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HSS wellness team rolls out diabetes pilot, expands partnerships and EAP pilots

Health Service Board, City and County of San Francisco · September 10, 2015
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Summary

The Health Service Board received a one-year strategic update on the well-being program: a year-long Diabetes Prevention Program pilot will begin recruitment Sept. 23 at an initial South Van Ness site (240 participants), EAP nonviolent crisis-intervention pilots will run in fall, and partnerships with City College and departments are expanding.

Wellness Manager Stephanie Fisher gave the board a strategic update on the Health Service System's well-being program one year after its employee launch. Fisher said infrastructure and motivation objectives are largely on track, though some programs were delayed by staffing gaps and data-reporting issues.

Fisher described the Diabetes Prevention Program pilot: the study will enroll up to 240 participants at selected worksites and randomize participants to online or in-person arms; recruitment will begin Sept. 23 and the study will run for one year. The first site identified is South Van Ness, which she said includes about 1,000 employees and will serve as the initial recruitment pool. "The first location is South Van Ness," Fisher said, explaining the site-selection and randomization logistics.

Fisher reported other program activity: EAP launched a nonviolent crisis-intervention pilot with sites recruited for a three- to four-month pilot, the wellness center posted record usage in June and the HSS vendor-partner well-being meetings (Kaiser, Blue Shield and others) are intended to coordinate on on-site services such as biometric screenings and flu clinics.

She said department-level well-being assessment scores already provide actionable, short-term outcomes that can inform interventions while the all-payer claims database is being populated for longer-term utilization analysis. Fisher said partnerships with City College and the Unified School District are progressing and that new counselor hires will support EAP operations.

Board members commended the staff for progress and asked about measurable short-term outcomes; Fisher pointed to validated well-being assessment scores and program participation metrics that will be reported quarterly. The board encouraged continuing outreach to departments and unions to sustain momentum.

Next steps: start recruitment for the diabetes pilot on Sept. 23, report back on early EAP pilot results in the coming months and continue to expand partnerships and reporting.