In addition to looking at the health behaviors of staff members, take a good look at your organization. The following questions can help you identify opportunities for your organization to support and encourage healthy behaviors among staff members.
A strong foundation for employee health improvement
1. To what extent does the senior management in your organization actively and visibly support the Workplace Wellness Program?
__ No support for the Workplace Wellness Program
__ Support, but not at senior level
__ Support at senior level, but not visible to staff members
__ Strong and visible Workplace Wellness Program support
Comments:
2. Is the Workplace Wellness Program tied to your organization’s mission statement?
__ No
__ Yes, the Workplace Wellness Program is tied to business plan OR mission statement
__ Yes, the Workplace Wellness Program is tied to both business plan and mission statement
Comments:
3. Is there an staff member within your organization whose job responsibilities include Workplace Wellness Program coordination?
__ No
__ Yes, but has little time available to dedicate to Workplace Wellness Program
__ Yes, and has at least part of the job dedicated to Workplace Wellness Program
__ Yes, and has at least one full-time position dedicated to Workplace Wellness Program
__ Yes, and has at least part of the job dedicated to wellness AND has a background that includes Workplace Wellness Program qualifications
__ Yes, our organization has at least one full-time position dedicated to health improvement AND the staff member’s background includes Workplace Wellness Program qualifications
Comments:
4. Does your organization have an active wellness committee with diverse representation?
__ No (does not have a Health Promotion Committee, or has a committee that doesn’t meet)
__ Yes, we have a Health Promotion Committee, but with limited representation
__ Yes, we have a Health Promotion Committee with widespread representation
__ Yes, we have a Health Promotion Committee with widespread representation AND committee involvement is part of each representative’s job responsibilities
Comments:
5. Does your organization have an annual budget for Workplace Wellness Program expenses? (Workplace Wellness Program expenses may be associated with providing a health assessment, paying for behavior change programs/coaching programs, covering incentives that encourage healthy behaviors, subsidizing healthy food options, communications and programs around specific health topics, fitness centers/walking paths, etc).
__ No
__ Yes, but funds are earmarked for Workplace Wellness Programs (e.g. only for Weight Watchers or fitness discounts) and do not meet all existing Workplace Wellness Program needs
__ Yes, funds are available to meet current Workplace Wellness Program needs
Comments:
6. Does your organization have a plan for engaging staff members in the Workplace Wellness Program?
__ No
__ Yes, we have a communications plan for our Workplace Wellness Program
__ Yes, we have a communication plan AND we offer meaningful incentives or rewards (such as premium discounts or debit cards) for the Workplace Wellness Program to engage in healthy behaviors.
Comments:
A data-based approach to the Workplace Wellness Program
7. Does your organization have clearly stated Workplace Wellness Program objectives and priorities for employee health improvement?
__ No
__ Yes
__ Yes, data (e.g. HRA, claims, productivity) are the basis for defining Workplace Wellness Program objectives or priorities
__ Yes, data AND evidence-based best practices are a basis for defining Workplace Wellness Program objectives or priorities
__ Yes, data and best practices are basis for defining Workplace Wellness Program objectives or priorities as well as measuring Workplace Wellness Program progress (assessment)
Comments:
8. Has your organization completed a Health Risk Assessment?
__ No
__ Yes, but more than 2 years ago
__ Yes, within the last two years, and achieved a participation rate of less than 50%
__ Yes, within the last two years, and achieved a 50% – 79% participation rate
__ Yes, within the last two years, and achieved an 80% or greater participation rate
Comments:
A workplace setting that supports healthy behaviors
9. Does your organization’s tobacco reduction strategy reflect best practices?
(Check all that apply)
__ A no-smoking policy that includes both buildings AND grounds
__ 100% coverage for the cost of over-the-counter nicotine replacement therapy
__ Worker access to – and strong promotion of — a tailored stop-smoking program
Comments:
10. Does your organization provide opportunities (time and places) for physical activity during the work day?
__ No
__ Yes, indoor places for physical activity (on-site fitness center) OR outdoor places for physical activity (walking paths)
__ Yes, both indoor AND outdoor places for physical activity
__ Yes, indoor and outdoor opportunities AND staff members can use work time for physical activity
Comments:
11. Does your organization promote healthy eating by providing access to fruits and vegetables?
__ No
__ Yes, fruits and vegetables are available at the workplace (in vending machines, break areas, or cafeterias)
__ Yes, fruits and vegetables are available and discounted at the workplace
Comments:
Benefits that support employee health improvement
12. Does your organization provide staff members with self-care resources?
(Check all that apply)
__ Distribution of self-care books
__ internet-based access to health information
__ Nurse advice line
Comments:
13. Which of the following preventive services are covered at 100% by your organization’s health benefits?just t
(Check all that apply)
__ Vision screening
__ Hearing
__ Immunizations (per CDC/ACIP recommendations)
__ Radiology
__ Laboratory services
__ STD screening
__ Preventive health examination for adults
__ Cancer screen (includes: colon, cervical, breast, prostate and ovarian cancers)
__ Contraceptive management
Comments:
14. Which of the following are included in your organization’s pharmacy benefit?
(Check all that apply)
__ Mail order or other 90-day supply option for medications
__ Specialty pharmacy network
__ Incentive-based tiered formulary design
Comments:
15. Do your organization’s health benefits provide coverage for behavioral health (such as depression, mental illness, counseling, stress management, and chemical dependency)?
__ Yes, at the same level as health benefits
__ Yes, but at a lower level (less coverage) than health benefits
__ No coverage for mental or behavioral health
Comments:



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