Kenneth Scott, MPH & Brian D. Williams, MD

Kenneth Scott, MPH & Brian D. Williams, MD

Is anyone else feeling overwhelmed? The popular news media is full of apocalyptic scenarios that have the two of us feeling pretty exhausted. Everywhere we look the world seems to be teetering on the edge of a cliff鈥�,听, even聽. Our areas of expertise鈥斺�攁re no exception. For instance, workers managing one or more chronic diseases will be more and more common as the workforce ages and as a younger, less healthy generation joins the workforce. But instead of adding to the general anxiety by recounting doomsday statistics about the聽聽or the high rates of聽听补苍诲听, we have suggestions that may bring some relief. Here are some practical things that employers can do to promote the health and wellness of their aging workers. These three steps will help keep your organization鈥檚聽.

Step 1:聽Promote preventive screening tests that have been proven to be a good idea.

The Affordable Care Act of 2009 requires that all private insurance policies pay for (at no additional cost to the patient) a聽, including certain screening tests and vaccines. Employers can promote the use of these services by simple and inexpensive means such as聽,听, and worksite wellness meetings. Employers can help older workers (and younger workers) know how their preventive service schedules change as everyone ages at work. When you can, offer and promote tests聽.

Step 2:聽Commit to chronic disease management programs, either by developing them within the company or hiring a third party to run them.

The quickest way to realize cost savings from worksite wellness activities is by helping employees with existing chronic diseases to keep their conditions in check through disease management programs. A聽聽found that Pepsico experienced a return on investment of $3.80 from its disease management programs, compared to a $0.50 return on its lifestyle management programs that focused on physical activity and diet among all employees, regardless of health status. The majority of the cost savings from Pepsico鈥檚 disease management programs came from a 30-percent reduction in hospital admissions. Notably, RAND clearly stated that聽organizational commitment聽is important for a program鈥檚 success. Simply having a program on the books is not enough to realize financial benefits.聽聽in order to maximize program effectiveness and minimize the聽. The聽聽among workers 55 and over are arthritis, hypertension (that is, high blood pressure), heart disease, and diabetes.

Step 3:聽Introduce universal design solutions that work for everyone.

The total聽聽in the United States was estimated to be $128 billion as of 2003 (the most recent year for which figures are available). Nearly half of the workforce age 55 and over has some form of arthritis. We鈥檝e聽聽about universal design in general terms before, but there is no better example of universal design for arthritis than the OXO Good Grips brand of kitchen tools. Sam Farber invented the聽聽when he noticed that his wife (who had mild osteoarthritis) was having difficulty peeling apples for a tart. His designs proved to be immensely popular among people with and without arthritis. This is the essence of universal design鈥搈aximizing the number of people who use a product, place, or service with a design that works well for as many people as possible. A company that doesn鈥檛 have a human factors engineer or聽聽on staff can hire one as a consultant to identify workplace barriers and solutions. In the meantime, a company can start with simple steps, like replacing door聽聽with door聽. In addition to the physical environment, organizational policies can be universally designed.聽聽works for older workers with elderly parents, as well as employees who have young children.

While these three steps may not prevent a healthpocalypse, they may ensure that you and your employees are among the last ones standing.


Authors

Kenneth Scott, MPH
Outreach Director
Colorado School of Public Health
Research Fellow
Sloan Center on Aging & Work

Brian D. Williams, MD
Colorado School of Public Health

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