Proven Strategies for Implementing a Worksite Wellness Program

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Proven Strategies for Implementing a Worksite Wellness Program Find “Weldo”

Proven Strategies for Implementing a Worksite Wellness Program Find “Weldo”

Agenda l Literature review, research and best practices l Relationship between health and productivity

Agenda l Literature review, research and best practices l Relationship between health and productivity l Health risks and readiness for change l Ensuring results, incentives and ROI

How many people here today feel their leadership appreciates and believes in their work?

How many people here today feel their leadership appreciates and believes in their work? Please Stand Up

How many people standing feel their leadership live it to lead it? “Priceless” -

How many people standing feel their leadership live it to lead it? “Priceless” - Congratulations!

Wellness Gap Analysis Wellness Mission & Programs Corporate Values & Strategy

Wellness Gap Analysis Wellness Mission & Programs Corporate Values & Strategy

**INDIRECT – 74% *DIRECT - 26% Understanding the Costs Adverse Bottom Line Impact Medical

**INDIRECT – 74% *DIRECT - 26% Understanding the Costs Adverse Bottom Line Impact Medical Costs & Workers’ Comp Medical Care Salary Continuation STD/LTD Lost Productivity Health Care Costs Medical Care Hospitalization Pharmacy Diagnostic Testing Behavioral Health Physical Therapy Absenteeism Presenteeism Employee and Customer Dissatisfaction Turnover Temporary Staffing Replacement Workers Training Interim Employee Poor Quality Administrative re-work *Medical 22% Disability 4% / **Productivity Loss 74% Source: Integrated Benefits Institute, 2002

The Reality for Employers and Employees l l Health insurance premiums rose by 11.

The Reality for Employers and Employees l l Health insurance premiums rose by 11. 2 percent in 2004, the fourth consecutive year of double-digit increases. - Henry J. Kaiser Family Foundation Health insurance premiums will rise to an average of more than $14, 500 for family coverage in 2006. - l l National Coalition on Health Care Premiums for employee-sponsored health insurance have been rising five times faster on average than workers' earnings since 2000. - Health Research and Educational Trust Employee spending for health insurance coverage has increased 126 percent between 2000 and 2004. - Hewitt Associates LLC l Since 2001, the employees' share of health insurance costs has soared 63 percent for single coverage and 58 percent for family coverage. - Hewitt Associates LLC

The New Dialogue SHIFTING CULTURAL NORMS

The New Dialogue SHIFTING CULTURAL NORMS

Fundamental Success Factors 1. ) Support & commitment from supervisors & management 2. )

Fundamental Success Factors 1. ) Support & commitment from supervisors & management 2. ) Workplace-friendly policies supporting program goals & objectives 3. ) Workplace culture which values wellness 4. ) Program marketing efforts that reach, touch, inform & influence 5. ) Programs designed & owned by real people WELCOA Small Business Sourcebook (1998)

Program Participation A critical ingredient and key success metric… l l l l l

Program Participation A critical ingredient and key success metric… l l l l l Engage the entire population - Champions, Supporters, Detractors Conduct regular status checks and quarterly reviews Promote and nurture a culture that values health & well-being Position the program powerfully – employee testimonies & brand identity Target communications - reach out and touch them Menu of options – programming mix that supports multiple levels of behavior change Use incentives wisely Establish specific participation goals / objectives and manage them Have a solid participation metrics story

Managing Wellness Traffic Patterns Red Risk Group: l Multiple risk factors, high healthcare expenses,

Managing Wellness Traffic Patterns Red Risk Group: l Multiple risk factors, high healthcare expenses, moderate absenteeism rate and moderate performance Yellow Risk Group: l No overt risk factors, low healthcare expenses, but high absenteeism rate, and reduced performance Green Risk Group: l A chronic health condition, moderate healthcare costs, low absenteeism rate and superior performance

Such a Maze - Where to Begin… l l l Galvanize argument that investing

Such a Maze - Where to Begin… l l l Galvanize argument that investing in employee health & wellbeing is a core requirement Analyze data to determine/clarify priorities & develop a strategic plan Establish an executive business case Program Selection/Development Program Implementation/Integration Identify other business unit stakeholders

Health and Productivity Hot-Buttons Behaviors (Lifestyle and Habits) l Smoking, Substance Abuse, Obesity, Physical

Health and Productivity Hot-Buttons Behaviors (Lifestyle and Habits) l Smoking, Substance Abuse, Obesity, Physical Inactivity Health Conditions l Acute and Chronic Conditions Work Environment l Safety, Ergonomics, Stress Employer Philosophy l Organizational Culture, Health & Benefits Strategies Employer Programs and Services l l Disability Management, Health Promotion Benefits Options, Program Integration

Wellness Strategy Conventional View vs. Strategic Approach Conventional View Strategic Approach Health & Safety

Wellness Strategy Conventional View vs. Strategic Approach Conventional View Strategic Approach Health & Safety Services Cost of doing business Employees – Employer’s major asset Employer Benefits, Sponsored Programs and Data Selection not strategic; fragmented data & siloed work groups Population-specific, integrated programs and data driven Programming Channels Popular topics and routine screenings Measured by best practice research, focus groups, health risk data Cost of Program Largely determined by trends, with few incentives Tied to medical plan costs, program participation metrics and incentives Outcome Measures Not closely monitored Essential component of program evaluation and ongoing funding Disability Management Cost of doing business & Lost Work Time Maximize employee health to minimize lost work time & enhance productivity Employer-Health Plan Relationship Collaborative partnership/consultantclient Vendor-client

Creating Menu - Programs, Services & Incentives Health Improvement Programs l Smoking Cessation l

Creating Menu - Programs, Services & Incentives Health Improvement Programs l Smoking Cessation l Weight Management Food Services l Discount Healthy Choices l Vending Overall Seasonal Wellness Campaigns l Pedometer Programs l Physical Activity Challenges Employee Tools & Resources l Health Care Consumerism l Health Care Information Safety Programming l Injury Prevention l Ergonomics Fitness Options l Onsite Fitness Centers l Fitness Partners Self-Directed Programs

Where to Look for Results? What to Review? l Claims Data: Workers’ Comp, Health

Where to Look for Results? What to Review? l Claims Data: Workers’ Comp, Health Status • Condition Prevalence and Cost • Condition Management Services • Emergency & Urgent Care Utilization • Pharmaceutical Costs and Utilization l Health-Related Benefits Offerings, Plan Design and Utilization • Worksite Health Promotion Programs • Work/Life Balance Programs l Worker’s Comp & Safety Data

Define Your Value Proposition Cost Savings and Increased Profitability l l Decreased Health Care

Define Your Value Proposition Cost Savings and Increased Profitability l l Decreased Health Care Costs Reduced Lost Work Time Enhanced Organizational Productivity Competitive Cost Advantage in the Marketplace Improved Employee Satisfaction l l Improved Health and Wellness Improved Morale Enhanced Engagement Improved Recruitment and Retention

Analyzing and identifying the organization’s risk exposure. . . l l Ensures an innovative

Analyzing and identifying the organization’s risk exposure. . . l l Ensures an innovative and cost-effective wellness programming strategy Promotes an efficient, effective and affordable array of collateral services and support aligned across the organization The Bottom Line Fostering a healthier, more fit lifestyle for employees, extended family members and retirees results in… Positively influencing your clients, customers & community When it comes to Wellness - What’s on Your Plate?

Handout 1: Wellness Best Practice, ROI Resources l l l l l R. Goetzel

Handout 1: Wellness Best Practice, ROI Resources l l l l l R. Goetzel – S. Serxner – L. Chapman – S. Sullivan Integrated Benefits Institute - IBI Institute for Health and Productivity Management C. Everett Koop National Health Project Health Enhancement Research Organization WELCOA - Wellness Councils of America Robert Wood Johnson Foundation National Business Coalition on Health Washington Business Group on Health

Handout 2: More Wellness Intervention Considerations: Employee Assistance Programs 2. Work/Life Balance 3. Financial

Handout 2: More Wellness Intervention Considerations: Employee Assistance Programs 2. Work/Life Balance 3. Financial Planning 4. Elder Care 5. Dependent Care 6. Stress Management Health-Related Incentive Programs Nurse Line Integrated Disability Management 1. Work-Related 2. Non-Occupational Case Management Absence Management Return-to-Work Programs 1. Health Risk Profile l HRA l Wellness l Ergonomics l Condition Management Worksite Healthcare On-Site Rx Health Coaching Quality Healthcare Initiatives l Provider Profiling l Provider Incentives l Claims Review Medical Claims Data Analysis Pharmacy Claims Analysis

Health Status & Functional Capacity Percent higher absenteeism than healthy employees Reference: Serxner, S.

Health Status & Functional Capacity Percent higher absenteeism than healthy employees Reference: Serxner, S. , et al. , (2001). The impact of behavioural health risks on worker absenteeism. JOEM, 43(4), 347 -354

Health Status & Functional Capacity Reducing one health risk can… • Reduce absenteeism by

Health Status & Functional Capacity Reducing one health risk can… • Reduce absenteeism by 2% • Improve productivity by 9% Reference: Pelletier B, Boles M, Lynch W. (2004). Change in health risks and work productivity over time. J Occup Environ Med.

Something to Consider The total Functional Capacity of your company is the sum of

Something to Consider The total Functional Capacity of your company is the sum of all the capacities of your individual employees Lift the functional capacity of your people and you lift the competitive advantage of your entire company