Date of Completion

5-14-2023

Document Type

Open Access Project

Degree Name

Doctor of Nursing Practice (DNP)

Faculty Advisor

Eileen Stuart-Shor

Site Advisor

Maria Robayo

Abstract

Background: Wellness programs are an emerging priority among organizations concerned about employee wellness and productivity. Data from Long Island Jewish Medical Center (LIJMC) revealed that in 2019 there were 1,690 employee visits to the ER due to chronic diseases; 30% were classified as ER sick visit and 40% of employees who visited the ER had no primary care provider. Many companies use biometric screening and health risk assessment to measure the health of their employees. The purpose of this improvement project was to implement a biometric screening program (BSP) that included wellness coaching to improve the health outcomes of LIJMC employees.

Methods: Employees with known adverse biomarkers were invited to participate in the 12-week BSP program. Participants engaged in a baseline and exit assessment and six scheduled visits for wellness coaching. Evaluation: Biometric values (A1c, total cholesterol, systolic BP, BMI) and VPRA were compared pre (baseline) and post (12 weeks) to assess change and percent improvement. SES and CSQ scores were assessed pre and post program to assess participant and staff satisfaction with BSP program.

Results: Pre-and post- mean biometric values demonstrated reductions in A1c (↓ 3.74%; goal ↓ 2%), systolic BP (↓ 11 mmHg; goal ↓ 10 mm Hg reduction), and BMI (↓1.59%; goal ↓ 5%). Pre/post measure of TC did not improve (↑ 0.62%; goal ↓5%). VPRA scores improved 10.22% at the end of 12 weeks. The VPRA pre heart score of 55 years old showed a reduced post heart score of 51 years old. The SES score shifted from an average pre-SES (92%) to average post-SES (98%). Overall, CSQ satisfaction scale scores indicated that 69% of participants rated the program as “excellent” and 31% reported it was “good”.

Conclusion: Implementation of a biometric screening and wellness coaching program in an employee wellness program demonstrated improvements in most biomarkers as well as increased self-awareness and satisfaction. Results highlight the importance of biometric screening and wellness coaching to mitigate the epidemic of chronic diseases.

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