Worksite Wellness ProgramsWorksite Wellness Programs

Information to evaluate your program comes from regularly gathered 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 Assessment

Process evaluation looks at the Worksite Wellness Program’s influence 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 evaluation to evaluate and learn about the health of your program.

Outcome Assessment

A central intention of the program is to improve the health of workers. Information on how to judge how well your program is meeting this intention is called “outcome evaluation” 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? Have they lost weight? Are they exercising more? Is alcohol consumption at a safe level? For 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 (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 levels among all workers with elevated Blood Pressure 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 lower their health risks. Use this information to make new decisions about how to direct your program efforts. Then make the modification you need to improve your program. Some may feel that evaluation is a frill; it is not. Evaluation is a significant part of a wellness program. You will need to be aware of what is working and what is not. Decision-makers who fund the program need to be updated on the performance of the program. Assessment will support you with significant data to maintain and expand the program and convince management to continue to support the program.