment 1 O 3. Financial Resources The costs of a wellness program can vary according to the type of activities in the program, whether costs are shared with employees, and what local resources are available. What type of resources is the member willing to dedicate, will adequate funding be available? Financial Resources In-kind time will be donated by the following groups/persons: Health Department: Wellness Coordinator (Program lead, 0.2FTE), Registered Dietitian (technical assistance and consultation, as time allows); and Communications Specialist (graphic design services, as needed and as time allows). Additional Senior Public Health Educators to staff events, lead programs, etc. Human Resources: Benefits Manager (promote health related benefits, provide needed statistics and relevant claims information and assist Wellness Coordinator in promoting employee wellness activities, average of four hours a month). Employee Relations Consortium: Committee members (approximately 10 hours a month among 36 ERC at large committee members and 15 Wellness Committee Members) In addition, meeting space is available to hold wellness events; and employees can join the local SportsPlex at a reduced membership price. There are several free marketing channels in place and available for use-Staff email, Human Resources Wellness webpage, and a Wellness Listserv. 4. Staff Time Commitment of staff is critical for a successful wellness program. Will there be a dedicated employee with responsibility to design, implement and coordinate the wellness program? Will they be provided the time to set up the program, work with an employee committee, promote the wellness program :Staff Time The primary employee dedicated to this program is a 0.2 FTE Employee Wellness Coordinator within the Health Department. This staff person chairs the Health and Wellness subcommittee of the Employee Relations Consortium. The Wellness Coordinator serves as lead for the Wellness Program, assesses the wellness needs of employees, plans programs using best practice criteria and input from Wellness Committee members, carries out programs with partners, and evaluates the programs to ensure participation and effectiveness. The Health Promotion and Education Services Division of the Health Department provides assistance, supervision, expertise, and staff time for employee wellness ro rams. NCACC Risk Management: 215 N. Dawson St., Raleigh, NC 27603 I Phone: 919-719-1100 I Fax: 919-719-1101 6 Attachment 1 The HR Benefits Manager will promote health related benefits, provide needed statistics and claims information and assist Wellness Coordinator in promoting employee wellness activities (average of four hours a month). Wellness Committee members are also committed to assisting the Wellness Coordinator in promotion and coordination of wellness program activities and sharing staff feedback regarding employee wellness needs and interests. 5. Employee Interest What are the needs and interest of employees and management and their perceptions of workplace wellness? What methods will be used (or have been used already) to determine what activities will engage employees of the wellness program? -- _Gauging Employee and Management Interest and Perceptions In past Wellness surveys, employees expressed interest in opportunities to learn more about nutrition and physical activity; and department heads perceived diet/overweight and inactivity as the top two health issues within their departments. In 2005, a pilot wellness program, funded by NCACC, conducted various interests' surveys, offered the County's first HRA, and brought attention to the need for holistic and consistent Wellness programming. Of those employees completing the HRA, 79% had BMI >25; 72% need to improve nutrition; 62% need to improve fitness; 47% had high cholesterol; and 32% had elevated blood pressure levels. Of those employees completing the 2007 HRA, 67% had a BMI > 25; 70% need to improve nutrition; 58% show need for improved fitness; 40% had high cholesterol; and 17% had elevated blood pressure levels. A recent survey completed in August 2009 highlighted the fact that most employees (61 % of survey participants) are aware that eating smart and moving more are possible ways in which they can improve their health and reduce health care costs and wish to make lifestyle changes. The Interim County Manager would like to offer wellness activities that would lead to a reduction in health care costs. The Health Director and the Human Resources Director are interested in keeping employees healthy so they can be more productive and have a better quality of life, and reduce absenteeism at work. The Benefits Manager perceives that health insurance by itself minimally keeps employees healthy. The Wellness Coordinator and other Health Promotion Staff and the HR Benefits Manager also would like to improve the quality of life of Orange County employees through prevention efforts and behavior change. 6. Communication Employees need to know about the program and schedule of activities in order to make decisions about participating. Employees also need to know about the central issue or problem identified that is a trigger for the wellness program being introduced. What 0 NCACC Risk Management: 215 N. Dawson St., Raleigh, NC 27603 ~ Phone: 919-719-1100 ~ Fax: 919-719-1101 7 Attachment 1 i~ communication plan will assist with educating employees about the wellness program, how do you currently inform employees about activities or policies? Employees are currently and will be informed of wellness activities through various marketing channels. Information is shared through the Employee Relations Consortium Representative from each department; mass emails are sent, as are paycheck stuffers distributed to all staffers; messages are shared in the employee newsletter; posters/flyers are posted in common areas of county buildings and information displays are set up at county employee events; a message board has been established on the HR Website and Intranet; a Wellness Listserv for interested employees will be created; and, most importantly, wellness messages and events are promoted by `word of mouth' of Health and Wellness Committee members and other employees. 7. Incentives How will you motivate employees to participate in the wellness program? Are there incentives the member is willing to use to engage employees in the program? ~ -- - - ____ - _ Incentive Strategy Incentive items will be awarded based on achievement of behavior goals and program participation. Given the recent changes in the County budget, it is expected that employees will also be motivated to participate in the wellness programs to keep costs of health care low. 8. Program Resources What resources are readily available for a wellness program? Program Resources Rooms for workshops or brown bag YES lunchtime sessions Rooms for exercise classes YES Showers YES (Limited) Exercise equipment - cardio equipment, YES; Membership required wei hts Outdoor area for a running or walking YES course Access to a swimming pool YES; Membership required Movie projector or VCR/TV YES (LCD/DLP/Laptop) Staff to take blood pressures (i.e., YES aramedics, la ex erts, or nurses NCACC Risk Management: 215 N. Dawson St., Raleigh, NC 27603 I Phone: 919-719-1100 I Fax: 919-719-1101 Attachment 1 Weight scales YES (Limited) Blood pressure monitoring equipment NO Staff to do graphics for posters, newsletters, and announcements YES Staff to lead classes YES Access to a nurse(s), a nutritionist, a h sical fitness trainer YES Community Resources to teach classes or rovide screenin s: check all that a I American Lung Association UNKNOWN American Cancer Society UNKNOWN American Heart Association UNKNOWN Local Health Department YES Local Hospital Resources YES Local Physicians YES Local Physical Therapists YES Local Nurses YES Local Health Club YES Voluntary Agencies (Specify which ones) Local Universities YES Local YMCA/YWCA YES Local Vendors YES PROGRAM DESCRIPTION 4. Provide a description of the wellness program being proposed for consideration for the grant. Orange County Tobacco Free/Great American Smoke-Out The Orange County Tobacco Cessation Program with be launched in November 2009 in conjunction with the Great American Smoke-out and will continue throughout the year. Semi- permanent Quit Stations will be set up at various locations around the County (to ensure widespread accessibility) with special focus on departments known to have the most tobacco users. Tobacco cessation information and brochures, NC QuitLine referral cards, commitMlNTs (to ease oral fixation habit), pledge cards, information on Cigna discounts on tobacco cessation tools (e.g. nicotine gum, patches), eye-catching posters, etc. will be included at each of station and replenished as needed. n NCACC Risk Management: 215 N. Dawson St., Raleigh, NC 27603 I Phone: 919-719-1100 I Fax: 919-719-1101 9 Attachment 1 is Employees who wish to quit using tobacco will be strongly encouraged to call the NC QuitLine and contact the Employee Wellness Coordinator to obtain a Quit Kit. Quit Kits will include aself- guided tobacco cessation booklet, various incentives, more information on the County Health Plan benefits, including Cigna's discount programs and the low cost of over the counter tobacco cessation products. In addition to this tobacco-user focused effort, all employees will be re-educated on the current Orange County Tobacco Free Zone policy in which no tobacco use is permitted within a 50 foot radius of all Health and Human Services buildings. Amulti-phased marketing campaign using paystub stuffers, email distribution lists, etc. will be used to remind employees of the policy repeatedly throughout the year and stress the need for enforcement among employees and clients. Flu Given the upcoming Flu season and the current publicity around H1N1 virus, employees will be educated on prevention strategies and control measures. They will .also be encouraged to obtain their seasonal flu shots, beginning with a wellness fair on October 23. Walking Days/10,000 Steps Program Walking Days will be hosted in various locations throughout the county, twice a year. Walks will be lead by Wellness Committee members during lunch time and will provide employees an opportunity `to step out and step up for better health." Walkers will be encouraged to take the first steps to improve their health, boost their energy levels and mood, learn about the benefits of walking and ways in which they can incorporate a daily walk into their routine. Incentives for participation will be provided and will highlight safety while walking. Employees will also be encouraged to participate in the 10,000 Steps Program and be offered incentives for participation. Health Risk Assessment: Phase I and II Beginning in January, the health coverage plan offered to Orange County employees and retirees will be slightly altered. The County will continue to pay 100% of health coverage for employees who complete a confidential Health Risk Assessment (HRA). However, if an employee chooses not to complete the HRA by March 2010, a $10 monthly premium ($5/semi- monthly) will be charged beginning in April. Therefore, the Wellness Committee in conjunction with Human Resources has developed a plan with the goal being 100% of Orange County employees and retirees will complete the HRA by early Spring 2010. There will be two Phases to urge employees and retirees to complete the HRAs-one in the winter and one in the spring. A three stage incentive plan has been proposed. Employees and retirees will receive smaller incentives immediately after completing the HRA and then will be entered into a raffle contest for a grand prize drawing (TV, Nintendo Wii and WiiFit package) to be held at the end of each Phase. The long term objective will be to increase the number of employees completing the HRA. A comprehensive, multi-channel marketing campaign will be conducted in order to educate employees and retirees on the upcoming changes to the benefits package, encourage HRA completion, and promote the incentive program/grand prize contest. NCACC Risk Management: 215 N. Dawson St., Raleigh, NC 27603 I Phone: 919-719-1100 I Fax: 919-719-1101 10 Attachment 1 !3 There will be computer stations set up during Wellness Fair and Wellness Open Houses to give those who have limited access to or experience with computers an opportunity to complete the HRA; and people available to help walk employees through the process. Maintain Don't Gain Holiday Challenge (Eat Smart Move More NC)/New Year's Resolutions The Maintain Don't Gain Holiday Challenge will be held during the holiday. season. Employees will be encouraged to sign up for the self-directed program online and will be awarded incentives for participation. Challenge participants will have to submit proof of registration and a completed log at the end of the challenge to qualify for prizes, but will not be judged based on if they maintained or gained weight over the course of the program. Department Head Luncheon and Wellness Committee Breakfast A Department Head Luncheon will be hosted by the Wellness Committee in February: The goal will be to stress the importance of having healthy employees (e.g. reduce absenteeism, increased efficiency and job satisfaction, etc.) and to increase management support for the adoption of a "culture of wellness" in Orange County. The Luncheon will be an opportunity to: • Share more information about on-going and upcoming Wellness Programs; • Re-visit current, established policy (e.g. tobacco-free zones) and emphasize the need for enforcement; • Introduce wellness policy initiatives (possible expansion of the tobacco-free zones to all County buildings, Water pitcher policy, and a Healthy Food/Beverage and Activity policy); and • Have managers commit to promoting wellness among their staffs and advocate for ways in which their staffs can incorporate wellness into the workday (e.g. flexible hours, longer lunch breaks). The Wellness Committee Breakfast will be held mid-year to thank committee members for their commitment to wellness and their active participation in related activities. Wellness Open Houses Wellness Open Houses will be held at least three times over the next year in collaboration with Cigna representatives. The October Wellness Fair will be during open enrollment period and give employees an opportunity to ask questions regarding their health coverage or benefits package. Maxim/CIGNA will provide free flu shots, cholesterol checks and blood pressure checks. The Health Department will present health education materials about healthy eating, physical activity, and tobacco use cessation. The Wellness Fair will also have computer stations and people available to help employees complete their Health Risk Assessments (HRAs) on site; as well as be an opportunity to promote upcoming Wellness activities such as the Maintain Don't Gain Holiday Challenge. Another Wellness Open House is planned for January 2010 and will be a chance for employees to learn more about their new benefits package and ask questions; get health information; make New Years Resolution pledges, complete HRAs, etc. Another event in March will be serve as a NCACC Risk Management: 215 N. Dawson St., Raleigh, NC 27603 I Phone: 919-719-1100 I Fax: 919-719-1101 11 Attachment 1 14 final push for employees to complete their HRAs before the deadline-beginning in April, those who have not completed the assessment will be charged a $10 monthly premium. Employee Wellness Month One of the Wellness Committee's goals is to ensure that Wellness messages are being promoted constantly and consistently. Employee Wellness Month will be held in May and will be amid-year reminder for employees to prioritize wellness and re-visit their New Year's resolutions. There will be a variety of wellness activities organized. PROJECTED PROGRAM BUDGET FOR THE YEAR - . - .. .. - Y 1: Orange County Tobacco Free QuitLine Referral Cards and Brochures Tobacco Cessation Program Quit Stations Great American Smoke-Out (Mints/gum, stress relievers, etc.) $675 Health Risk Assessment HRA: Phase I and II Employee Incentives $2,500 Walking Days/10,000 Steps Program; Maintain Don't Gain Holiday Challenge (Eat Smart Additional Wellness Programs Move More Messaging)/New Year's Resolutions; Wellness Employee Incentives Open House; Water Pitcher Policy; Employee Wellness Month, etc. $3,225 Department Head Luncheon Boxed meals Drinks Communication Activities and Wellness Committee Breakfast , , Plates, utensils, etc. $600 Administrative/Marketing Printing/Copies $500 TO TAL Projected Cost $7,500 NCACC Risk Management: 215 N. Dawson St., Raleigh, NC 27603 I Phone: 919-719-1100 I Fax: 919-719-1101 12 PROGRAM TIMELINE Attachment 1 ~5 .. . ~. ~ . Activity Oct. Nov. Dec. Jan. Feb. Mar. Apr. May June July Aug. Septa Orange County Tobacco Free/Great X X X X X X X X X X X X American Smoke-Out Flu X X X X Walking Days/10,000 X X Ste s Pro ram Health Risk Assessment: X X X X Phase I and II Maintain Don't Gain Holiday Challenge (Eat Smart Move More X X X Messaging)/New Year's Resolutions Department Head Luncheon and Wellness X Committee Breakfast Wellness Open House X X Water Pitcher Polio X Employee Wellness Month X NCACC Risk Management: 215 N. Dawson St., Raleigh, NC 27603 ~ Phone: 919-719-1100 ~ Fax: 919-719-1101 13 Attachment 1 I~ PROPOSAL FOR the NCACC COUNTY HEALTH PLAN WELLNESS GRANT PROGRAM Orange County Government is pleased to present, for approval, the following plan for an employee wellness grant with the NCACC County Health Plan for the Year 2009- 2010. This plan was presented to the Orange County Board of County Commissioners and was approved on October 20, 2009. Name of Contact for SafetyNVellness Program: Nidhi Sachdeva Title of Contact: Senior Health Educator -- Health Promotion Orange County Health Dept.. Health Promotion & Education Services Name of County or County Entity: Orange County Government Address: Orange County Health Department. 300 W. Tryon Street, Hillsborough NC 27278 Email of Contact: nsachdevaCa~co.orange.nc.us Phone: 919-245-2440 Fax: 919-644-3007 Number of Full-time Employees as of the date of this grant application: 837 Total Projected Budget for Safety and Wellness Program: 7 500 NCACC Risk Management: 215 N. Dawson St., Raleigh, NC 27603 I Phone: 919-719-1100 I Fax: 919-719-1101 14 Attachment 2 WELLNESS ACTIVITIES ~ ~ On-Going Programs Beginning 2006 • No Cost Flu Shots • Maintain Don't Gain Holiday Challenge • Health Risk Assessment and Health Screenings Beginning 2007 • No Cost Preventive Health Services (flu shots, annual exams, initial colonoscopy, etc.) • Eat Smart, Move More campaigns Beginning 2008 • Consumerism Meetings at Open Enrollment • 10,000 Steps Walking Program • Passport to Wellness incentive program • Quarterly Wellness Lunch & Learn programs Beginning 2009 • Health Advisor & voluntary Health Risk Assessment Wellness Open Houses