CHAA-2013 AOHC Conference

April 28th, 2013

Wayne N. Burton MD FACOEM, Global Corporate Medical Director

Karen DiProfio, RN Director of Nursing

Daniel May, Corporate Safety Manager

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Discloser: None

Today’s Discussion

•Overview of American Express

•Our Corporate Culture

•Health Benefits

•Healthy Living Programs & Services

•Data Integration

•Corporate Safety & Ergonomics

•Innovation

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American Express Company Profile

• 163rd year in business

• Headquarters in New York City

• Fortune 100 Company

American Express is one of the largest financial services companies in the world

American Express has one of the world’s strongest brands

Global services company, providing customers with access

to products, insights and experiences that enrich lives and build business success.

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American Express Overview

• Average age: 42 years

• 2/3 Female

• Global: 50% of employees international

Company Demographics

• Full replacement CDHP with HSA in US

• Free Preventive Services

• Free Preventive Services

• Incentives

Benefits

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Our Corporate Culture Blue Box Values

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American Express Healthy Living Program

Wellness Center Organization Structure

Senior Vice President

Global Compensation and Benefits

Global Corporate Medical Director

Wellness Centers

Safety

Employee Assistance

Program (EAP)

Disease Education

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Healthy Living Wellness Committee

Salt Lake City, UT

Head Count: 1,776

Alonzo Mourning and Ken Chennault

at the Healthy Living Activity Center

opening in Ft. Lauderdale, FL

Head Count: 2,499

Healthy Living Activity Center

Phoenix, AZ

Head Count: 5,570

US Healthy Living

Healthy Living “Catch the

Wave” launch event

WFC, New York, NY

Head Count: 4,799

Mission Statement

• Healthy Living is about making better health a way of life at American Express. Through a shared commitment to wellness, together we can become a stronger and healthier community.

Goals

• To promote health awareness, influence positive behavior change, improve productivity, enhance employee engagement and reduce health care expenditures.

Our Mission and Goals

Three Steps to Healthy Living

• Free Preventive Drugs & Vitamins

• Free Health Coaching

• Free Condition Management

• Free Well Woman Exam

• Free Mammograms

• Free Flu shots

• Business travel consults & immunizations

• Free annual Health (Biometric) Screenings: blood pressure, cholesterol, bloods sugar, and body mass index • Health Assessments: provides employees with detailed picture of overall health

• On-site Wellness Centers with nursing care for acute illness,injuries, emergencies

• On-site Doctor/Nurse Practitioner, Health Coach & Dietician

• Health Navigator; 24-hour Nurseline

• Top Doctors website

• Employee Assistance Program • Healthy Living website, Healthy Living APP

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Simplify and sustain messaging

Keep the momentum

Leverage marketing approach

Utilize various methods of media

Engage employees and their families

Feature real healthy stories and goals from employees

Tie to blue box values

Encourage the sharing of stories

Create competition

Report results

Driving Participation

Medical Costs

Personnel

EAP

Productivity

Biometrics

STD/LTD/FMLA

Health Promotion & Disease Education

Electronic Medical Records

Integrating our services

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How we integrate

Health Protection

and promotion

The changing office design

The virtual employee

Ergonomic training

Safety & Healthy Living

Super-storm Sandy: a case study of crisis management

How we integrate Health Protection and Health

Promotion

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Our changing Work Force Office Design:

Blue Work

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Evolution of the traditional workplace

Goals of Blue Work

• Flexibility

• Collaboration

• Real estate optimization

Meeting the needs of our workforce

Home – Occasional visits

to Hub Office. Consistently works from home three or more days a week. Space Impact: No

assigned seat in the

workplace.

Roam- Employee primarily works at client locations and makes regular short visits to the Hub Office. Space Impact: No assigned seat in the workplace

Hub- Employee’s role requires them to work in the office every day. Space Impact : Assigned seat in the workplace

Club – Employee’s role requires frequent in person interaction with colleagues and leadership . Space Impact: Provide unassigned cubicles (hot desks) in office

Various Types

Of

Work styles

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Supporting Virtual Employee Ergonomic Program

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Approximately 5000 “virtual” employees

•Work from home

•Work from smaller offices

Communications designed to:

•Link virtual employees & intranet based training and education

•Link employees to regional safety team members

•Provide dialogue with safety team members

Virtual Ergonomic Assessment Toolkit:

•Assess employees in their workspace

•Provide recommendations

Integrating Safety with American Express

Healthy Living Programs

Integrating Safety with

Amex Healthy Living

Programs

Health & Safety Fairs at major

locations

Safety team works closely with Wellness

Center staff

Wellness Centers

generate ergonomic evaluations

Wellness Centers provide evaluation and

treatment for some work related injuries

Safety Fairs with Wellness Center

and Healthy Living Activity Centers

participation

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Responding to Disaster: Hurricane Sandy

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•Global Security

•Human Resources

•Wellness Center Staff (Corp. Medical Dir., Dir. Nursing

Services, EAP Dir.)

•Real Estate

•Corporate Affairs and Communications

•Corporate Safety

•Telecommunications Network Services

•Technology/Disaster Recovery Planning

•Business Continuity

•Customer Care

Critical Incident Team Members

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Innovation at American Express

•Technology

•Healthy Living going global

•Worksite based disease management

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Technology: Objectives and Benefits

The American Express Healthy Living mobile website was

developed to:

Promote health awareness to American Express employees and their

families

Influence positive behavior change

Improve productivity

Enhance employee engagement

Reduce health care expenditures

Product Overview

American Express employees will be able to access health related

tools and information any time, anywhere.

Engaging content is organized into relevant Eat, Move, Live, Play categories.

MOVE

Employees will receive updates on Healthy Living events, class

schedules at fitness center locations, fitness tips, and even ways to

stay active at their desks.

American Express: Taking Health and Productivity

Global

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Singapore

India

UK and more

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Worksite-based Condition Health Education Programs

Objectives

o Educate employees on the value and importance of disease management

o Provide employees with information to enhance self-care

o Systematic approach to improving outcomes

o Sustainable engagement

Identifiable Need

o 65 % of Amex employees have at least one chronic health condition

o Chronic conditions account for the majority of healthcare costs

o Productivity costs exceed direct healthcare costs

Condition

Health

Education

Create an Integrated and Sustainable Approach to Condition Health Education: A Broad Partnership

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On-site Medical •Diabetes education pilot

Health Coaches/

Dieticians Communications

Behavioral Health •EAP

Health Portal •Staywell

•Amex Intranet

Health Risk Assessment • Assess and track health behaviors

• Maintain health

•Notifications for at risk

Fitness Centers/

Activity Rooms •Low risk maintenance

Pharmacist : Medco

Incentives

Health Plan Case

Management

• STD, LTD, FMLA

Absence Management

Sedgwick

Long Term

Strategy—

Short Term

Solutions

Healthy Living with Diabetes The Issue • 65% of Amex employees have at least one chronic health condition • Chronic conditions account for the majority of healthcare costs • Productivity costs exceed direct healthcare costs • 5% of Amex employees have diabetes Goals • Educate employees on the value and importance of disease management • Provide employees with information to enhance self-care

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The Program

Enrollees

• US Employees with diabetes or elevated blood sugar in

locations with Healthy Living Wellness Centers

Highlights

• Free Diabetes screenings

• Diabetes education, support, and resources through group

classes, webinars, website and email

• Personal consultations with onsite Nurse/NP, Coach, dietician,

and Pharmacist

Incentives

• Free glucose meter, $20 AXP checks, Kindle Fire raffle

IMPROVE YOUR BOTTOM

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Questions?

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