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“Planting the Seeds for Wellness” Fair

The Scott Lawson Companies (Concord, NH) held its first Wellness Fair on April 22nd. Local businesses and non-profit organizations participated in the free event organized by Workforce Wellness LLC. This was a great opportunity to experience a variety of approaches to health and wellness by showcasing vendors that specialize in a wide array of related disciplines.

Attendees were able to view the effects of sun exposure with a Derma Scan, indulge in a massage from Chichester Massage, and taste healthy foods prepared during a cooking demo. It was a ‘first’ for many to experience Reiki and acupuncture. Coppola Physical Therapy tested grip strength and Workforce Wellness LLC screened biometric measurements.

The Dover and Concord Police Departments entertained the crowd! People realized the visual effects of impairment by wearing the ‘beer goggles’. Attendees were reminded of the importance of wearing a safety belt after taking a ride in the car crash simulator.

There were many products to sample such as Badger Balm and Stonyfield Farm yogurt. Care providers such as Delta Dental, MVP Health Care and The Center for Health Promotion were well represented. Healthy recipes, nutrition and health information were exchanged.

The positive vibe and focus on healthy living was at the very foundation of this outstanding event! Thank you to all the exhibitors and organizations that donated their time, goods and services:

•American Cancer Society
•Arthritis Foundation
•Concord Community Acupuncture
•WS Badger (Badger Balm)
•Bikram Yoga Concord
•Center for Health Promotion
•Concord Police Department
•Coppola Physical Therapy
•Body Works Martial Arts
•Chichester Massage
•Delta Dental
•Dover Police Department
•Melcher & Prescott Insurance
•MVP Health Care
•Northeast Organic Farming Association
•Stonyfield Farm
•Workforce Wellness

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The Perfect Match – Employee Wellness and High Deductible Health Plans

Consumerism and healthier lifestyle choices are important in lobbying for more affordable health care. The prolonged economic downturn has forced employers to take a close look at the rising cost of health care. Employers are instituting strategies that encourage employees to take responsibility for their own health.

An employee wellness program coupled with a high-deductible health plan, backed by a Health Savings Account (HSA) or Health Reimbursement Arrangement (HRA), offer a solution. These health plans also referred to as Consumer Driven Health Plans. The underlying principle is to engage the employee in personal health care.

Employee wellness programs encourage healthy living through health education and support. Wellness program participants gain access to the tools and resources needed to make positive change. Employers that support the well-being of their workforce create a healthier, more productive and sustainable work environment.

Additional benefits of a worksite wellness program include:

•recruitment and retention of healthy employees
•decreased illness and injury
•reduced absenteeism rates
•improved employee relations and morale
•increased productivity
•overall reduction in health care cost
The health care spending account (i.e.,HSA, HRA) is used to pay for qualified medical expenses both covered and not covered under the insurance plan. Employees can maintain health care benefits and continue to access their providers. The health plan allows employees to determine the best use of their benefit dollars and decide what care and treatment to receive. A more economical approach to the expenditure of health care dollars will develop. The employer benefits from a significant premium reduction. Savings can be applied to fund wellness programs which will lead to a greater return in the long term – and have net savings.

Numerous health plan options are available and there are creative ways to design an effective wellness program. The overall goal of integrating wellness and a high deductible plan, supported by an HSA or HRA, is to save money on health care cost and promote a healthier environment and attitude.

Contact Jennessa Bissonnette at Workforce Wellness for more information at 800-544-8434 or email jbissonnette@slgl.com

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The Carrot or the Stick?

In response to the rising costs of providing health care benefits, employers have looked for ways to share costs with their employees. As a result, employees now realize the importance of being healthy. Companies recognize the need to promote employee health and have begun to implement workplace wellness programs. The goal is for employees to adopt healthier lifestyles and thereby, reduce health care costs.

The key to a successful wellness program is to engage as many participants as possible. As programs emerge, the question becomes, which approach is most effective at inspiring behavior change; the carrot or stick?

Economic incentives can increase participation and prompt healthy behavior change. In order for incentives to work, they need to be designed and administered effectively. They need to be significant enough to promote habit change and designed to be fair, convenient and realistic.

Voluntary, incentive-based programs produce positive results. The support from management along with an opportunity for employees to participate in the decision-making process benefits the employer and the employee.

Mandatory participation is not recommended. Studies show that mandatory participation may result in resentment and retaliation, primarily in the form of increased absence and reduced productivity. Penalties or disincentives for a lack of participation can also lead to charges of discrimination and violation of personal health information.

The employer can provide the tools and resources to educate and identify health risk factors. The motivation to change those unhealthy lifestyles habits is derived from encouragement, support and incentive for wellness participation.

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The Value of a Health Risk Assessment

For all of us, lifestyle choices made today are an investment in long-term health. The success of an organization depends on the health and productivity of its employees. Behaviors such as lack of exercise, smoking, and poor diet are among the risk factors that increase the chances of becoming ill. Employers who take the steps to improve employee health experience an increase in productivity and a boost in morale. Health care costs and absenteeism are typically reduced. One simple step that can assist in this process is offering employees a Health Risk Assessment (HRA). An employer can benefit from the results of a HRA.

What is an HRA? The HRA is a confidential health questionnaire used to identify personal health risks. The HRA asks basic questions about health habits and history. Employees fill out a survey. The assessment generally takes about 15-minutes to complete.

The standardized form of the HRA allows for an overall evaluation of the participant’s current health status based on factors such as sleep, fitness, stress management and nutrition. Participants receive an in-depth personal report upon completion of the HRA survey. The report is in a format that is easy to understand. An overview of the participant’s current health status is given. The report educates about how to make positive and lasting lifestyle changes.

Aggregate HRA results may be used by the employer to promote employee health and address specific health risks. Offering health screenings, education and risk reduction activities creates awareness and supports healthy behavior change.

Research shows that poor health practice and the existence of health risks have a significant impact an organization’s bottom line. Taking steps to protect and improve the health of your employees is good business. This can pay off in lower health care costs, less sickness and lost work time, improved productivity, and increased morale. Health behavior research has shown that helping people identify threats to their health encourages the process of healthy change.

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Correctly Monitoring for Worker Noise Exposure Under OSHA Guidelines

What kind of noise annoys an oyster?

Say that five times fast!

OSHA has been busy conducting inspections in the last year and also increasing the dollar amount of the penalties they assess. The word is they also are less forgiving in negotiating reductions in penalties. One of their inspections we were notified of that bears significant interest is a sawmill where the total penalty the company was assessed was $293,000. Of that amount, $202,500 was for a handful of violations that the company had been cited for previously and either failed to correct or correct properly. There were a few machine guards removed but the bulk of the penalties were for lack of proper lockout tagout procedures and for NOT conducting audiograms (hearing tests) on workers exposed to noise. To avoid serious penalties for noise exposure not properly dealt with read on.

OSHA reissued their noise standard around 1980 and it became known as the “Hearing Conservation Standard”. The objective is to determine what levels of noise employees are exposed to and then to develop a Hearing Conservation Program around them to train and educate them, provide them with proper types of hearing protection and test their hearing on an annual basis to make sure it is not being affected. The OSHA standard is more comprehensive than this but these are the key points of the standard (law).

A huge point of contention centers around how people get placed into a Hearing Conservation program in the first place. Many companies rely on, in some cases, decades old tests to determine areas where employees are exposed to “too much noise”. Other companies use the provider of their audiometric testing to tell them who needs to be included in the program. Still others just designate areas of their company where it “sounds too loud” as areas where people need to be included in the program. There can be problems with all of these that can get you in a bind with OSHA.

Unless a worker is exposed to the exact same level of noise for a significant part of their work day, it is almost impossible for an untrained person to determine by using a sound level meter how much noise that person is exposed to. For people with varied tasks, who are in and out of different noisy areas during their workday, the only good way to get an accurate assessment of their noise exposure is throughout he use of a noise dosimeter. Here is the basic difference between a sound level meter and a noise dosimeter.

A sound level meter will measure what the noise level is right now, at this moment, in this place. If the person you want to assess moves around, the measurement that the sound level meter takes will go up and down as that person moves from quiet to noisy area and since the meter does not record the measurements it takes (in most cases), when you turn the meter off, there is no data saved. Determining exposure with a sound level meter can be done but it takes a mathemetician with a stop watch and a scientific calculator to get an accurate number. Many people will walk past a worker and take a reading that is over 90 decibels and assume, in many cases incorrectly, that worker to be exposed to enough noise that hey must be included in a Hearing Conservation program.

In almost 40 years of performing noise assessments, I have found that the only consistently reliable method for collecting noise exposure data is a use noise dosimeter worn for as close to a full work shift as possible to get an accurate determination of worker exposure to noise. In addition, the OSHA noise standard (1910.95(d)(1)(ii)) states that “When circumstances such as high worker mobility, significant variations in sound level, or a significant component of impulse noise make area monitoring generally inappropriate, the employer shall use representative personal sampling to comply with the monitoring requirements of this paragraph unless the employer can show that area sampling produces equivalent results (call the matemetician).

Dosimeters cost in excess of $1,000 and more like $1,5000 compared to sound level meters that can be bought for under $500. It takes a full 8 hours to measure one person with one noise dosimeter whereas someone can walk through a plant in a much shorter time with a sound level meter. Clearly it can be a lot less expensive to take noise readings with a sound level meter but unless that person is highly trained at interpreting the data it could be way off. Typically, sound levels miss some people who should be included in a program and significantly overestimate the number of people that need to be included, costing a lot more in the long run to conduct audiograms every year.

In addition, if you can not prove the actual exposure to noise while in your employ and a worker suffers a hearing loss from hunting or racing motorcycles, it is much harder to defend yourself in the face of a workers’ comp claim.

Lastly, the OSHA Hearing Conservation Standard calls for retesting every time there is a change in noise levels due to job assignment or equipment changes that may affect the overall exposure and the only way to accurately measure that is through the use of noise dosimeters. The standard says “Monitoring shall be repeated whenever a change in production, process, equipment or controls increases noise exposure to the extent that: Additional employees may be exposed at or above the action level or the attenuation provided by hearing protectors being used by employees may be rendered inadequate to meet the requirements of the standard”.

The point is, companies are required to determine who is exposed to noise above 85 dBa averaged over their workday, include them in a proper Hearing Conservation program which includes, among many other things, accurate exposure monitoring, conducted to determine who must participate in the program and that testing needs to be conducted regularly when conditions have changed (one Appendix to the standard suggests yearly or every other year) to determine who else needs to be included in the program and who also may be removed.

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Is OSHA getting serious about safety?

We have seen first hand knowledge that the size of OSHA’s penalties are increasing locally and that it is harder to get reductions in penalties. We have seen this with clients of ours and in news releases we get from the Department of Labor.

One news release reported a penalty of $233,500 against a Long Island, New York retailer for blocked exits and other exit hazards. The company had been cited for similar violations at other retail locations in 2006 and 2007 hence the increased severity of the penalty for these repeated violations.

The obvious hazard here is the lack of accessible exits in the case of an emergency and this was the cause of the 146 fatalities in the infamous Triangle Shirtwaist Fire in New York City in 1911. There have been other such fire related tragedies since.

There have been numerous penalties issued for inspections in the last several months that are well in excess of $100,000 and are indicative of what appears to be an increasing use of significant penalties to get employers to pay more attention to the requirements of OSHA. Many of the penalties are for issues that were cited and never fixed. One noteworthy lumber company on OSHA’s web site was penalized almost $300,000 for repeated violations including noise exposure and lockout tagout violations that were never corrected. This is one of the largest penalties I have seen in almost 40 years for this type of violation and is a strong indication of OSHA’s intent to be taken seriously.