Tuesday, August 25, 2009

Louisiana Wellness Programs are Slow to Take Off

"Mardi Gras", an ancient custom that originated in southern Europe, is celebrated annually in New Orleans, Louisiana. It celebrates food and fun just before the 40 days of Lent which explains why the literal meaning of Mardi Gras translates to “Fat Tuesday”. While food and fun sounds great, Louisiana has a ways to go in terms of overall state health. With the 8th highest obesity rate in the nation, Louisiana suffers from many of the same issues that are present throughout the south. Heavy southern food combined with a serious lack of physical activity adds up to a large number of extremely unhealthy people.

If the numbers suggest anything, they indicate that authority figures in the South (such as governors, mayors, congressmen, etc.) would be wise to promote healthy living to ensure the future wellbeing of southern residents. Lighten Up Louisiana (LUL) is a creative state-wide initiative aimed at helping Louisiana’s residents get active and lose weight. LUL is an exercise-based nutritional challenge that encourages Louisianans to develop healthy activity and eating habits. Louisianans can form teams and engage in friendly competition or sign up as individuals. Either way, the program encourages residents of Louisiana to have fun while participating in regular physical activity.

In terms of employee health, there seems to be several budding wellness programs. A handful of Louisiana officials have begun to test the idea of low-budget wellness programs as a starting point for more comprehensive employee wellness programs in the future. Research suggests that even with low-budget programs, some level of increased wellness behaviors occur simply because wellness issues are highlighted and promoted in the workplace.

Although Mardi Gras provides a fun, festive release for thousands of fun-loving Americans, it’s important to recognize that “fun” doesn’t need to center around alcohol and fatty foods. For example, biking, hiking, and canoeing with friends are all fun ways to stay active and maintain general wellbeing. Louisiana is definitely headed in the right direction but could definitely benefit from a more hands-on approach to health by its legislators and state leaders.

Tuesday, August 18, 2009

Kentucky Fried Health & Wellness

Every day, more than 12 million customers are served at Kentucky Fried Chicken restaurants around the world. Based in Louisville Kentucky, KFC is guilty of encouraging the consumption of too much grease. The state of Kentucky ranks, depending on the source, anywhere from the 4th unhealthiest state to the 7th unhealthiest state in America. These numbers take into account a variety of factors including rates of hypertension, diabetes, cardiovascular disease, and of course, obesity. Right now, the Trust for America’s Health lists Kentucky as the 7th most obese state – the result of unhealthy lifestyle choices and a general lack of wellness education. Although Mississippi wins the dubious award of the least active state, Kentucky is the clear runner up with over 30% of the population shunning even moderate physical activity.

Kentucky boasts an expansive park system, which includes one national park, two National Recreation areas, two National Historic Parks, two national forests, 45 state parks, 37,696 acres of state forest, and 82 Wildlife Management Areas. With all the green space available to Kentuckians, they should embrace outdoor activities. Unfortunately, the road to health is not quite so smooth.

In 2008 Kentucky launched Be Well Kentucky, an ambitious initiative aimed to challenge the statistics and inspire a shift in health attitudes and practices among Kentuckians. Be Well Kentucky utilizes a variety of resources – statewide broadcast, video and multimedia production, school-based services, community outreach, and the Internet – to maximize participation in the program and increase health awareness.

Above and beyond good health, wellness plans in some Kentucky workplaces also offer bonuses for employees and greater ROIs for employers. Two successful approaches include the Lifestyle Enhancement Activity Program (LEAP), which rewards workers who meet individual diet and fitness goals. And a program launched in Russellville called Logan Alive! where participants earn cash for their efforts and save money when they make healthier choices in the company cafeteria. Finally, the mayor's Healthy Hometown Movement in Louisville demonstrates the power of community involvement on every individual's health.

Overall Kentucky is inconsistent. There are pockets of wellness sprinkled throughout the state, but in order for Kentucky to change its image and boost its rankings in the current health statistics, more Kentuckians need to start taking their health seriously. Come on Kentucky, you can do it!

Thursday, August 6, 2009

Wellness in Kansas: Maybe a Tornado could Shake some Things up!

Dorothy clicked her ruby slippers together and pictured her hometown of Kansas when she murmured “there’s no place like home” in the final scene of The Wizard of Oz. Today, residents of Kansas still feel fiercely fond of their "tornado-magnet" state. In order to maintain the well-being of Kansans, the primary goal of the Kansas Health Policy Authority (or KHPA) is “coordinating health and health care for a thriving Kansas”. Kansas’s leaders aim to improve individuals’ overall quality of life by compiling and distributing state health care data. Although it is important to keep people educated to ensure improved decision making on issues of health in the future, merely providing Kansans with information is not enough. The current Kansas wellness programs are pitifully weak or generally inaccessible. The Kansas Health Policy Authority’s guiding principles state that:

1. Every Kansan should have access to care

2. Every Kansan should be assured of quality and efficiency in health care

3. Kansans deserve affordable and sustainable health

4. Kansans should pursue healthy lifestyles with a focus on wellness

5. The KHPA will administer the resources with the highest level of integrity, responsibility and transparency.

6. Kansans should be educated about health to create an improved health system for all.

While this vision is admirable, Kansas lacks sufficient programs to achieve its health goals. According to a 2008 study from Health Resources and Services Administration, Kansas ranks 50th (worst in the nation) in federal funding for public health. So, while the governor and other Kansan leaders might have a vision of a healthy Kansas, there are few effective programs in place to make it happen. HRSA’s data show that the U.S. spends, on average, $21.43 per resident on
public health. In Kansas, however, a mere $9.96 is spent per state resident. Kansas devotes less than half the national average of its public funds to the health priorities of its citizens.

Today, Kansas offers HealthQuest, a program jointly administered by the Kansas Health Policy Authority and the Kansas State Employees Health Care Commission. HealthQuest's mission is to partner with employees to improve health and well-being and to better manage health costs. Perhaps the most encouraging service offered by HealthQuest is its weight management initiative. The HealthQuest weight management program offers a personal health and wellness coach to help individuals achieve their weight loss goals. When a Kansas resident enrolls in this program, he or she also receives a weight management workbook to be used in coordination with the personal health coaching. This program could be extremely beneficial to residents of the state of Kansas, but it is relatively under-marketed. With the proper allocation of funding and increased government support, HealthQuest could expand its offerings and transform the blustery state of Kansas into a Midwestern hotspot for health.