Employee Wellness Program - Howard County Public Schools
Transcription
Employee Wellness Program - Howard County Public Schools
Employee Wellness Program 2015 Annual Report HOWARD COUNTY PUBLIC SCHOOL SYSTEM A Message from the Superintendent The Howard County Public School System’s Commit To Be Fit wellness program inspires employees to improve every aspect of their health and equips them with the resources they need to succeed. Commit To Be Fit is a key element of the school system’s strategic plan, Vision 2018, which makes support for staff and student well-being a priority. Almost 90 percent of HCPSS employees participate in the program, and that number continues to grow. Staff members have access to wellness-related resources, Virgin Pulse challenges, fitness classes, nutritional cooking demonstrations, stress management workshops and other programs that motivate employees to take charge of their health. The program bolsters and expands services that support staff wellness. This report highlights the ongoing wellness enrichment and the positive returns in health cost containment produced by Commit To Be Fit. Board of Education 2016 Christine E. O’Connor Ellen Flynn Giles Bess Altwerger, Ed.D. Ann De Lacy Sandra H. French Janet Siddiqui, M.D. Chairman Cynthia L. Vaillancourt Renee A. Foose, Ed.D. Vice Chairman Rachel Lin Student Member Employee Wellness Program Annual Report 2015 Prepared by: HCPSS Benefits Office Beverly Davis, CPA Executive Director, Budget and Finance Matthew Berkowitz, MBA Employee Wellness Specialist Kelsey Brayman, MS, CHES Jeeni Griffin Benefits Manager i Employee Wellness Specialist Dionne Dougall-Bass Employee Wellness Intern All smiles at the 2015 Let's Go HoCo, the 5K & 1 Mile Fun Run that brings together HCPSS staff, students and their families to celebrate a healthy Howard County. ii 2015 Employee Wellness Council Beverly Davis - Chairperson Employee Wellness Matt Berkowitz Employee Wellness Susan Daly Accounting Denny Moore Technology Kelsey Brayman Employee Wellness Dionne Dougall-Bass Employee Wellness Ekere Ekandem Olojola Food and Nutrition Services Leslie Bridgett Student Assessment Jeeni Griffin Benefits David Ramsay Student Transportation Terry Burks Community Partnerships Alan Hansen Grounds/Maintenance Melinda Sims Human Resources David Brown Community Use of School Facilities Cassandra Miller Curricular Programs Lynn Trapuzzano Custodial Services iii Employee Wellness Program Mission Our mission is to create an environment that supports and celebrates each individual’s lifelong journey toward optimal physical, emotional, social, intellectual, and mental well-being by providing awareness, education, motivation, and behavior-change programs. Vision Our vision is that we begin and end each day with energy and vitality. Goals Goal 1 – To foster a culture of health and wellness that will keep our employees healthy, reduce risk factors among our at-risk members, and improve the health of those who already have chronic conditions. Goal 2 – To encourage and empower our employees to make healthy lifestyle choices. Goal 3 – To provide a healthy work environment. The HCPSS COMMIT TO BE FIT Employee Wellness Program is a member of: Health Enhancement Research Organization iv Employee Wellness Program Annual Report 2015 Table of Contents Executive Summary............................................................................................................ 1 Results of the Commit To Be Fit Program......................................................................... 5 Commit To Be Fit Employee Wellness Program.............................................................. 13 Program Offerings.............................................................................................................17 Success Stories and Staff Testimonials..............................................................................25 Appendix A: Employee Incentive Program.......................................................................29 Appendix B: Health and Wellness Expo............................................................................33 v The HCPSS Commit To Be Fit wellness program offers a variety of fitness classes to employees throughout the year at discounted prices. vi Executive Summary Page 1 Executive Summary The Howard County Public School System (HCPSS) is pleased to present to the Board of Education the Commit To Be Fit Employee Wellness Program’s fouth annual report – December 2015 marked the completion of the fourth full year of the Commit To Be Fit program. The Commit To Be Fit program offers employees tools and resources to help with their health, wellness, and financial fitness and to support their health and wellness, and a healthy activity program to achieve improved health, wellness, and well-being. Value of an Employee Wellness Program The HCPSS values its employees and recognizes the importance of supporting their health and wellness. Employees at HCPSS have one of the most critical jobs in our community – to prepare our youth to become engaged and productive citizens. Therefore, conditions that affect the health of HCPSS employees also influence the health and learning of the students. Employee health programming aims to protect the physical and mental health of HCPSS employees that further improves the health of the students. Commit To Be Fit’s Comprehensive Employee Wellness Program is an initiative by the Board to ensure that employees are offered high quality benefit programs that are affordable to both employees and the system and are sustainable in the future. Rising health care costs have required continuous cost containment efforts, such as implementing a comprehensive employee wellness program that benefits employees, supports our cost containment measures, and improves the health and well-being of the students in HCPSS. The overall health and wellness of employees is a key driver of health care costs. While health care costs are not avoidable, preventable illness makes up approximately 80 percent of the burden of illness and 90 percent of all health care costs. Chronic and lifestyle related conditions account for 75 percent of U.S. health care costs. Increased research and data on workplace wellness programs indicate there are very real benefits to implementing such programs. Employers whose employees live healthier lifestyles have reduced use of sick leave, improved work performance, decreased health care costs, increased productivity, and reduced overall costs. Given these facts, the Board supported management in the development and implementation of a comprehensive employee wellness program. The Commit To Be Fit Employee Wellness Program allows us to retain employees who participate in the program 1.7 times more than employees who do not participate. And with the national average turnover cost being $13,500, the program provides a significant cost savings by retaining valuable employees. Return on Investment The HCPSS is pleased to report that the Commit To Be Fit Employee Wellness Program resulted in a 1:17.56 Return on Investment (ROI) based on total health care cost savings for 2013-2015. More important, the Commit To Be Fit Employee Wellness Program has saved the Howard County Public School System $6,045,311 in total health care costs during 2013-2015. More detail on the program results and ROI can be found on pages 7 and 8. Alignment with Vision 2018 The Commit To Be Fit Employee Wellness Program supports the HCPSS Strategic Plan, Vision 2018: Fulfilling the Promise of Preparation. The program is aligned with the following goals, outcomes, and strategies: Every staff member is engaged, supported, and successful. Families and the community are engaged and supported as partners in education. Outcome 2.4: HCPSS supports staff members’ health and well-being. Strategy 2.4.1 Strengthen and broaden services to support staff wellness. Collaboration Goal 3: Families and the Community Well-Being Goal 2: Staff Outcome 3.2: HCPSS is strengthened through partnerships. Strategy 3.2.3 Partner with government, community organizations and businesses to support the well-being of students, families, and staff members. Page 2 HCPSS Employee Wellness Council The success of any initiative depends upon widespread support. To facilitate this support, an Employee Wellness Council was established with representatives from various employee groups. The Employee Wellness Council meets several times throughout the year to keep current on wellness issues that benefit the program. Very early on, the Employee Wellness Council developed a vision, mission, and clear program goals for an employee wellness program. Commit To Be Fit Employee Wellness Champions While the Employee Wellness Council ensures the Commit To Be Fit program meets employee health and wellness needs and interests, having support at every school and facility generates employee engagement. Employees were asked to volunteer as wellness champions. A wellness champion is a staff member with a commitment to health that serves as an ambassador for employee wellness. They volunteer to assist in the delivery, implementation, and coordination of wellness initiatives at their work location. They share information, engage friends and colleagues to participate in wellness programs, and create excitement around leading a healthy lifestyle. A wellness champion is on the front line of the Commit To Be Fit Employee Wellness Program. There are 106 wellness champions – at least one at every school and location in the HCPSS system. HealthZones HealthZones are state-of-the-art measurement kiosks designed to easily and accurately measure a member’s blood pressure, weight, and body mass index (BMI). The bio-measurement data is automatically uploaded to the member’s online portal on the Virgin Pulse website, where they can easily monitor their progress. The school system then receives aggregated data which allows the school system to run key analytics and measure the progress of employees and the performance of the Commit To Be Fit program. The Howard County Public School System is happy to report that there are 81 HealthZones located throughout the school system, including one at each school and education center, as well as administrative locations, such as old Cedar Lane, Ridge Road, Central Office, Building Services, and the Ascend One Building. Page 3 Commit To Be Fit Program Offerings • • • • • • • • • • Virgin Pulse healthy activity program Annual Health and Wellness Expo Onsite fitness classes Monthly Commit To Be Fit presentations Weight Watchers American Red Cross blood drive Employee Assistance Program (EAP) Departmental and school wellness meetings Fitness center and health-related businesses discounts Fit2Order There’s a fitness class for everyone. The Commit To Be Fit fitness classes are available to employees at every age and fitness level. Page 4 Results of the Commit To Be Fit Program Page 5 Results of the Commit To Be Fit Program Fantastic results were achieved in the fourth year of the Commit To Be Fit program. By the end of 2015, 88 percent of HCPSS benefiteligible employees enrolled in the Commit To Be Fit program (up from 80 percent the previous year). The average steps per day for Commit To Be Fit participants was 8,892 (up from 8,633 the previous year), considerably more than the 7,000 per day recommended by the Centers for Disease Control and Prevention to remain healthy. The measured impact of this activity is equally impressive. At-risk Commit To Be Fit participants who shifted from a lower level of activity to a higher level of activity totaled 47 percent. In addition, program data indicates 19 percent of participants lowered their BMI, and 76 percent improved (of the population that could improve) their blood pressure, thus lowering key risk factor, such as stroke, obesity, cardiovascular disease, and other life-threatening diseases. The chart below details the growth in employee participation in the Commit To Be Fit program. Employee Wellness Program Participation At a Glance 2013 2014 2015 Employees enrolled 80% 87% 88% Members actively earning HealthMiles 72% 73% 77% Average daily steps 8,495 8,633 8,892 Individuals who achieved the recommended daily steps 65% 67% 71% Members reaching Level 3 or above 40% 50% 57% Fitness class participation 700 847 1,001 Health and financial fitness workshop participation 500 939 909* Average active Weight Watchers participation 371 342 278** *Classes were cancelled due to inclement weather. **Participation levels for specific programming – such as Weight Watchers – is responsive to interests and needs of the employees. There were fewer locations offering meetings during 2015. The number of employees who participate in the Commit To Be Fit program continues to rise. Page 6 HCPSS Return on Investment Analysis The HCPSS and Virgin Pulse have partnered with Benefits Science to perform a Return on Investment (ROI) analysis for the Howard County Public School System (HCPSS). Benefits Science is a scientific research firm that uses health care data sets to provide analyticsbased solutions to companies and governments. The analysis was performed using data sets provided by HCPSS health care providers, and included medical plan data, pharmacy benefit data, and eligibility data from January 1, 2012 through December 31, 2015. We also received program enrollment and activity data from Virgin Pulse covering the period of January 1, 2012, through December 31, 2015. For purposes of analyzing the impact of the Commit To Be Fit program on HCPSS healthcare expenses, we isolated individuals who were enrolled in the HCPSS health plan on January 1, 2012; and remained on the plan through July 31, 2015. The population was segregated into two groups: Group A:Enrolled in the Commit To Be Fit program and earned at least 20,000 HealthMiles/Points through the data period. Group B:Not enrolled in the program or enrolled in the program and earned less than 15,000 total HealthMiles/Points through the data period. The purpose of this division is to track the advancement of health care expenses over time and better understand the potential impact the Virgin Pulse program has made on HCPSS health care claims. The population of Group A and Group B were similar in size, gender ratio, distribution, and claims during 2012, and all participants remained on the health plan throughout both the control (2012) and measurement periods (2013-2015). We cannot, however, adjust for selection bias which suggests that healthier individuals may elect to participate in the Virgin Pulse program as compared to less healthy individuals. When HCPSS invests in the wellness of its employees, it saves on healthcare costs. Page 7 In addition to our analysis on the medical and prescription claims of each group, we also identified claims in specific conditions of chronic illness, such as coronary artery disease, diabetes, and hypertension, as well as mental anxiety, such as stress and depression. These claims are then compared between the two groups. Finally, we compare out-of-pocket expenses, including co-pays, deductibles, and coinsurance between the two groups. The study supported the success of the HCPSS Commit To Be Fit Employee Wellness Program in decreasing claim costs. Claims for Commit To Be Fit participants were lower each year. Comparison of Groups over Time — Participants Experience Lower Claims 2012 Medical + Rx PMPM: Group A (participants) claims 0.11% Higher than Group B (non-participants) 2013 Medical + Rx PMPM: Group A (participants) claims 22.95% Lower than Group B (non-participants) 2014 Medical + Rx PMPM: Group A (participants) claims 30.31% Lower than Group B (non-participants) 2015 Medical + Rx PMPM: Group A (participants) claims 17.89% Lower than Group B (non-participants) Commit To Be Fit Program Return on Investment (ROI) The Board supported investment in the employee wellness program with a commitment from management to report on program activity, as well as the return on its wellness investment. The HCPSS is pleased to report that the Commit To Be Fit Employee Wellness Program resulted in a 1:17.56 Return on Investment (ROI) based on total health care cost savings for 2013-2015. More important, the Commit To Be Fit Employee Wellness Program has saved the Howard County Public School System $6,045,311 in total health care costs during 2013-2015. Based on industry research, the system can expect the investment in employee wellness to continue to yield positive returns. The HCPSS is very pleased to report the positive impact of the Commit To Be Fit Employee Wellness Program on employee health and the success of the program in generating a positive return on investment in its first, second, third, and fourth year. The ROI and health care cost savings results are important measures, but they are not the only measures of program success. In this report, employee program participation and employee feedback is provided, as well as numerous employee wellness success stories, which measure the program’s success. The HCPSS offers financial incentives for participation in the program. The savings in health care costs allow the school district to share the incentives with those employees who participate. After the incentives have been distributed, the program still generates a positive return on investment. The ROI is 1:1.35 after incentives are paid out. A net savings of $3,468,684 between 2013 and 2015 after accounting for all expenses and rewards. If productivity savings were included, the ROI would be even greater! Total Health Care Cost Savings $6,045,311 Net Health Care Cost Savings $3,468,684* After incentives The Commit To Be Fit Employee Wellness Program continues to generate a positive ROI each year *Does not include any productivity savings Page 8 Impact on Claims Analysis of Preventive Health Visits – Groups A (Participants) & B (Nonparticipants) The charts below display the improved use of preventative screenings by wellness program participants. Preventative screenings allow for early detection of illness, which leads to better patient outcomes and lower claims costs. Group A (Participants) Group B (Nonparticipants) In 2015, program participants received their annual physical at a rate of 1.37 times that of nonparticipants Group A (Participants) Group B (Nonparticipants) In 2015, program participants received their annual well woman exam at a rate of 1.37 times that of nonparticipants Group A (Participants) Group B (Nonparticipants) In 2015, program participants received their mammogram at a rate of 1.32 times that of nonparticipants Page 9 Impact on Claims Analysis of Preventive Health Visits – Groups A (Participants) & B (Nonparticipants) Group A Claims (Participants) Group B Claims (Nonparticipants) Group A Members (Participants) Group B Members (Nonparticipants) In 2015, program participants had 41% FEWER claims related to diabetes than nonparticipants Group A Claims (Participants) Group B Claims (Nonparticipants) Group A Members (Participants) Group B Members (Nonparticipants) In 2015, program participants had 60% FEWER claims related to coronary artery disease than nonparticipants Group A Claims (Participants) Group B Claims (Nonparticipants) Group A Members (Participants) Group B Members (Nonparticipants) In 2015, program participants had 35% FEWER claims related to hypertension than nonparticipants Page 10 Medical and Prescription Claims Trends Participants who have been active in the Employee Wellness Program since 2012 have experienced lower health claims costs as compared to nonparticipants of similar sex and age. The graph above displays comparison of medical and prescription claims for program participants (Group A) versus nonparticipants (Group B). In 2012 (the control year), Groups A (program participants) and B (nonparticipants) have the same level of claims. When the two charts are layered on top of each other, you can see the steady increase in Group B (nonparticipants). Group A is trending at a much healthier pace. Group B has a steeper slope in claims growth than Group A and there is more variation from period to period. Standard deviation is used to measure, which is an indication of how tight and predictable these claims are. Group B has a higher standard deviation which makes claims less predictable. Page 11 The main message at Let’s Go HoCo: have fun and be active! Page 12 Commit To Be Fit Employee Wellness Program Page 13 Commit To Be Fit Employee Wellness Program The Commit To Be Fit Employee Wellness Program provides employees with information, tools, resources, and services to help create and maintain a healthy lifestyle. Its mission is to create an environment that supports and celebrates each individual’s lifelong journey toward optimal physical, social, intellectual, emotional, and financial well-being by providing awareness, education, motivation, and behavior change programs. To ensure Commit To Be Fit follows best practices, the HCPSS participates in organizations that are leaders in the employer wellness field. Current Affiliations and Awards American Heart Association – Gold Award, Platinum Award, and Worksite Innovation Award The HCPSS received the American Heart Association’s Gold Award, Platinum Award, and the Worksite Innovation Award. The American Heart Association recognizes organizations that fulfill criteria, such as offering employees physical activity support, increasing healthy eating options at work, and promoting a wellness culture. Requirements for Gold level achievement are a minimum of 25 employees at the worksite, as well as implementing at least six of the physical activity criteria, two of the nutrition criteria, and one of the culture criteria listed in the application form. Additionally, the Platinum Award recognizes worksites that demonstrate at least one behavior change, cost savings outcome, and positive return on investment. The Worksite Innovation Award recognizes organizations that developed and implemented an innovative program in the workplace (such as the Commit To Be Fit program). Healthiest Maryland Business Award – 2015 In 2015, the HCPSS was recognized as one of the Healthiest Maryland Businesses by the Maryland Department of Health and Mental Hygiene. This award represents Commit To Be Fit aligning with national recommendations for comprehensive worksite wellness and shows our commitment to employee health and wellness. Wellness Council of America The HCPSS is a faculty member of the Wellness Council of America (WELCOA). WELCOA has been helping organizations build world-class wellness programs that enhance employee health and well-being and also contribute to organizational outcomes for the past 10 years. WELCOA was founded on the belief that worksite wellness programs have the power to change lives and transform organizations. As a measure for how employee wellness programs achieve results, WELCOA has created a Well Work Place Checklist. This checklist has been designed to recognize quality and excellence in worksite health promotion. The following checklist focuses on seven benchmarks that are characteristic of results– oriented programs: 1. Capturing Senior-Level Support 2. Creating Cohesive Wellness Teams 3. Collecting Data to Drive a Result-Oriented Wellness Initiative 4. Creating an Annual Operating Plan 5. Creating a Supportive Health Promoting Environment 6. Choosing Appropriate Interventions 7. Carefully Evaluating Program Outcomes The HCPSS employee wellness program received positive feedback in several areas of the check list. The Commit To Be Fit program received excellent remarks on the program structure and operating methods. The program’s operating plan, which outlines our goals and direction, was given the best rating that it can receive. It also received positive remarks for its health promotion interventions that were offered to employees and their dependents. The overall evaluation that the HCPSS received was excellent. HERO Employee Health Management Best Practice Scorecard The HCPSS is a member of Health Enhancement Research Organization (HERO). HERO is a member-driven coalition of employers, providers, consultants, academic institutions, and associations who share in the belief that employee Health Management is a sound, evidence-based approach to achieving health improvements for their workers. HERO is a non-profit organization dedicated to the creation and dissemination of employee health management national research, policy, strategy, leadership, and infrastructure. Page 14 The HERO Employee Health Management Best Practice Score Card is designed to help organizations learn about best practices and discover opportunities to improve their programs. The scorecard provides a valuable inventory of employee health management best practices that serve as a checklist of best practices in each area. Here are some of the highlights from HCPSS’s score on the HERO Employee Health Management Best Practice Scorecard: • National average (47 percent higher) • Programs (39 percent higher) • Strategic Planning (60 percent higher) • Engagement Methods (68 percent higher) • Measurement and Evaluation (80 percent higher). In comparing HCPSS with other employers with 5,000 employees or more, the HCPSS scored 18 percent better than the average. The scorecard serves as a benchmark of the Commit To Be Fit program and sets a baseline for further improvements to the program. Commit To Be Fit supports each person’s journey toward physical, social, intellectual, emotional and financial wellbeing. Page 15 The vision of Commit To Be Fit is to begin and end each day with energy and vitality. Page 16 Program Offerings Page 17 Program Offerings Virgin Pulse The Commit To Be Fit program offers the Virgin Pulse Healthy Activity program. Virgin Pulse has helped leading companies and organizations across the U.S. create motivating and measurable employee health initiatives with their Pay-for-Prevention™ programs, which promote healthy lifestyles and help employers measure and manage population health. Their innovative technologies and programs help employers create a culture of health that not only rewards the right behaviors, but also aligns HCPSS interests and those of HCPSS employees in order to drive down lifestyle-related health care costs. Virgin Pulse is unique in its ability to provide the HCPSS with solutions rooted in validated data, long-term engagement, and incentives, which together engage our workforce in becoming healthier. The results can directly and immediately impact the HCPSS’s bottom line and pay huge dividends in the future. Program Participation As of December 2015, HCPSS’s participation far outpaces other Virgin Pulse clients. • 27 percentage points higher than other employers in our tier (companies of similar size and similar incentives/rewards structure). • 31 percentage points higher than employers providing educational services. • 42 percentage points higher than Virgin Pulse’s average book of business. HCPSS continues to sustain excellent program participation level since inception. Page 18 Results of the Healthy Activity Program Based on the results, the Virgin Pulse Healthy Activity program is very popular. The program achieved 88 percent enrollment of employees by the end of the fourth full year. Participant’s daily average steps were 8,892 per person. Over 73 percent of enrolled members used their pedometer actively and 71 percent of those individuals achieved their recommended amount of steps per day. Of the employees that were considered in the overweight and obese categories, an astounding 92 percent of those employees reached Level 3 of activity or higher. The HealthZone was used by 3,187 unique members with a total of 19,760 HealthZone visits. The extra steps our employees took during 2015 resulted in health and activity shifts. In a sample taken of our population, there was a 58 percent shift of individuals from a state of pre-hypertension to an ideal blood pressure and an 88 percent decrease in hypertension. The blood pressure metrics for participants showed a 76 percent overall improvement in blood pressure with 84 percent of individuals maintaining healthy blood pressure levels. In tracking Body Mass Index (BMI), 19 percent of individuals improved and 71 percent maintained their BMI. In a recent survey, results showed that as a member’s total annual Health Points increases, so does their perception of HCPSS being a better place to work. Additionally, 15 percent of employees who left the HCPSS during 2015 were non-members versus only 8 percent who were. This shows that employees who participate in the Virgin Pulse program, leave the school system at a much lower rate than those who do participate. When turnover costs are factored in, the benefit of the Virgin Pulse program extend well beyond the more tangible measures. Page 19 Health & Wellness Expo Commit To Be Fit sponsored the 5th Annual Health & Wellness Expo at Wilde Lake High School in May 2016. The event exceeded expectations by having over 2,800 employees, retirees, and their family members enjoy a day of learning, health screenings, educational workshops, and fitness sessions from over 100 health and wellness exhibitors. The Expo featured the following activities: • Information from local, regional, and national health and wellness organizations; HCPSS health and welfare plan vendors and financial partners; and Howard County Government agencies • Health screenings, such as bone density, blood glucose, dental, foot assessment, and heart health and vision screenings • Wellness services, such as massage, foot reflexology, and acupuncture • Educational workshops, fitness sessions, and cooking demos • Farmers’ Market • Children’s activities, such as the Eric Energy Science Show face painting, and arts & crafts Employee satisfaction with the Expo, as measured by a survey completed by employees as they left the expo, was 9.47 out of 10. The exhibitor satisfaction in the event was 9.3 out of 10. Onsite Fitness Classes In response to employee requests, Commit To Be Fit offered onsite fitness classes. Onsite fitness classes began at four schools around the county, offering low-cost, six-week sessions of Zumba, Fit After Forty, PiYo, Pilates, yoga, boot camp, and Barre, with varying difficulty level for some of them. Approximately 460 fitness classes were held, and nearly 1,000 participants took part in spring, summer, and fall fitness classes during 2015! An additional 300 participants were involved from 2014 to 2015. Evaluation and feedback from both instructors and participants were key in scheduling the seasonal classes. Feedback from participant surveys follows: • “I have absolutely LOVED taking PiYo with Amanda Demeusy. I had no idea what PiYo was at the beginning of last school year, but I signed up for it because it worked for my schedule, and I have never made a better fitness decision!” • “The instructor was great about helping us target our individual needs; everything from stretching muscles that were tight from sitting at a computer to building the arm and core strength I need to pick up my rapidly growing toddler!”” Monthly Commit To Be Fit Presentations The Commit To Be Fit program offered many educational opportunities for employees in four different categories each month: healthy cooking, financial fitness, stress reduction and management, and health and nutrition. Commit To Be Fit also offered Retirewise® workshops (through MetLife), which is a complimentary retirement education series that offers the tools needed to clarify retirement goals and how to take action. During 2014, 940 employees attended monthly presentations on a variety of health and financial fitness topics. This was a 87 percent increase in attendance over the previous year. These presentations were offered at times to accommodate second shift employees as well as regular daytime employees. The following educational sessions were offered: Seasonal Eating Thinking Outside the Lunchbox Investing 201 Prepare to Care Healthy Nutrition on the Go Know Your Numbers Need for a Will Mental Health Detoxifying Foods 403b – Voya Cyber Security Hydrate for Health Self Defense Back Pain Brain Boosting Food Good Sleep, Better Health Summer Slaws Retirement Page 20 A sampling of feedback from Commit To Be Fit presentations follows: • “Very informative and engaging, seems truly invested in well-being” • “Learning more about my finances and ways to invest lowers my stress levels immensely!” • “Thank you! I love learning about new healthy eating! Realistic and NOT overwhelming or intimidating” • “Made me more aware of the benefits of organic items” • “Loved the samples and recipes” • “Loved the exercises to prevent and help headaches – they can be done anywhere, anytime” • “Great information with practical application” Flu Shots The Commit To Be Fit program offered flu shots to HCPSS employees onsite in October of 2015. A total of 1,771 employees were immunized in five flu clinics held around the county – Central Office, Centennial, Howard, Long Reach, and Reservoir high schools. Flu shots help reduce use of medical care/sick leave; decrease upper respiratory illness; reduce work absenteeism due to upper respiratory illness, and decrease the number of doctors visits that take teachers away from their schools. Weight Watchers Commit To Be Fit partnered with Weight Watchers to offer employees onsite monthly Weight Watchers meetings. Nearly 300 employees participated in Weight Watchers Online and Monthly Pass Memberships. There were nine Weight Watchers onsite meetings held at schools around the county with six more schools scheduled to come on board with onsite meetings. Over the course of the year, those who were actively participating lost a total of 1,138 pounds! American Red Cross Blood Drive The Commit To Be Fit program administers American Red Cross blood drives at HCPSS locations. Blood drives during 2015 were held at multiple times throughout the year with 41 units of blood collected. Page 21 Employee Assistance Program (EAP) The HCPSS recognizes that employees are able to perform their best work when they are free of distractions or worries resulting from personal or family concerns. The Employee Assistance Program (EAP) provides free, confidential help to staff and their family members who struggle with issues that may interfere with work or family responsibilities. Services, provided through GuidanceResources®, are available 24 hours a day, 7 days a week via a toll-free nationwide number. Employees and family members can receive up to six counseling sessions (including assessment, follow-up and referral services) per person, per episode, per year. Departmental and School Wellness Meetings Commit To Be Fit staff scheduled onsite meetings at schools and departments to expand employee engagement. These meetings inform employees of the Commit To Be Fit wellness programs and provide the opportunity for one-on-one questions from employees. Meetings have been held with Food and Nutrition Services, Facilities, Custodial, Building Services, and Transportation along with elementary, middle, and high schools. Fitness Center Discounts The Commit To Be Fit program works with the Partnership Office to expand health and wellness partnerships for employees. The program succeeded in expanding the discounts available to employees at many of the local gyms and fitness centers throughout Carroll and Howard counties. There were four additional partnership created including, The Central Y of Maryland, Mélong Ling, Columbia Nutrition, LLC, and Axis Sport Performance. A listing of health and wellness partners can be found in Appendix A. Key Components of Health Promotion for Staff • Education and Awareness: Provision of workshops, classes, and information on common health issues for school staff members such as healthy lifestyle behaviors, eating, physical activity, and injury prevention. • Making Physical Activity Accessible: Opportunities to integrate physical activity in the school day such as walking, jogging, or yoga programs. • Focus on Healthier Eating: Access to healthy options for staff to eat and drink throughout the school day. • Weight Control Programs & Nutrition Programs: Support and resources provided such as assessment of current diet and goal setting to eat healthier. Resources provided can include meal planning, education on healthy foods, and weight checkins. Key Components of Health Promotion for Staff (continued) • Immunization: Provision of immunization for common illnesses found in the school environment such as the flu. • Biometric Health Screening: Periodic screening for blood pressure, blood cholesterol, blood sugar, body mass index, bone density scans, mammography, and other health indicators with advice on appropriate follow-up medical treatment. • Personal Health Assessment: assists staff members in establishing personal health improvement goals. • Stress Management Strategies: Provision of workshops, information, and counseling on how to manage stresses specific to the school environment and how to balance work and family. • Care Management: Care management programs that offer condition-specific education and information to help employees understand their disease better and take a more active role in controlling it. These programs, along with the sound advice of physicians, provide employees with the support to take charge of their health. • Tailor Activities to Needs: Ongoing assessments and surveys of the staff wellness plan to update and improve its effectiveness. Fit2Order In 2015, the Commit To Be Fit employee wellness program worked with Fit2Order to bring health and wellness to staff and families of students who attend the HCPSS. On November 18, 2015, Fit2Order presented Serenity Flow Yoga in Honor of Breast Cancer Warriors. Over 50 people attended the gentle yoga class to honor those with breast cancer. Sessions during 2016 have scheduled. FIT Family Night is a new program that began in January of 2016. It is a two-hour event that encourages healthy living. Parents and kids exercise side by side. Kids enjoy nutritious snaking and a dance party, while parents learn key lunchbox strategies to pack wholesome and tasty lunches kids will love. Exercising includes yoga, karate, Zumba, and boot camp. This program began on January 12th with Atholton ES, and as of June 1, 2016, 28 schools throughout the HCPSS have held a FIT Family Night event with over 1,400 students and parents participating. FIT Family Night is the newest addition to the Commit To Be Fit program. Page 22 Families getting fit together are a great way to boost social and emotional well-being and relieve stress. Page 23 Boot Camp at Top Tier was one of over 100 fitness classes offered to staff through the Commit To Be Fit Employee Wellness Program during 2015. Page 24 Success Stories and Staff Testimonials Page 25 Success Stories — Staff Testimonials The success of the Commit To Be Fit program is highlighted in personal success stories as well as school stories. Below are some of the success stories. Leslye Schweizer, Customer Service Technician, Central Office About two and half years ago, my husband and I were looking through the benefits booklet to decide on our health care package. He asked me “Babe, do you realize your employer pays you to exercise and be healthy? Why have you not signed up with the Commit To Be Fit Program?” I didn’t think too much about his question then, but it would continue to haunt me for months after. Why had I not signed up? How hard could it be? How silly of me to not sign up since part of my daily routine for years now has included walking our dogs; however, I was not getting any credit for all these steps. Plus, who wouldn’t like $500 to be healthy? On March 6, 2014 the light bulb went on. I had gained weight over the years while not doing much for myself. I always gave time for my family and others, but what about me? There were parts of me that I didn’t even like anymore and I was always tired. It was time to make a positive change for ME. No more diet pills, crazy diets, gym memberships and home equipment that didn’t get used. I pulled out my Virgin Health Miles pedometer from my desk drawer that I had received several years back. The package was still unopened. It was so easy to set up my account and I was so excited! Here we go, girl. I knew I needed to weigh myself and take my blood pressure to get a true starting point, and I dreaded that. Oh Lord, help me. I basically had a heart attack when that horrific number showed up on the scale. Oh boy! I had some serious work to do. My blood pressure numbers weren’t that great either. I was not healthy! Even though I was very uncomfortable and frustrated with myself during those tell-tale minutes, I gave myself a quick pep talk and decided to NOT look back. Today was the beginning of something wonderful! I wore my pedometer and started easily earning 7,000 steps daily, and after a few weeks was earning 12,000. Before I knew it, my steps increased to 20,000. I’d park further away than I normally would in any parking lot, take the stairs, use the restroom farther away from my desk, and walk during lunch and after work, too. Plus, I started eating much healthier at breakfast and packed little, nutrient-rich, colorful meals to eat throughout the day. I was learning so much about healthy living while attending the classes that our Wellness Program offers. The cooking classes were awesome and my family and friends loved the recipes. I even made the recipes for my co-workers and brought them in to share. Even better, I earned Health Miles for attending these classes. A win-win! It was exciting to watch my progress and that of others, too. It really kept me motivated. By the end of my first three weeks, I weighed myself. I lost three pounds and it was so easy. From that point forward I had the “bug” and never looked back! I was so excited with my progress that I asked my friend Brenda if she wanted to join me at the end of our workday to walk. Having a buddy really holds you accountable and pushes you to succeed, and she and I have been doing this regularly for several years now – rain or shine. Since my initiation, I’ve lost 30 pounds and have been able to keep them off. My life has totally changed for the better. Most days I earn 20-30,000 steps. Two days a week I take a Yoga and Zumba class offered through our Wellness Program. You can’t beat the price of these classes and the instructors are incredible! If you can, exercising after work really helps you unload and reload before going home to start your second shift! This program has affected me and my family’s lives in a tremendously positive way. My husband and I now walk every night when I get home from work (after walking with Brenda first, of course). It’s a great time for the two of us to talk about our day and reconnect. I’ve also taught him how to eat/cook healthier. We also drink lots of water, sleep better, walk daily, and laugh regularly. And, my seasonal sinus infections have completely ceased. How awesome is that? Life is great! I am so fortunate to have this program available to me! It has truly changed my life. Thank you for providing me with a path to healthy living. If you haven’t done so already, sign up NOW! Aren’t you worth it? YES, YOU ARE! Page 26 Brenda Finkle, Specialist Technology Trainer, Central Office In January 2013, I realized that I had slowly put on 25 lbs over a few years, and I really needed to make a change. I was feeling tired, my energy level was low, and I didn’t think I had the energy to make that change. The Commit To Be Fit program offered some simple tools that got me started. I joined Weight Watchers, wore my tracking device daily, and started walking. At first I pushed just to hit the suggested 7,000 steps per day. But they say do something for 21 days, and it will become a habit. I think it took me a little longer than that, but soon it became part of my daily routine. I started looking for ways to build more steps into my day, such as parking my car further from the door, using the bathroom furthest from my desk, and walking before work, during lunch, and in the evening. I even have a co-worker, Leslye, who was walking every day after work, so I started to walk with her. Then I took advantage of some of the other Commit To Be Fit offerings. I signed up for Zumba and Yoga classes. I attended some of the Healthy Cooking Seminars. My husband enjoyed the lighter meals I was cooking from these seminars and the Weight Watchers program. This, along with the hikes we were now taking on the weekends, led to weight loss for him as well. Our department started to have monthly competitions. The motivation was a definite drive in getting more steps per day, and it got more people moving which made more walking buddies for me. I have found that the key is to keep it up. It’s easy to skip a day or two, but get right back to it. If I miss a few days of walking, I notice my energy level drop and I just don’t feel right. Have a walking buddy. I’ve been walking with Leslye for three years now. We keep each other motivated, we’ve met our weight goals, and I’ve gained a great friend in the process. Page 27 Tami Dockendorf, Para Educator, Gorman Crossing Elementary School This past November, I turned 40. As women, we are encouraged to get a mammogram at 40 or before if you have a history of cancer in your family. I feel like I never have time to make doctor appointments, much less go to them, so I thought that maybe I would go over the summer when school is out. Then I saw I could earn 1,000 points to get the mammogram. With that incentive, I decided I might as well. At least it would get me closer to the next level and possibly cash in my pocket! I booked the appointment, went and had the screening, came home and went about my normal life....until I received the phone call saying that I needed to come back in. They had seen something unusual on the scan. Scared, I went back to have another scan, and then an ultrasound, and then another mammogram, and then was told I should meet with a breast cancer specialist. There was a mass that by their definition was abnormal. I met with the doctor who looked at all my tests and then told me I was at a bigger risk due to my mother having ovarian cancer. I didn’t even know breast and ovarian cancer was connected! The next step was to get a biopsy. I was terrified now! I had the procedure, which was frightening and painful. It seemed to take forever to get the results, but I was one of the lucky ones to get a benign diagnosis. Although I had bruising for days and many sleepless nights, the outcome was one of relief and renewal. I made it a point at that moment to put better habits in place and to take control of my health. Although I was sort of thinking about doing the mammogram in the beginning to get a baseline, the real motivator was the points from Virgin HealthMiles, as silly as that may seem. Now I realize, I wouldn’t be as healthy and as educated about breast cancer as I am now. Please, please, I encourage you, too, to stay on top of your health and those important appointments those doctors tell us to have. It could save a life, and if nothing else, earn you points! Laurie Collins, 2nd Grade Teacher, Jeffers Hill Elementary School My success story is short and sweet. I started walking around my school building (Jeffers Hill) for steps to get points and help lose weight. I’ve roped fellow colleagues into joining me (with positive peer pressure, of course!). Sometimes we have an entourage of up to 15 making laps around the school, which is usually on Wellness Wednesdays when we are in workout gear! People walk in and see us walking, drop their stuff and join us! It is AWESOME! And it’s so fun to catch up with coworkers I don’t always get to see, and very motivating to be greeted by friendly, happy, walkers in the morning! Commit To Be Fit fosters a culture of health and wellness for the nearly 90 percent of HCPSS employees who participate and empowers them to make healthy lifestyle choices. Page 28 Appendix A: Employee Incentive Program Page 29 Employee Incentives Program Health, Fitness, and Wellness 39 Minute Workout Curves Fitness 4920 Waterloo Road, Suite A 3900 Ten Oaks Road Ellicott City, MD 21043 Glenelg, MD 21737 Body Image Therapy Center Domino Fitness 8940 Old Annapolis Road, Suite E 5773 Flagflower Place Columbia, MD 21045 Columbia, MD 21045 Body Shapers, LTD Fairway Hill Golf Club 7801 Windrow Court 5100 Columbia Road Elkridge, MD 21075 Columbia, MD 21044 BodyWise Physical Therapy and Wellness Feet First Sports 9881 Brokenland Parkway, #103 6420 Freetown Road, #130 Columbia, MD 21046 Columbia, MD 21044 Boot Camp Girl Finesse in Training PO Box 142 1702 Transportation Blvd. Lisbon, MD 21765 Crofton, MD 21114 Brick Bodies Fitness Services, Inc. Fit To You, LLC 212 W. Padonia Road P.O. Box: 930 Timonium, MD 21093 Jessup, MD 20794 Bring it! Fitness, LLC Fitness 19 1383 Platinum Drive 6030 Marshalee Drive Eldersburg, Maryland 21784 Elkridge, Maryland 21075 Columbia Association (CA) Fitness Together 10221 Wincopin Circle 3570 St. John’s Lane, Suite 108 Columbia, MD 21044 Ellicott City, MD 21042 Columbia CrossFit Cove Freedom Group Fitness 7175 Oakland Mills Drive, Suite M 1950 Dickenson Road, Suite B Columbia, MD 21046 Eldersburg, MD 21784 Columbia Jazzercise Fitness Center Gold's Gym International 9221 Rumsey Road, Unit 5 8271 Gateway Overlook Drive Columbia, MD 21045 Elkridge, MD 21075 Page 30 Employee Incentives Program Health, Fitness, and Wellness Ground Control MUSA Tae Kwon Do 9130 Red Branch Road 13340 Clarksville Pike Columbia, MD 21044 Highland, MD 20777 Halo Day Spa My Gym Children's Fitness Center 8205 Snowden River Parkway 8890 Centre Park Drive Columbia, MD 21043 Columbia, MD 21045 Haven on the Lake One For All Dance Academy 10275 Little Patuxent Pkwy. 9691-L Gerwig Lane Columbia, MD 21044 Columbia, MD 21046 Inside Out Performance, LLC Pamela Sabatiuk, Licensed Massage Therapist 10840 Guilford Road, Suite 403 13410 Clarksville Pike Annapolis Junction, MD 20701 Highland, MD 20777 Krav Maga Maryland, LLC Physicians Weight Loss Centers 8865 Stanford Boulevard, Suite 141 6945 Oakland Mills Road Columbia, MD 21045 Columbia, MD 21045 Longevity Mediacal Spa Pump It Up Of Elkridge 8600 Snowden River Parkway, Suite 307 7184 Troy Hill Dr Columbia, MD 21045 Elkridge, MD 21075 Marriottsville Acupuncture Quest Fitness 2509 Painted Sunset Drive 10045 Baltimore National Pike Ellicott City, MD 21042 Ellicott City, MD 21042 Maximum Fitness Salvere Health and Fitness 6822 Oak Hall Lane 8640 Guilford Road, Suite 208 Columbia, MD 21045 Columbia, MD 21046 Medifast Weight Control Centers Still Point Spa 5655 Sterrett Place 12451 Clarksville Pike Columbia, MD 21044 Clarksville, MD 21029 Move and Change Team Irving Fitness [email protected] 6811 Old Waterloo Road 410-964-4868 Elkridge, MD 21075 Page 31 Employee Incentives Program Health, Fitness, and Wellness The Salt Sanctuary of Maryland 6020 Meadowridge Center Drive Suite T Elkridge, MD 21075 Tocar Spa 10025 Governor Warfield Parkway, Suite 215 Columbia, MD 21044 Weight Watchers 7185 Columbia Gateway Drive Columbia, MD 21046 , Winners of the 2nd Annual Dr. Foose Wellness Challenge enjoy lunch with Dr. Foose, board members, and administration. Page 32 Appendix B: Health and Wellness Expo Page 33 Health and Wellness Expo 2016 The following demos and workshops were offered during the 2016 Health and Wellness Expo Time Auxiliary Gym Fitness Demos 10:00 LaBlast® (Columbia Assocation) 10:30 Zumba® (Brickhouse Cardio Club) 11:00 Barre Sculpt (Coreworks Fitness Studio) 11:30 HIIT Insanity Live (Michelle Rosenfeld) 12:00 Boot Camp (SOLDIERFIT) 12:30 Basic Self Defense (Roundhouse Martial Arts) Room 139 Cooking Demos Room 220 Mini-Workshops Room 222 Mini-Workshops Room 224 Mini-Workshops Room 226 Mini-Workshops “Volunteering Does the Body Good” (Volunteer Center Ho Co) “What You Need to Know to Support LGBT Students” (PFLAG) Weight Watchers Meeting “Student Loan Forgiveness” (Horace Mann) “Brain Training” (Brain Training of Maryland) “Food Allergies, Intolerances and Sensitivities” “Christine Kline, RD) Sleep: What is it?, Why do we need it?, How to get it. (Howard Lung and Sleep) “Do I Need This Test and Other Questions to Ask the Doc” (Steve Diener, MD) “Eat Healthy, Reduce Waste, and Fight Hunger” (Hungry Harvest) “Got A Good Gut? Probiotics & Fermentation” (Simplified Wellness For You) “Stress Management: How Does Your Wheel Turn?” (Mélong Ling) “Common Gastrointestinal Diseases & Tests” (Gastro Center of Maryland) Weight Watchers Meeting “Student Loan Forgiveness” (Horace Mann) Air Frying - The Alternative to a Deep Fat Lifestyle Vietnamese Vegan Summer Rolls Keynote Speaker “Power of the Pause: Mindfulness for Educators” Mim Senft, CWWS, GBA, AAI, RYT 1:00 2:00 Self Myofascial Release (SMR) (CrossFit PCR) 2:30 Yoga (Columbia Assocation) 3:00 Jazzercise (Jazzercise Columbia Fitness Center) 3:30 Pilates Mat (Coreworks Fitness Studio) “Serenity Flow: Alternative Therapy for Cancer Patients & Survivors” (Fit2Order) DIY Hummus - So Easy, So Healthy, So Good “Deconstructing Mindfulness” (Mim Senft) Farro and Wild Rice Salad Page 34 List of Exhibitors from the 2016 Health and Wellness Expo 1st Choice Chiropractic Advanced Hearing Group Aetna Aflac AGAST Alzheimer’s Association American Diabetes Association American Heart Association Awaken Wellness AXA Advisors Be The Match/American Red Cross BodyWise Physical Therapy & Wellness Bone Density Screening Brain Training of Maryland Breezy Willow Farm Brickhouse Cardio Club Camp Inclusion, Inc. Capital Digestive Care/Maryland Digestive Disease Center CareFirst BlueCross BlueShield Center for Vein Restoration Chesapeake Urology Associates CIGNA Clear Captions Coalition of Geriatric Services (COGS) College Savings Plans of Maryland Columbia Association Columbia Nutrition LLC ComPsych Corporation Coreworks Fitness Studio Crohn’s and Colitis Foundation of America CrossFIT CrossFIT PCR Dabbs Rehab Center of Maryland Delta Dental of Pennsylvania Dr. Park Acupuncture Express Scripts Fabletics Freestate Happy Wanderers Walking Club Gastro Center of MD/Cascades Endoscopy Center GoGanics Page 35 Green Valley Marketplace Greenway Farms HC DrugFree Healthy Howard Hometown Harvest Horace Mann Howard Community College Howard County Center for Lung and Sleep Medicine Howard County Department of Citizen Services Howard County Department of Fire and Rescue Howard County Direct Primary Care Howard County Education Federal Credit Union Howard County General Hospital Howard County Health Department Howard County Library System Howard County Mental Health Authority Howard County Recreation and Parks Howard Education Association of Retired Teachers (HEART) Hungry Harvest Hypnosis Columbia IO Workshop-Mélong Ling (Yoga Art Science) Jazzercise Columbia Fitness Center Lisa Farley Acupuncture and Zero Balancing Maple Lawn Eye Care Center Maryland Insurance Administration Maryland University of Integrative Health Maryland Vein Professionals Massage Envy MetLife MetLife Premier Client Group of the Mid-Atlantic Morrison Chiropractic, P.A. MotionLife Chiropractic & Acupuncture NAMI Howard County National Family Resiliency Center Nationwide Retirement Solutions Navia Benefit Solutions Neighbor Ride, Inc. Overeaters Anonymous PFLAG Columbia - Howard County Physical Therapy First Pivot Physical Therapy Planmember Services/Paladin Advisor Group Pong’s Orchard Revive Physical Therapy RevolutionEYES Righttime Medical Care Road Runner Sports Roundhouse Krav Maga Sacred Healing Hands Wellness Studio Saint Agnes Hospital Salvere Health and Fitness Sarah McCracken Acupuncture Scoop & Paddle Ice Cream Company Signature OB/GYN Simplified Wellness for You SOLDIERFIT Standard Insurance Company Teladoc, Inc. The Boot Camp Girl LLC The Serenity Center The Y in Central Maryland Dancel Family Center VALIC Van Dyke & Bacon Shoes Vein Centers of America Virgin Pulse Vision Service Plan (VSP) Voya Financial Advisors, Inc. We Promote Health Weight Watchers Wight Tea Co WKD Karate 4 Girls Women Heart Young Living Essential Oils Screenings and Services Offered at the 2016 Health and Wellness Expo Acupuncture – Auricular (ear only) Providers: •Awaken Wellness •BodyWise Physical Therapy & Wellness •Sarah McCracken Acupuncture Blood Drive Provider: •American Red Cross Blood Glucose Screening Providers: •St. Agnes Hospital •Howard County Direct Primary Care Blood Pressure Providers: •HCC EMS/Nursing Students & Faculty •Howard County Direct Primary Care •Howard County General Hospital •St. Agnes Hospital Skin Assessment Provider: •Medifast Weight Control Center of Columbia Body Mass Index (BMI) Providers: •Howard County General Hospital •Howard County Direct Primary Care Bone Density Provider: •Advanced Radiology Services Bone Marrow Matching Provider: •Be The Match Breast Examination Provider: •Health Care Imaging Carotid Ultrasound Provider: •Brajesh Kumar Lal, MD Chair Massage Providers: •Awaken Wellness •Face Place Day Spa •The Healing Temple •Massage Envy •Theresa Symonds Chinese Pulse Diognosis Provider: • Dr. Park Acupuncture Cholesterol Provider: •St. Agnes Hospital Cooking Demos Providers: •Allspice Hospitality •Health Promotion on Call •Michelle’s Kitchen Dental Health Provider: •Howard County Dental Association Foot Reflexology Provider: •Sole Healing Hands Only CPR Provider: •Howard County Fire & Rescue Handwashing Provider: •HCC Nursing Students & Facility Hearing Provider: •Advanced Hearing Group Heart Attack Prevention Provider: • Dr. Susheel Sharma, MD Heart Attack Risk Assessment Provider: • Dr. Susheel Sharma, MD Page 36 Screenings and Services Offered at the 2016 Health and Wellness Expo (continued) Memory Provider: •Brain Training of Maryland Pain/“Ask the Physical Therapist” Providers: •BodyWise Physical Therapy and Wellness •Pivot Physical Therapy •Revive Physical Therapy Reiki Demo Provider: •Sacred Healing Hands Wellness Studio Page 37 Skin Assessment Providers: •Sponsored by CareFirst BlueCross BlueShield •Massage Envy Stability & Movement Providers: •1st Choice Chiropractic •Morrison Chiropractic Vision Basic Visual Acuity; Glaucoma Screenings by: •Maple Lawn Eye Care Center •RevolutionEYES Spinal Screenings Providers: •1st Choice Chiropractic Center •Dabbs Rehab Center •Morrison Chiropractic Vein Assessment Providers: •Center for Vein Restoration •Maryland Vein Professionals •Vein Clinics of America Zero Balancing Provider: •Lisa Farley 10910 Clarksville Pike, Ellicott City, MD 21042 • 410-313-6600 • www.hcpss.org The Howard County Public School System does not discriminate on the basis of race, color, creed, national origin, religion, physical or mental disability, age, gender, marital status, or sexual orientation in matters affecting employment or in providing access to programs. For more information, contact the Equity Assurance Office of the Howard County Public School System at 10910 Clarksville Pike, Ellicott City, MD 21042 or call 410.313.6654.