building a driver wellness program that sticks
TRANSCRIPT
BUILDING A DRIVER WELLNESS
PROGRAM THAT STICKSAn HNI University Webinar
Megan YoungAccount Executive
TODAY’S SPEAKERS
Jodi MathySr. Claims Consultant
Andrea TarrellMarketing Director
• Wellness by the numbers
• Why this is such a wicked problem
• Examples from the field
• Ideas to kickstart or boost your program
• The intersection of wellness and work comp
• Q & A
AGENDA
big picture:
why wellness matters
• build culture
• employee loyalty
• reduce costs
• improve productivity / reduce absenteeism
75% OF ALLHEALTH CARE COSTS ARE PREVENTABLE Heart Disease
Cancer
Stroke
Chronic Obstructive Pulmonary Disease
Diabetes
Sleep Apnea
High Blood Pressure
what a waist!
big picture:
why wellness matters
98%of employers think they
have a wellness program
• Do you currently have a wellness program?
– Yes, and it’s going great.
– Yes, but there’s room for significant improvement.
– Not at this time
– Not sure
POLLING QUESTION
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what challenges
are we up against?
COMMON CHALLENGES IN THE INDUSTRY
sedentary nature of the job
high stakes
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more regulation to deal with
than any other industry
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long road aheadLife expectancy for drivers is 16 years shorter
80% of carriers report health care changes will adversely affect their ability to hire
Obese drivers have 2X the crash rate per mile compared to healthy drivers.
We have an aging driver force - average driver age is 52.
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requires investment
when profit margins are
already slim
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driver
perceptions:
wellness not a
priority
This is what we call a wicked
problem…
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Ingredients of a
successful program
MAKE A COMMITMENT FROM THE TOP
• WHY does wellness matter?
• Senior leadership participation
• Budget and bandwidth needed for success
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MAKE A COMMITMENT FROM THE TOP
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1
MAKE A COMMITMENT FROM THE TOP
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1
DON’T TRY TO DO IT ALONE –BUILD “GRASSROOTS” SUPPORT
• Driver focus group
• Survey [SurveyMonkey, eSurveyPro, Pop Survey]
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2
DON’T TRY TO DO IT ALONE –BUILD “GRASSROOTS” SUPPORT
• No wellness committee? Make this the cause of your safety committee
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2
KNOW YOUR AUDIENCE, AND GIVE THEM TOOLS TO GET PHYSICALLY ACTIVE
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3• Walking program? Not so much.
• Easy-to-do exercise routines and stretching tips
• Onsite wellness equipment, marked walking path, bikes to get around
• Free gym membership
• Emphasize that working out can just be a few minutes during breaks – every bit counts!
KNOW YOUR AUDIENCE, AND GIVE THEM TOOLS TO GET PHYSICALLY ACTIVE
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3Hire a health and wellness coordinator [options for small and large companies]
KNOW YOUR AUDIENCE, AND GIVE THEM TOOLS TO GET ACTIVE
Fit System and Fit Stepper
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3Fitness equipment that works in a truck: kettlebells, hand weights, stretching bands…
KNOW YOUR AUDIENCE, AND GIVE THEM TOOLS TO GET ACTIVE
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3Or even easier….
KNOW YOUR AUDIENCE, AND GIVE THEM TOOLS TO GET ACTIVE
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3
Wellness innovator: Melton Truck Lines
KNOW YOUR AUDIENCE, AND GIVE THEM TOOLS TO GET ACTIVE
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3Telemedicine Success Story
– Driver with 160/110 blood pressure, putting him at risk losing his CDL
– Used remote device to measure
– Received real time med and lifestyle guidance on the road
– Now at 120/80 and still trucking!
FOCUS ON HEALTHY EATING TOO
• Fresh fruit and healthy snacks
• Investment in refrigerators and invertors for trucks
• Nutrition counseling
• Crock pots in trucks – surprisingly successful
• Grocery guides, simple meal plans, and recipes
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4
FOCUS ON HEALTHY EATING TOO
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4
BUILD AWARENESS BY “KNOWING YOUR NUMBERS”
• Health risk assessments & biometric screenings
• Help drivers understand their health risks
• Options to make it easy:
– Mail-in kit
– Partner with a vendor that has multiple locations
– Onsite screening (multiple times/dates)
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BUILD AWARENESS BY “KNOWING YOUR NUMBERS”
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5
• Program for drivers who fail their recertification DOT exam
• One-on-one fitness training by a CDL Wellness Coach
• Daily health screenings for blood pressure, weight, blood sugar, and BMI
• Health education and nutritional classes
MAKE IT A TEAMEFFORT
• Build a strong support system
• Wingman program
• Set company wide or department goals and challenges:
– Pounds lost company wide
– Recipe challenge
– Smoking cessation
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6
MAKE IT A TEAMEFFORT
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6
MAKE IT A TEAMEFFORT
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6Terminal vs. terminal
Divisions or departments
Groups by driver manager
Groups by state
Randomly assign teams
GIVE THEM OPTIONS
• Wellness is very personal – never one-size-fits-all
• Health and wellness fair
• Get their input and make sure your offerings align with what they want to do
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SWEETEN THE DEAL FOR PARTICIPANTS
• Positive reinforcement, continued support and incentives
• Integrate your program with your other benefits – health premiums, safety bonuses, etc.
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8
KEEP COMMUNICATION GOING WHEN YOU DON’T SEE DRIVERS
• Multiple channels of communication
• Social media
• Mailers to the home – get the spouse involved!
• Success stories
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KEEP COMMUNICATION GOING WHEN YOU DON’T SEE DRIVERS
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KEEP COMMUNICATION GOING WHEN YOU DON’T SEE DRIVERS
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USE YOUR RESOURCES
• Use resources that you have available [especially the free ones!]
• WELCOA
• Insurance carrier
• Benefits advisor
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USE YOUR RESOURCES10
Share mini wellness booklets
with 12 driver-friendly wellness
challenges and simple tips to
change behaviors.
Participants who share their
success on HNI's Facebook or
Twitter will be entered in a
drawing for a FitBit Flex!
Order complimentary copies at:
hni.com/well-driver-challenge
INTEGRATE THIS WITH YOUR WORK COMP STRATEGY
• Obvious impact is to benefits costs… but HUGE potential to impact work comp costs as well
• Drivers with a BMI >25 (overweight) are off work
13X longer for a work comp claim
• Avoid making wellness another “thing” – at the end of the day, same goals as your safety program
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where wellness meets
work comp
• DOT examinations
• Post-offer physical examinations
– Extensive questionnaire
– MSK assessment
– Drug screen
– Medical surveillance
• Post accident physical therapy and treatment
• Return to work
IS THIS DRIVER FIT FOR DUTY?
The cheapest
injuries are the
ones that don’t
happen….
“ “
• Are you currently conducting pre-employment physicals?
– For all positions
– For some positions
– Not at this time
– Not sure
POLLING QUESTION
• Snapshot view of the workers ability to perform the critical physical demands of the position
• Highly individualized and specific to the job
• Used post-offer to make sure the person is fit for duty
• Useful in physical therapy treatment to identify crucial physical task goals for case closure and return to work
BENEFITS OF AN ENHANCED PHYSICAL
• Employer prioritizes job positions
– History of injury?
– Identified as most physically demanding?
– History of high job turnover related to difficulty?
• Physical therapist reviews existing job description
• Physical therapist documents physical demands of job for ADA compliant job description
• Job description reviewed by management and union (if applicable)
BUILDING AN ENHANCED PHYSICAL TEST
• Physical therapist develops EPT protocol based upon physical demands, documentation and client input
• Validity testing — client sends in an employee to go through the EPT to validate the specifics of the protocol
• Revisions made as necessary
• EPT becomes part of the client’s Post Offer Physical process
• Placement recommendations based upon the candidates successful completion of the EPT
BUILDING AN ENHANCED PHYSICAL TEST
Sedentary — Less than 10 pounds
Light — 10 pounds frequently;
20 pounds occasionally
Medium — 20 pounds frequently;
50 pounds occasionally
Heavy — 50+ pounds frequently
JOB CATEGORIES
• Role in physical therapy for injured employees
• Documentation of physical demands for treating physicians
– 3rd party objectivity of actual demands of job in injury process
• Role in fitness for duty evaluations
• Opportunity for education!
ADDITIONAL BENEFITS OF ENHANCED PHYSICAL TESTING
• 24 year old male applicant paramedic
– Heavy duty job category
– Morbid obesity and knee surgery
– Enhanced physical testing for all applicants
– Struggled aerobically
– Lifting tolerance not demonstrated
– Clearing for position not approved
EXAMPLE: POST-OFFER EXAMINATION
• 54 year old female industrial cook
– Heavy duty job category
– Weakness in both arms
– MRI showed neck with central canal stenosis
– One level cervical spine fusion
– Symptoms resolved post-operative
– EPT with no limitations
– Clearance to return to work
EXAMPLE: RETURN TO WORK
OTHER OPPORTUNITIES TO LINK SAFETY & WELLNESS
• Create stretching programs that align with ergonomic / work comp risks
• Make a quick stretch part of your pre-trip inspection!
• Tie safety and wellness incentives and communications together
• Implement training program on proper body mechanics such as lifting
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how this all comes
together: examples
SMALL COMPANY (<50 EMPLOYEES)
• 45 employees
• Launched a incentive based program
• Employee can earn up to $250, or if spouse participates, up to $500
• Rewards based on:
– Non-smoking - $75
– Preventive Care Appointment - $75
– Maintain current weight $100
MEDIUM COMPANY (>100 EMPLOYEES)
• Committed to making this a grassroots effort
• Incentives up to $500
• Annual wellness screenings
• Follow up coaching from a local health care clinic
• Referrals to 100% covered primary care resources
• Annual health fair and company picnic
• Share aggregate wellness results with the entire company.
LARGE COMPANY (>1000 EMPLOYEES)
• Discovered that 10% of employees represented 80% of the dollars spent on health care, workers’ compensation, absence and disability benefits ($17,000/person, compared to <$500 for others)
• 1.4% were responsible for 40% of total benefit dollars.
• Analyzed employee health care data to spot problem areas
• Designed a program focused on:– Managing obesity – Blood pressure– Diagnosing and treating sleep apnea– Driver safety– Lunch-and-learn educational programs– Enhanced physical exam processes and tracking.
• Result: cost went from a 22% increase to a 1.3% decrease, and cite wellness program as saving over $100 million in several years
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final thoughts and
Q&A
THE GAME IS YOURS TO CHANGE…
• Start slow, start fast, but START!
• Opportunity to attract healthier drivers to your fleet
• Engage and retain drivers by showing that you care
• Drive down health and work comp costs
INVITE YOUR DRIVERS TO TAKE THE WELL DRIVER CHALLENGE!
Share mini wellness booklets
with 12 driver-friendly wellness
challenges and simple tips to
change behaviors.
Participants who share their
success on HNI's Facebook or
Twitter will be entered in a
drawing for a FitBit Flex!
Order complimentary copies at:
hni.com/well-driver-challenge
Megan YoungAccount Executive
QUESTIONS?
Jodi MathySr. Claims Consultant
Andrea TarrellMarketing Director