HORIZON HEALTH SOLUTIONS

KILEY BARLEY, COURTNEY BURTON, BRITTANY SHEARIN, JESSICA STOKES, YOUNGBUM SUN

MISSION OF HORIZON HEALTH SOLUTIONS

Our mission: To Reach America Where it Works

Horizon Health Solutions is an independent
organization that is contracted by both medium and
large corporations to address the health needs of
Americas employees and implement work site
interventions

COMPANY INTRODUCTION SCRANTON IRON WORKS (SIW)

Scranton is located in Lackawanna

County, Pennsylvania
Scranton Iron Works was founded in

1887
SIW processes iron shipped from

regions north of the Erie Canal

Employees weld and fabricate steel to

make commercial high-rises and large

structural buildings

SCRANTON IRON WORKS (SIW)

The company started with 35 employees and has expanded to 250
There are currently 220 males and 30 females employed

Employees between the ages of 18-55 years old

Demographic trend geared towards middle-aged population (30-40 years old)

175 of the employees have a GED or high school diploma, and 75 of them have a college

degree
Employees work between 40-60 hours a week making $25-$30 an hour
Yearly income between $48,000 and $86,000

STATISTICS
Lackawanna County is positioned in northeastern Pennsylvania and is ranked 56 out of 67

counties in the state by health outcome.

The amount of adults that smoke regularly is 23% in this county and 20% for the entire

state.
The amount of adults that drink excessively is 24% in this county and 17% for the entire

state.
On average, at least 50% of employees smoke at least once a day and 36% of employees

reported drinking alcohol 7 or more times a week.

SCRANTON IRON WORKS

Because of absenteeism, sick days, and reported alcohol related incidents on site,
the CEO of Scranton Iron Works contacted Horizon Health Solutions

A needs assessment was conducted in order to establish and prioritize the most vital
needs of the employees

There were several negative health behaviors found among residents of Lackawanna
and specifically SIW employees. Of the negative behaviors assessed, the most
pressing were smoking and excessive alcohol consumption

NEEDS ASSESSMENT SECONDARY DATA

46.6 million men and women are current

smokers
Cigarette smoking is the leading cause of

preventable death in the U.S.

The leading causes of death attributed to

smoking are: lung cancer, ischemic heart

disease, and chronic obstructive
pulmonary disease
$ 96.8 billion in productivity losses is due

to smoking in the U.S. annually

NEEDS ASSESSMENT SECONDARY DATA

17% of Pennsylvania adults claim to

be binge drinkers
6% of Pennsylvania adults are chronic

drinkers
6% of adults said that they were at
risk for problem drinking
The highest percentage of at risk
drinkers were located in the
Northeastern part of PA, where
Lackawanna is located

NEEDS ASSESSMENT PRIMARY DATA

Primary data was collected through direct

observation
During any given break period, at least

12 or more employees were observed

smoking on company grounds
Secondhand smoke
SIW does not have a formal smoking

policy

Primary data was also collected through data collection via survey questions

Respondents reported:

28% of employees reported smoking

25 or more
cigarettes a day
Half of the employees reported
smoking at least
once a day
36% of employees reported drinking
an alcoholic
beverage seven or more
times a week
Of the 147 employees that smoke,
65% of them
reported the desire to
quit

MISSION STATEMENT - SCRANTON IRON WORKS

The mission for Horizon Health Solutions is to significantly

improve the physical health status of all employees at

Scranton Iron Works.
Horizon Health Solutions will accomplish this mission by
implementation of a year-long program
Placing emphasis on:
Smoking cessation and alcohol abuse
Education, awareness, and support within the workplace

GOALS AND OBJECTIVES

Goals
To improve the health of the employees of Scranton Iron Works through a year-long health

intervention program
To decrease smoking prevalence among SIW employees
Smoking will be prohibited on SIW property
4 smoking cessation programs will be established
To decrease the prevalence of alcohol abuse among SIW employees
SIW will provide all employees with access to a substance abuse counselor

PLANNING PROCESS - MAP-IT

Planning guide to aid communities in altering their lifestyles to

coincide with Healthy People 2020

Ten-year objectives for improving the health of all Americans (Healthy

People, 2014)

Focus of MAP-IT is on communities at the state or local level

Five phases:
Mobilize
Assess
Plan
Implement
Track

PLANNING PROCESS HEALTH BELIEF MODEL

One of the most frequently used in

relation to health behavior

Used to help explain reasoning for a
persons health behavior
This model suggests a persons
belief in their personal threat in
developing a disease along with
their belief in the program being
effective will predict whether or
not the person will adapt the
recommended behavior
Comprised of six constructs

IMPLEMENTATION

PHASE 1
Program brochures
Posters and flyers
Stress balls
Provide visibility for the

upcoming classes and other

program elements to prepare
the employees for change.

PHASE II

Hiring and training of program

facilitators

PHASE III

PHASE IV
Four foundational classes (two

Pilot test with incentives for

participation
The pilot will run throughout
the entire month of November
At the end of November, the
program will be examined for
flaws and adjusted if needed

alcohol-related and two smoking

cessation) offered twice a week
for four weeks
Interactive lunch sessions
Email health bulletins to
employees
Smoking ban on company
property

EVALUATION
Combination of processes
Surveys help reveal whether the

intervention program was effective.

Determine if the steps involved in the

program need to be improved

Comparison for the reasons given for

smoking
End of the program -determine the

number of employees who have stopped

drinking alcohol

Assess the number of people who have dropped the habit of alcohol abuse.

Health status of those who continued smoking and those who quit

First

Second

Evaluation on behavior change is done throughout the program

References
Pennsylvania Department of Health (2013). Alcohol consumption. 2013 Behavioral Risks of
Pennsylvania Adults, 1 2.
Centers for Disease Control and Prevention (2008). Smoking-attributable mortality, years of
potential life lost, and productivity losses --- United States, 2000 2004. Morbidity and
Mortality Weekly Report, 57(45), 1226 1228.
Centers for Disease Control and Prevention (2010). Vital sings: Current cigarette smoking
among adults aged 18 years --- United States, 2009. Morbidity and Mortality Weekly
Report, 59(35), 1135 1140.
Recommended alcohol questions (n.d.). Retrieved from
http://www.niaaa.nih.gov/research/guidelines-and-resources/recommended-alcohol-quest
ions

Standard Iron Works Inc. Retrieved from http://standardironworks.com