change starts with me a journey to excellence. the integris wellness journey timeline integris...

CHANGE STARTS WITH MEA JOURNEY TO EXCELLENCE

I N T E G R I S E M P L OY E E W E L L N E S S

THE INTEGRIS WELLNESS JOURNEY TIMELINE

I N T E G R I S E M P L OY E E W E L L N E S S

1978 PACER Fitness Center

1994 Begin non-

smoker credit

1998 Wellness $60 for

HRA

1999 Biometric screening

added

2001 Wellness Program

enhanced for system

2001 Incentive expanded to $250

HOW WAS $250 INCENTIVE AWARDED?

Incentives provided for participation: • Annual Health Assessment• Biometric Screenings• Personal Health Journals• Physical Activity Logs• Food Diaries• 5-a-Day Challenge• Health Education • Weight Management Programs• Disease Management • Preventive Exam Logs

I N T E G R I S E M P L OY E E W E L L N E S S

THE INTEGRIS WELLNESS JOURNEY TIMELINE

I N T E G R I S E M P L OY E E W E L L N E S S

2004 Tobacco

Free Campuses Metro OKC

2005 WELCOA Bronze Award

2005 Begin

WW@W

2006 Tobacco

Free Campuses Statewide

2006 WELCOA

Gold Award

2007 to PresentCertified Excellent Business

THE INTEGRIS WELLNESS JOURNEY TIMELINE

I N T E G R I S E M P L OY E E W E L L N E S S

2014WorkHealthy

Hospital&

WHH Gold Star Tobacco

Free

2010Tobacco

Freedom for Employees

and Patients

2011Tobacco Freedom

national recognitionLeading by Example

Tobacco Freedom

20??WorkHealthy Gold Apple Nutrition

20??WorkHealthy Gold Medal

Physical Activity

20??WorkHealthy

Center of Excellence

The Journey

I N T E G R I S E M P L OY E E W E L L N E S S

CHANGE STARTS WITH ME

THE JOURNEY BEGINS

The health of INTEGRIS employees and their spouses mirrored the health of Oklahomans in general

Bottom line: We needed to change. Culture Environment to foster healthy behaviors Partnerships to improve health

The passion that we put into the health of our patients needed to match the passion for our own health and the health of our families

I N T E G R I S E M P L OY E E W E L L N E S S

CATALYST FOR CHANGE

• Realizing the importance of focusing on our

health now, not later.

• Hearing studies that show a shorter life

expectancy for our children.

• Taking ownership for our daily choices that

affect our children and grandchildren, not just

us as an individual.

I N T E G R I S E M P L OY E E W E L L N E S S

CATALYST FOR CHANGE

• Reduced absenteeism• Health plan savings for employer and employee• Better employee retention• Increased productivity• Healthier and happier workforce• Better health = Better business

I N T E G R I S E M P L OY E E W E L L N E S S

SYSTEM-WIDE MOTIVATION

We want to move our state from a culture of illness to a culture of wellness.

I N T E G R I S E M P L OY E E W E L L N E S S

Living our

mission

Change Starts

with ME

Strives to be role

model for the state

OUR ROLE IN COMMUNITIES

• Hospitals, health systems and their employees are

critical to their communities because of their

leadership and mission.

• We need to lead the way and serve as role models for

healthy living and fitness throughout our communities.

I N T E G R I S E M P L OY E E W E L L N E S S

VISION OF WELLNESS

INTEGRIS made a commitment to improve the health of our employees

Increase participation

Greater emphasis on a culture/environment of wellness

Encourage physician and patient interaction

Increase participation in our disease management program

Inspire and reward healthy behavioral changes

Explore partnerships

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Successful Partnerships

I N T E G R I S E M P L OY E E W E L L N E S S

CHANGE STARTS WITH ME

TOBACCO FREEDOM

To obtain excellence businesses must have in effect 100% tobacco free workplace policy that applies to the entire property under their control, both indoors and outdoors.

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TOBACCO FREEDOM

• Greater OKC Hospital Council (2004) • Executive Leadership decision to partner with

Oklahoma Hospital Association (2009)• TSET funded initiative (2010): Pilot for metro

hospitals• Policy Update: Tobacco Free Campuses includes e-

cigs• Process: Evidence based “best practice”• Enhanced Implementation: Patients and Employees

I N T E G R I S E M P LOY E E W E L L N E S S

TOBACCO AND EMPLOYEES

• 6 months preparation: Allow employees to prepare for quit attempts

• Tools Available: HR / Employee Wellness• Meds – 7 FDA approved • E-cigarettes/Vapes: Not Recommended – Not FDA approved– Propylene glycol; glycerin; nicotine; flavors– E-juice poisonings on rise nationally and locally

I N T E G R I S E M P LOY E E W E L L N E S S

Challenges

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CHANGE STARTS WITH ME

CHALLENGES THE PROGRAM FACED

• 2008 Participation Numbers:– HRA Participation: 2,652– Screening Participation: 3,213– Out of 9,500 employees (roughly 34%)

• Employee Engagement Low• Physician Interaction Low• Program was “Siloed” – Most important partnerships

I N T E G R I S E M P L OY E E W E L L N E S S

NEW PROGRAM DESIGN

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• Incentive Model shifts away from numerous small rewards

• Proposed Year 1 Model provided:– Large incentive for participation in

HRA/Biometrics and – Additional incentive for Well Visit with PCP

• Incentive provided as “Preferred Pricing”• Make Spouses Eligible• Select vendor to provide online

HRA/Communication & Education Tool

2009 STRATEGIC WELLNESS PLANNING

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• Formed cross-functional team to evaluate past program successes, current best practices* and develop future model.

• Stated Goals:– Affect Behavioral Change– Increase Individual Accountability– Educate Consumer– Focus Culture on Prevention & Wellness– Reduce Cost *HERO, WELCOA, Healthy People 2020, Certified Healthy Business

PROGRAM BRANDING AND ROLL-OUT

I N T E G R I S E M P L OY E E W E L L N E S S

Created a Culture of Wellness

• Opened with “Change Starts with Me” Series of videos where INTEGRIS employees, including the CEO, shared their personal wellness stories

• Personal Letter & Invitation from CEO

• Cafeteria Initiatives introduced the “e-meal”

• Total Rewards Fairs

PHYSICIAN INVOLVEMENT

I N T E G R I S E M P L OY E E W E L L N E S S

• Program introduced to physicians through letter from INTEGRIS CMO and two respected physicians

• Provide physician referral to IH Physician

• Physicians asked to discuss results, risks and plans on how to improve or maintain healthy behaviors

• Goal: To ensure our employees are on the right track and getting the support they need to make changes and/or manage chronic conditions

2011 PLAN YEAR

I N T E G R I S E M P L OY E E W E L L N E S S

• Use Baseline to focus on Accountability

• Set Specific Goals– Tobacco Use– Blood Pressure– Cholesterol– BMI/Waist Circumference

• Incentive Aligned with Goals– Meet the Goal, or– Engaged in a Health Improvement Program to meet goal, or– Working with your physician to address risk

CHANGE STARTS WITH ME

I N T E G R I S E M P L OY E E W E L L N E S S

HEALTH IMPROVEMENT PROGRAMS

Care Coordination Changing Your Weighs

Tobacco Freedom Corporate Assistance Program

Diabetes Education FIT Coach

Maternal Wellness Move for Life

PACER Fitness Center SurvivorFit

Tools for Living with Chronic Conditions

Walk Well Weight Watchers

I N T E G R I S E M P L OY E E W E L L N E S S

Achieving Excellence

I N T E G R I S E M P L OY E E W E L L N E S S

CHANGE STARTS WITH ME

SITUATIONAL OPPORTUNITIES

• Health Care Reform– Free Preventive Care required for non-

grandfathered plans– Focus on Wellness and Future Incentives– Accountable Care Organization Concept

• Organizations Move Towards Total Health Management

I N T E G R I S E M P L OY E E W E L L N E S S

BUSINESS CRITERIA• Preventive Health Screenings• Health Education• Physical Activity• Tobacco Use Prevention• Healthy Food Options• Management Support for Health & Safety• Role of Business in Community Health• Wellness Policy in the Workplace• Behavioral Health Options in the Workplace

I N T E G R I S E M P L OY E E W E L L N E S S

CERTIFIED HEALTHY RESTAURANT

• Recognizes restaurants who offer healthy food options

• Recognizes restaurants who provide healthy environments for customers

• 2013 INTEGRIS Baptist, Southwest and Canadian Valley

I N T E G R I S E M P L OY E E W E L L N E S S

CERTIFIED HEALTHY PARTNERSHIPS

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The Journey Continues

I N T E G R I S E M P L OY E E W E L L N E S S

CHANGE STARTS WITH ME

FUTURE CONSIDERATIONS/IDEAS

• Continue to turn the dial from awareness to engagement to results

• Invert incentives so smaller incentive on participation and larger incentive on goals

• Add meeting or improving measurements as standard instead of just participation in health improvement program

• Strict accountability where incentive available only to those who meet goals

I N T E G R I S E M P L OY E E W E L L N E S S

GOALS TO LEVERAGE TECHNOLOGY

• Interface Wellness with INTEGRIS Personal Health Record

• Interface Wellness with INTEGRIS Electronic Medical Record– Logs– Biometrics– Health Risk Profile

I N T E G R I S E M P L OY E E W E L L N E S S

SIGNS OF SUCCESS

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• Higher Engagement • Strategic Plan for INTEGRIS • Certified Excellent Business since 2007• Breastfeeding Friendly Worksite – Gold Star • E-Meal leads to Weight Loss Success• Memorial Marathon Challenge – Top 3 Corporate

Team

SIGNS OF SUCCESS

I N T E G R I S E M P L OY E E W E L L N E S S

• Physician Visits - Identified Diagnosis • Grassroots Initiatives• Health Improvement Programs = Improved Health

Outcomes• Reduced Health Care Claims • Tobacco Program - Nationally Published 3 Times • Being-Well: Journal Record Success Stories

KEYS TO SUCCESS

• Create Culture: Executive Support & Leadership

• Create Ownership: Involving diverse team, including finance, in program design and implementation

• Create Trust: Begin with awareness, move towards engagement, end with accountability

• Create the Environment: If you are going to set the expectations, you must provide the tools for success

• Create Momentum: Recognize that “Zero Trend” (not getting worse) is success & a good starting point

I N T E G R I S E M P L OY E E W E L L N E S S

Questions?

I N T E G R I S E M P L OY E E W E L L N E S S

CHANGE STARTS WITH ME

References

I N T E G R I S E M P L OY E E W E L L N E S S

CHANGE STARTS WITH ME

*HERO, WELCOA, Healthy People 2020, Certified Healthy Business, Clinical Practice Guideline: Treating Tobacco Use and Dependence, update 2008