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Measuring Program Results

Information to evaluate your program comes from routinely collected evaluation and follow-up data of your program that look at process and outcomes of your program.

The Worker Health Program has available a computerized case-management system which includes queries that allow easy assessment of process and outcome results at any point in time.

Process Evaluation

Process assessment looks at the  Company Wellness ‘s impact as seen at various points in time.

Information that is gathered from the various forms that wellness workers fill out ought to supply you with the following:

• How many workers were screened?
• How many workers who were referred to a doctor went?
• How many workers who expressed interest in health improvement programs went?
• How many workers who were referred to health improvement programs went?
• How many workers who went to health improvement programs completed them?
• How many workers are in follow-up caseload?

You can use this sort of process assessment to evaluate and learn about the health of your program.

Outcome Evaluation

A central objective of the program is to better the health of workers. Information on how to judge how well your program is meeting this objective is called “outcome assessment” because you are evaluating the end results or outcome of your program.

In wellness programs, objectives are gauged by specific (outcomes) behavior changes and reductions in health risk levels. Have workers lowered their Blood Pressure (BP)? Have they lost weight? Are they exercising more? Is alcohol consumption at a safe level? By way of example these are the types of questions you can ask to find out if you are reaching your objectives:

• For workers with elevated Blood Pressure (BP) (140 / 90 or higher or on medication) at evaluation, what percentage have it under control (below 140 / 90) a year later?
• What is the modification in average Blood Pressure (BP) levels among all workers with elevated Blood Pressure (BP) 1 year after evaluation? Two years later?
• For workers with elevated blood cholesterol levels (above 240) at screening, what percentage has reduced their cholesterol to borderline-high levels (200-239)?
• For workers with borderline-elevated blood cholesterol levels, what percentages have reduced their cholesterol to the desirable range (below 200)?
• What is the modification in average cholesterol levels among all workers with high and borderline-high blood cholesterol levels 1 year after evaluation? Two years later?
• For workers who were overweight at evaluation, what percentage have lost 20 pounds or more a year later? Ten pounds or more? What is the average weight loss?
• For workers who were smokers at evaluation, what percentages have quit smoking? For at least a year?
• For workers whose level of alcohol consumption put them at-risk at evaluation, what percentage have quit drinking alcohol? Are consuming alcohol at levels considered safe by CDC standard procedures? Have reduced their drinking, but are still at-risk?
• For workers, what percentages are exercising at least three times a week for at least 20 minutes?
• If fitness levels were gauged, what percentages have improved fitness?

Set a regular time such as every 6 months to look at which workers your program is reaching and how effective it is at helping them decrease their health risks. Use this information to make new decisions about how to direct your program efforts. Then make the modification you need to better your program.

Some may feel that evaluation is a frill; it is not. Evaluation is a essential part of a wellness program. You will have to know what is working and what is not. Decision-makers who fund the program need to be updated on the effectiveness of the program. Evaluation will offer you with essential data to maintain and expand the program and convince management to continue to support the program.

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Health Screening

The backbone of wellness programming at the workplace is health evaluation. It is the first primary exercise a company ought to do when first starting a wellness program. Health evaluation is often used in conjunction with the administration of a Health Risk Appraisal (HRA).

The most effective way to screen is to utilize a health professional trained in wellness evaluation techniques and counseling to privately and individually assess participants. This wellness professional takes a brief health history and measures Blood Pressure (BP) and blood lipids. With computerized blood lipids desktop analyzers, results are obtained in about four minutes.

Immediate feedback, consultation, and educational materials are provided. For those identified at-risk, follow-up appointments can be scheduled at this time. The whole process takes about twenty minutes per individual. The screening also supports an immediate opportunity to register participants in various health improvement programs based on their interests and identified health risks.

Health evaluation can be done on an yearly basis and used as a means of monitoring health risks within the workplace.

A health evaluation program needs to offer multiple opportunities for participation. The service ought to be provided for all the various shifts of a company. The evaluation program ought to be conducted in highly visible areas so the process can be observed.

Reluctant workers often like to be able to see what the program is about before they take part. When wellness screeners are not busy, they ought to perform outreach going to areas where workers gather and attempt to recruit workers.

When well-planned and promoted, health evaluation can attract participation rates of 60% to 100%. These high participation rates have a positive impact on management producing support for further programming.

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