proven strategies for implementing a worksite wellness program

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

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Find “Weldo”. Proven Strategies for Implementing a Worksite Wellness Program. Rod R. Hart RN, COHN Healthy Acitive Oregon Bend, OR 4-28-06. Agenda. Literature review, research and best practices Relationship between health and productivity Health risks and readiness for change - PowerPoint PPT Presentation

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Page 1: Proven Strategies for Implementing a Worksite  Wellness Program

Proven Strategies for Implementing a

Worksite Wellness Program

Find “Weldo”

Page 2: Proven Strategies for Implementing a Worksite  Wellness Program

Agenda

Literature review, research and best practices

Relationship between health and productivity

Health risks and readiness for change

Ensuring results, incentives and ROI

Page 3: Proven Strategies for Implementing a Worksite  Wellness Program

How many people here today feel their leadership appreciates and

believes in their work?

Please Stand Up

Page 4: Proven Strategies for Implementing a Worksite  Wellness Program

How many people standing feel their leadership live it to lead it?

“Priceless” - Congratulations!

Page 5: Proven Strategies for Implementing a Worksite  Wellness Program

Wellness Gap Analysis

Corporate Values & Strategy

Wellness Mission & Programs

Page 6: Proven Strategies for Implementing a Worksite  Wellness Program

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

Page 7: Proven Strategies for Implementing a Worksite  Wellness Program

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

Page 8: Proven Strategies for Implementing a Worksite  Wellness Program

The New Dialogue

SHIFTING CULTURAL NORMS

Page 9: Proven Strategies for Implementing a Worksite  Wellness Program

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)

Page 10: Proven Strategies for Implementing a Worksite  Wellness Program

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

Page 11: Proven Strategies for Implementing a Worksite  Wellness Program

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

Page 12: Proven Strategies for Implementing a Worksite  Wellness Program

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

Page 13: Proven Strategies for Implementing a Worksite  Wellness Program

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

Page 14: Proven Strategies for Implementing a Worksite  Wellness Program

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

Page 15: Proven Strategies for Implementing a Worksite  Wellness Program

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

Page 16: Proven Strategies for Implementing a Worksite  Wellness Program

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

Page 17: Proven Strategies for Implementing a Worksite  Wellness Program

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

Page 18: Proven Strategies for Implementing a Worksite  Wellness Program

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?

Page 19: Proven Strategies for Implementing a Worksite  Wellness Program

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

Page 20: Proven Strategies for Implementing a Worksite  Wellness Program

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

Page 21: Proven Strategies for Implementing a Worksite  Wellness Program

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

Page 22: Proven Strategies for Implementing a Worksite  Wellness Program

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

Page 23: Proven Strategies for Implementing a Worksite  Wellness Program

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