New to Bartholomew County employers is the Reach Healthy Business worksite wellness recognition program. Sponsored by Healthy Communities, SIHO Insurance Services and The Columbus Area Chamber of Commerce, the purpose of the program is to:
Recognize and support businesses in the community who are making a commitment to improving the health of their employees, create a network of local employers in order to provide education, resources and guidance towards effective, results-driven worksite wellness programming, and , provide opportunities for local businesses to share ideas, challenges, etc. concerning implementation and progress of worksite wellness initiatives. The program serves as a starting point towards a healthier Bartholomew County and recognizes businesses that have made a commitment to improving the health of their workforce.
To apply for the Reach Healthy Business 2012, please complete the organizational information section below and Part I and Part II of the application. It is recommended that you create your responses first in a word processor and then copy and paste your responses into the form below so that you do not lose any of your work.
Business Name:
Number of Employees:
Contact Person:
Phone:
Email:

Application Part I
1. Do company leaders (CEO, senior management etc.) support worksite wellness initiatives? Provide examples of senior management communication regarding wellness practices, participation in wellness activities etc. (5 pts)
2. Does your organization have a wellness committee/team in place to coordinate efforts and participation in worksite wellness programs? Describe committee make-up, member responsibilities etc. (5pts)
3. Does your organization take an innovative approach to employee wellness? Describe any creative activities, programs, or promotions that have been used at your organization to address employee health/wellness. (5 pts)
4. My organization commits to support at least 2 of the following Healthy Communities Initiatives. Please indicate which your business will support.  For a detailed explanation of the initiatives, click here: (10 pts)
a. Workplace Walking Program
b. Stair Usage Promotion
c. Active Transportation
d. Implement Healthy Meeting Guidelines
e. Bartholomew County on the Move (at the worksite)
Application Part II
Please answer each question by choosing the number that applies and provide a brief explanation when necessary. Please answer accordingly:

2 - Yes 
1 - Commit To: No policy in place, but there are plans or interest to form one 
0 - No
Data Collection
1. Has your organization offered employees the opportunity to participate in a health screening (i.e. blood analysis/cholesterol screening) in the past 12 months?
Yes Commit To No
2. Has your organization offered employees the opportunity to participate in a Health Risk Assessment in the past 12 months?
Yes Commit To No
3. Has your organization performed an employee survey to determine needs/interest in worksite wellness programs in the past 12 months?
Yes Commit To No
Programming
4. Does your organization offer rewards or incentives for participation in worksite wellness programs (i.e. cash, medical plan coverage enhancement, health plan contribution, medical spending account, well days, recognition, prize drawings etc.)?
Yes Commit To No
5. Has your organization allocated a budget for wellness programming?
Yes Commit To No
Supportive Environment
Nutrition
6. Has your organization implemented the Healthy Meeting Guidelines? (Guidelines)
Yes Commit To No
7.Do your employees have access to water to drink (e.g. bottles water, clean sources of tap water or working water fountains)?
Yes Commit To No
8. Does your organization offer employees access to a refrigerator at the workplace?
Yes Commit To No
9.Does your organization offer employees access to a microwave at the workplace?
Yes Commit To No
10. Does your organization offer prompts to promote and identify healthy food/snack/beverage choices near vending machines or onsite food venues?
Yes Commit To No
Physical Activity
11. Does your organization offer employees flexible lunch periods/breaks to encourage physical activities?
Yes Commit To No
12. Does your organization participate in/support sports teams, walking clubs, community walks or other events to encourage physical activity among employees?
Yes Commit To No
13.Do employees have access to safe areas outside to walk or exercise (e.g. paths, trails or sidewalks)?
Yes Commit To No
14. Do employees have access to onsite/offsite workout facilities or subsidized memberships to local fitness centers?
Yes Commit To No
15. Does your organization encourage active commuting (i.e. walk or bike)?
Yes Commit To No
16. Does your organization utilize point of decision prompts/posters to encourage stair usage?
Yes Commit To No
Tobacco Use
17.Does your organization completely prohibit tobacco use on company property?
Yes Commit To No
18. Does your organization offer access to smoking cessation resources or programs, or implement a referral system to help employees gain access to community-based cessation resources or services (e.g. Community Tobacco Cessation through CRH, 1-800-QUIT-NOW)?
Yes Commit To No
Stress Management
19. Does your organization encourage employees to utilize break periods for relaxation and/or exercise?
Yes Commit To No
20. Does your worksite have access to a clean employee only lounge?
Yes Commit To No
21. Does your organization have access to an employee assistance program that includes counseling or referral?
Yes Commit To No
Safety
22. Does your organization have emergency/disaster plans in place?
Yes Commit To No
23. Do you have at least one person on staff that is trained in CPR and/or First Aid?
Yes Commit To No
Chronic Disease Management
24.Does your organization provide a preventive health benefit to employees for the prevention and rehabilitation of chronic diseases?
Yes Commit To No
25. Does your organization have written policies in place concerning physical activity, nutrition, and tobacco use?
Yes Commit To No
Evaluation
26. Does your organization track employee participation in worksite wellness programs?
Yes Commit To No
27. Does your organization monitor participant satisfaction with worksite wellness programs?
Yes Commit To No