Exercise & Wellness Program
Matt Jacobs, MA, RD/LD, NSCA-CPTFebruary 8th, 2008
Goal
Bring an exercise component to the already comprehensive OWLO program Employee Wellness Program (EWP) Online Personal Training Program (OPT) Fitness Facility for Patients and Employees (2009)
Literature Review
McCullough et al., Chest 2006 109 patients prior to lap Roux-en-Y Measured complication rate (death, angina, stroke)
compared to VO2 max 16% (6 of 37 patients) with VO2 < 15.8 mL/kg/min 2.8%(2 of 72 patients) with VO2 > 15.8 mL/kg/min
Literature Review Kerrigan et al, Medicine & Science in Sports & Exercise,
2005 rate of weight loss after (3 and 6 months) bariatric
surgery for 3 groups: 1) clinic based, supervised exercise program 2) self-reported regular exercise 3) self-reported no regular exercise
Supervised group lost greater absolute weight than the other two groups at both 3 and 6 months
There was no difference in weight lost between groups 2 & 3
Who will this program benefit? Patients
Less risk of complications after surgery Improved weight loss after surgery
Employees Decreased absenteeism due to illness, depression,
stress Increased job satisfaction, morale, productivity Decreased weight, blood pressure, stress
OWLO Increased revenue stream Increased patient satisfaction Decreased work site stress Employee buy in to OWLO program
Divisions of Program
Employee Wellness Program (EWP) Online Personal Training (OPT) OWLO Fitness Facility (2009)
Components of the Employee Wellness Program (EWP)
Provide access to cardiovascular and resistance exercise equipment at the workplace
Provide education related to nutrition Basic and advanced exercise instruction Topics related to health and wellness Employee set goals (weight loss, blood pressure,
percent body fat, etc) Nutrition supplement use
How EWP works...
Employees enroll in wellness program as part of a benefit package from OWLO
30 minute confidential RD consultation Medical evaluation from a RN Exercise evaluation from a CPT Employees will meet weekly in a group setting
during non-business hours (before or after work, noon)
Incentives offered for employees that meet goals
Goals and Incentives of EWP
Employees set a 12 week goal Employees that meet goals would be eligible for
incentives as long as they continue with the program Discounted health insurance premiums - OR -
Reimbursement for copays Reimbursement for gym memberships Monetary rewards Paid time off
Costs of EWP
Employee costs $5 per month for initial evaluations and weekly group
meetings $1 per 15 minute session of exercise $25 individualized exercise plan Monthly supplements
OWLO Costs Equipment (cardio, pedometers, mats, education
materials, stability ball) Office Space Incentives Program facilitator time
Anticipated revenue from EWP Employee Enrollment
10 employees x $5/month x 1 year = $600/year Time Reservation
15 minute blocks of time x $1/session 10 employees 3 sessions/ week = $1560/year
Employee purchased Supplements $120/month or $1440/year
Individualized Exercise Program $25 x 10 employees = $250 x 4 = $1000/year
Total revenue for 10 employees enrolled = $4600/year
On-Line Personal Training Program (OPT)
Website devoted to the exercise and fitness needs of OWLO patients and employees
Trainerforce.com Online personal training program used by fitness
professionals to provide an additional service to their clients
Can be linked to existing website
How the OPT program works....
Patients log on the the OPT website linked directly to owlo.com
Pay monthly fee Gain complete access to site Site monitored by CPT
Benefits of OPT program Patient Benefits
Customized exercise plan complete with animation All exercises are able to be performed at home with
proper equipment Discussion forum, newsletter, emails Support system
OWLO Benefits Increased revenue Increased patient satisfaction and care
Trainer Benefits Instant clientèle Increased revenue
Costs of OPT program
Patient costs $30 per month- patients gain complete access to entire
website and services OWLO costs
Advertisement costs (brochures etc) 30% of subscription costs for website
$30 x 30% = $9/month Trainer Costs
70% of subscription costs for website Time and effort of maintaining website
Compensation to Trainer
Trainer will receive 70% of income from OPT program
Trainer is responsible for maintaining all tasks associated with website and any service offered
If trainer is also an employee of OWLO, any work performed for the OPT will be on downtime, evenings, weekends etc
Anticipated Revenue from OPT program
After 3 months: 10 users x $30/month = $300 x 30% = $90 x 3 months
= $270 - $27 (website) = $243 After 1 year:
$243 x 4 = $972 (before advertising costs)
OWLO Fitness Facility
Provide a facility in new hospital for staff and patients of OWLO
Provide exclusive “bariatric specific” wellness facility
Benefits of Fitness Facility
Enhances the already comprehensive OWLO program
Provide additional service to patients and staff Increased revenue for OWLO Initial exercise assessments
OWLO Fitness Facility
Cardio Equipment Free Weights Machine Weights Bariatric specific equipment
Costs of Fitness Facility
Numerous Factors Size Type of equipment Brand of equipment Staffing Utilities
Anticipated Revenue from Fitness Facility
Monthly Memberships Personal Training Walk in visits Initial patient assessments
Next Steps of Action
Space and equipment for EWP & Initial Assesments
Development of EWP curriculum (Balance) In service of EWP Begin development of online personal training
website Develop promotional materials for OPT Begin plans for Fitness Facility
Thank you
McCullough PA, Gallagher MJ, deJong AT, et al. Cardiorespiratory fitness and short-term complications after bariatric surgery. Chest. 2006;130:517–525.
Kerrigan, DJ; Keteyian, SJ; Thompson, T et al. Post Surgical Weight Loss In Bariatric Patients Who Self-Select Supervised Exercise. Medicine & Science in Sports & Exercise. 37(5) Supplement:S286, May 2005.