Proven Strategies for Implementing a
Worksite Wellness Program
Find “Weldo”
Agenda
Literature review, research and best practices
Relationship between health and productivity
Health risks and readiness for change
Ensuring results, incentives and ROI
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” - Congratulations!
Wellness Gap Analysis
Corporate Values & Strategy
Wellness Mission & Programs
Understanding the Costs
*Medical 22% Disability 4% / **Productivity Loss 74% Source: Integrated Benefits Institute, 2002
*DIR
EC
T -
26
%**
IND
IREC
T –
74
%
Medical Costs & Workers’ Comp
Lost ProductivityAbsenteeismPresenteeism
Adverse Bottom Line Impact
Poor QualityEmployee and Customer DissatisfactionTurnover Temporary Staffing
Replacement WorkersTraining Interim Employee Administrative re-work
Health Care CostsMedical CareHospitalizationPharmacyDiagnostic TestingBehavioral HealthPhysical Therapy
Medical CareSalary Continuation STD/LTD
The Reality for Employers and Employees 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. - 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
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
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 peopleWELCOA Small Business Sourcebook (1998)
Program Participation A critical ingredient and key success metric…
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 PatternsRed Risk Group:
Multiple risk factors, high healthcare expenses, moderate absenteeism rate and moderate performance
Yellow Risk Group: No overt risk factors, low
healthcare expenses, but high absenteeism rate, and reduced performance
Green Risk Group: A chronic health condition,
moderate healthcare costs, low absenteeism rate and superior performance
Such a Maze - Where to Begin…
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-ButtonsBehaviors (Lifestyle and Habits)
Smoking, Substance Abuse, Obesity, Physical Inactivity
Health Conditions Acute and Chronic Conditions
Work Environment Safety, Ergonomics, Stress
Employer Philosophy Organizational Culture, Health & Benefits Strategies
Employer Programs and Services Disability Management, Health Promotion Benefits Options, Program Integration
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 & Lost Work Time
Cost of doing business Maximize employee health to minimize lost work time & enhance productivity
Employer-Health Plan Relationship
Vendor-client Collaborative partnership/consultant-client
Wellness StrategyConventional View vs. Strategic Approach
Creating
Menu - Programs, Services & Incentives
Health Improvement Programs Smoking Cessation Weight Management
Food Services - Discount Healthy Choices Vending Overall
Seasonal Wellness Campaigns Pedometer Programs Physical Activity Challenges
Employee Tools & Resources Health Care Consumerism Health Care Information
Safety Programming Injury Prevention Ergonomics
Fitness Options Onsite Fitness Centers Fitness Partners
Self-Directed Programs
Where to Look for Results?
What to Review? Claims Data: Workers’ Comp, Health Status
• Condition Prevalence and Cost• Condition Management Services• Emergency & Urgent Care Utilization• Pharmaceutical Costs and Utilization
Health-Related Benefits Offerings, Plan Design and Utilization• Worksite Health Promotion Programs• Work/Life Balance Programs
Worker’s Comp & Safety Data
Define Your Value Proposition
Cost Savings and Increased Profitability Decreased Health Care Costs Reduced Lost Work Time Enhanced Organizational Productivity Competitive Cost Advantage in the Marketplace
Improved Employee Satisfaction Improved Health and Wellness Improved Morale Enhanced Engagement Improved Recruitment and Retention
Analyzing and identifying the organization’s risk exposure... 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 LineFostering 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
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 Work/Life Balance Financial Planning Elder Care Dependent Care Stress Management
Health-Related Incentive Programs
Nurse Line
Integrated Disability Management Work-Related Non-Occupational
Case Management
Absence Management
Return-to-Work Programs
Health Risk Profile HRA Wellness Ergonomics Condition ManagementWorksite HealthcareOn-Site RxHealth CoachingQuality Healthcare Initiatives Provider Profiling Provider Incentives Claims ReviewMedical Claims Data AnalysisPharmacy Claims Analysis
Health Status & Functional Capacity
0% 50% 100% 150%
Back Pain
Stressed
No Exercise
High body Fat
Reference: Serxner, S., et al., (2001). The impact of behavioural health risks on worker absenteeism. JOEM, 43(4), 347-354
Percent higher absenteeism than healthy employees
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.
Health Status & Functional Capacity
Something to Consider
The total Functional Capacity of your company is the sum of all the capacities of your individual
employeesLift the functional
capacity of your people and you lift the
competitive advantage of your entire company