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1 The Connection Between Employee Health and its Affect on the Workplace Undergraduate Research Thesis in Human Resources Presented in Partial Fulfillment of the Requirements for the Degree of Business Administration of The Ohio State University By Michael Bacha The Ohio State University 2017 Committee: Dr. Patricia West Dr. Rob Heneman
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TheConnectionBetweenEmployeeHealthanditsAffectontheWorkplace

UndergraduateResearchThesisinHumanResources

PresentedinPartialFulfillmentoftheRequirementsfortheDegreeofBusinessAdministrationofTheOhioStateUniversity

By

MichaelBacha

TheOhioStateUniversity2017

Committee:

Dr.PatriciaWestDr.RobHeneman

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CopyrightedbyMichaelBacha

2017

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Abstract

Livingahealthylifestylecanaffectyourpersonalrelationships,mentalstate,andoverall

wellbeing.Companiesarebeginningtotakenoteofthisimpactandimplementingpolicies

andprogramstofacilitatehealthylivingstylesfortheiremployees.Whetherit’sputtinga

workoutfacilityintheoffice,offeringhealthierfoodoptionsinthecafeteria,oroutfitting

deskswith“stand-up”capabilities,manybusinessesaretryingtoimprovetheiremployee’s

health.Fortunemagazineestimatesthatcurrentlyonlyaround7%ofUScompanieshavea

comprehensivepromotionplantoencourageemployeestoliveahealthierlifestyle.Should

thispercentagebeincreased?Thepurposeofthisstudyistoseeifemployer’sactions

promotingwellnesshavebeenpayingoff,whathealthissuesshouldbefocusedonina

promotionprogram,andif,ingeneral,healthieremployeestendtoseemoresuccessinthe

corporateworld.ThemethodologyIusedtoanswertothisissuewasgatheringand

analyzingbiometricdatafromafortune100company.Thisdatahelpedtohighlightthe

corehealthissuesaffectingemployeesintheworkplace.Weight,bloodpressure,andstress

weretheoverwhelmingrisksin77%oflocationsfromwhichdatawasreceived.Alongwith

thisthereseemstobeastrongconnectionbetweenanemployee’shealthriskleveland

absenteerates.Employeesthatwereconsidered“healthrisks”missedonaverage3more

daysthanthosewithalowrisklevel.Overall,anaverageof$436,314inavoidablehealth

carecostswasfoundateachlocation.Basedonthesefindingsmystudyhelpstoshowthat

anindividual’shealthdoeshaveanimpactonpersonalandcorporation-wideachievement.

Thisresearchcanbeusedtosupporttheimplementationofhealthpromotionplans.

Keywords:healthylifestyle,corporatesuccess,healthpromotionplan

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Acknowledgements

IwouldliketosincerelythankDr.HenemanforbeingmyresearchadvisorandDr.Westfor

leadingtheHonorsContractprogram.Bothhaveofferedmesupportthroughouttheentire

researchprocess.Iwouldalsoliketothankthecorporationwhogavemeaccesstomy

primarydatasource.TheyaskedthatIkeeptheirnameprivate.

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Vita

May2013……………………………..SycamoreHighSchool

May2017……………………………..BSBALogisticsandOperationsManagement,

TheOhioStateUniversityMaxM.FisherSchool

ofBusiness

July2017………………………………IncomingPerformanceConsultantat

CroweHorwathLLP

MajorFieldsofStudy:LogisticsandOperationsManagement

MinorFieldsofStudy:Economics

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TableofContents

TitlePage…………………………………………………………..………………...……………………….…1

CopyrightPage…………………………………………..…………………...……………………………….2

Abstract..............................................................................................................................................3

Acknowledgments..............................................................................................................................4

Vita...........................................................................................................................................................5

ListofFiguresandTables…………………………………...………………………….…………….7

Introduction………………………………………………………………………………..........………..8-10

LiteratureReview…………………………………………………………….………...……………..10-14

Hypotheses…………………………………………………………………………………………………….14

Methodology…………………………………………………………………...……………………..…14-17

ResultsandConclusions……………………………………………………………………..….17-24

FutureResearch………………………………………………………………….........................23-24

Bibliography……………………………………………………………………………………………...…..25

Appendix1………………………………………………………………………………..………….26-27

Appendix2………………………………………………………………………………………………...28

Appendix3………………………………………………………………………………………………...29

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ListofFiguresandTables

Table1.CombinedEmployeeWellnessStudy…………………………………………………………...……12

Table2.TheRelationshipBetweenCholesterolandAbsenteeism…………………………………...12

Table3.ExampleSurveyQuestionsandResponses.……………………………………………………….17

Figure1.AvoidableHealthCareCostsAcrossCorporateandManufacturingFacilities……..19

Figure2.AverageHealthRiskRankingAcrossCorporateandManufacturingFacilities……21

Figure3.HealthStatusIndicators………………………………………………………………………………….22

Figure4.DaysAbsentDuetoHealthReasonsforEachRiskLevel…………………………………...23

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Introduction:

Thisresearchexamineshowtheimplementationofacorporatewellnessprogram

canaffectbothindividualandcompany-widesuccess,concentratingonifemployer’s

actionspromotingwellnesshavebeenpayingofffinancially,whathealthissuesshouldbe

focusedoninapromotionprogram,andif,ingeneral,healthieremployeestendtosee

moresuccessinthecorporateworld.Acorporatewellnessprogramisdefinedasanyplan

implementedbyanemployertoimprovethehealthofitsemployeeswhilealsohaving

offeringstohelpindividualemployeesovercomespecifichealthrelatedissues(i.e.chronic

smoking,depression).Inrecentyearstherehasbeenatrendofcompaniesimplementing

policiesandprogramstofacilitatehealthylivingstylesfortheiremployees.Whetheritis

puttingaworkoutfacilityintheoffice,offeringhealthierfoodoptionsinthecafeteria,or

outfittingdeskswith“stand-up”capabilities,manycompaniesaretryingtoimprovetheir

employee’shealth.Currentlyonlyaround7%ofUScompanieshaveacomprehensive

promotionplantoencourageemployeestoliveahealthierlifestyle(Galinsky,2008).

Shouldmorecompaniesbetakingactiontoraisethisnumber?Iwantedtoknowiftaking

actionspromotingwellnesswouldhaveapositiveeffectstudiedand,morespecifically,

whattheseeffectswouldbe.

Thereareafewdifferentareasthisresearchfocuseson.Thefirstareaisthe

financialsideofwellnessprogramimplementation.Attheendofthedayoneofthemost,if

notthemost,importantquestionsforabusinessisiftheyaremakingmoneyornot.In

orderforabusinesstobesuccessfulandmakeaprofit,theymusthaveproductive

employees.Ifemployeesfeeltiredatworkorwornoutbeforetheendoftheday,thenthey

won’tbeasproductiveastheycouldbe.Thislackofefficiencycouldleadtolowerprofitsin

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thelongrun.Althoughawellnessprogramwouldlikelyhelptodecreasethisfatigue,one

negativeimpactawellnessprogramcouldhaveonprofitabilityisthecostofits

implementation.But,ifthecostoftheprogramisoffsetbyincreasedproductivity,thenthe

overheadcostsmaybeworthit.Notonlycouldtheseupfrontcostsbeoffsetbyincreased

employeeoutput,butcouldhelpdecreasecompanyhealthcarecostsinotherareasaswell.

AHarvardBusinessReviewstudyconductedbyCortneyRowanandKarunaHarishanker

(2014)foundthatcompanieswithwellnessprogramshavearound5%lowerhealthcare

coststhancompaniesthathavenoplan.Ifcompanyemployeesaren’tveryhealthy,then

healthcarecostsmaybeloweredwiththeimplementationofawellnessprogram.

Implementingaprogramwillundoubtedlycostacertainamountofmoney,butwillthis

costbeoffsetbyincreasedproductivityfromworkers?Willprogramsonlyincreasethe

actualhealthofanemployeeandnotchangeproductivityatall?Ormaybeaprogram

wouldhavezeroimpactonemployeeand/orcompanysuccess.

Second,specifichealthissuesprevalentwithinthecompanyarestudied.Knowing

whatproblemsamajorityofemployeesarefacingwillhelpacompanydevelopamore

personalizedhealthpromotionplan.Oneofthemainimpactsofaproperplancanbe

assumedtobeadecreaseinabsenteeism.Absenteeismisanemployee’sintentionalor

habitualabsencefromwork.Absenteeismcanbecausedbymanydifferentfactorslikejob

hunting,disengagement,andharassment.Eventhoughthereareamultitudeofreasonsan

employeemaynotshowupforwork,thisstudyfocusesonfactorsrelatingtohealth.Some

oftheseincludeinjury,depression,illness,andstress.Acorporatewellnessprogramcan

presumablypositivelyimpactallofthesereasonsformissingwork.Tryingtocurbthe

numberofemployeesthattakesickdaysshouldbesomethingthatallcompaniesstriveto

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accomplish.Theproductivitylostbecauseofthesedaysmissedcanbeveryharmfulnot

onlytotheemployee,buttothecompanyaswell.Gallup(2013)estimatesthatUS

companieslosearound$84billioneachyearduetoabsenteeism.Although,mostofthis

moneydoescomefromjobsthatrequirealargeamountofphysicallabor,therearestill

majorlosesinwhite-collarpositionsaswell.Itwascalculatedthat$15billionislostfrom

manager/executiveabsenteeismannually(Investopedia,2013).Thesecostscanbetraced

backtoafewmainareasincludingwagespaidtoabsentemployees,highcostreplacement

workers,andadministrativecostsofmanagingabsenteeism.

Thelastareaexaminediswhetheremployeeswhoarehealthierindividualswere

actuallymoresuccessfulinthecorporateworld.Livingahealthylifestylehasmany

differentbenefits,suchasgreaterendurance,decreasedchanceofsickness,andgeneral

wellbeing.But,Iwantedtoknowwhetherbeingahealthypersongoespastbasicphysical

improvements.Dohealthierindividualsholdhighertitledjobscomparedtothosewho

aren’thealthy?MichaelHyatt(2015),aNewYorkTimesbestsellingauthorandformerCEO,

hasbeenquotedassaying“physicalhealthhasadirectimpactonyourprofessional

success”.Therecurrentlydoesn’tseemtobeanysoliddatathatsupportsthisstatement.Is

thereacorrelationbetweenphysicalhealthandanemployee’sabilitytomoveupin

management?

LiteratureReview:

Mostofthepublishedarticlesthatcomparecorporatewellnesstoworkoutputand

generalcompanysuccesshavefocusedonabsenteeismandcostsavingsduetoadecreased

needforhealthcarecoverage(SeeBaicker,Cutler&Song,2010;Aldana&Pronk,2001).

Muchofthisdatahasbeencollectedthroughsurveyssenttocompanies.Forexample,

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researcherswouldsendoutasurveybeforeahealthpromotionprogrambeginsandagain

6monthsafterthestart.Thissurveywouldconsistofquestionsrelatingtoemployee

health.Theymayaskabouteatinghabits,exercisehabits,percentageofemployeesthat

smoke,oranyotherhealthrelatedquestion.Anotherexampleofakeyinvestigation

methodthathasbeenusedbyresearchersiscomparinganumberofcompanyworkplace

wellnessprograms(SeeBaicker,Cutler&Song,2010).Researcherswoulddothistofigure

outthebestwaytosetupwellnessprogramsorfigureoutwaystocombineelementsof

differentprogramstocreateamoreeffectiveagenda.

ArecentstudyoutoftheJournalonHealthAffairs(2010)lookedathowworkplace

wellnessprogramscangeneratecostsavings.Overall,thearticletalkedverypositively

abouttheeffectsofwellnessprogramsthatcorporationshaveimplemented.Forexample,

onestatisticcitedinthearticlewaspromotionalprogramROI.Thearticlestatesthatfor

everydollarspentonwellnessprograms,thereisadecreaseof$3.27inmedicalcosts

(ShowninTable1).Anotherinterestingstatisticwasthatabsenteeismcostsfall$2.73for

everydollarspent.Althoughthesenumbersdogivegoodreasonforacompanytoadopta

wellnessprogram,thisdoesn’tmeanallprogramswillnecessarilywork.Therehastobe

strategybehindit.Tobuildaneffectiveprogram,thereshouldbepriorresearchonproper

implementation.Furthermore,thisarticlesaysthatfurtherexplorationandabroader

applicabilityoffindingsareneededbeforeanyconcretestatementsshouldbemadeabout

wellnessprograms.

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AnarticleauthoredbyDr.StevenAldanaandDr.NicolaasPronk(2001)publishedin

theJournalofOccupationalandEnvironmentalMedicinecomparesabsenteeratestomany

differenthealthissuesincludingcholesterol,obesity,andpsychosocialstress.Theresultsof

thecomparisonforcholesterolareshownbelowinTable2.Inshort,thetableshowsthat

workerswithhighercholesteroltendtohaveaslightlyhigherabsenteeratethanthose

withlowercholesterol.Overall,thisliteraturereviewdemonstratesthathealthissuesand

failureofemployeestoparticipateinfitnessandhealthpromotionprogramsareassociated

withhigherratesofemployeeabsenteeism.Whendetermininghowtomanage

absenteeism,employersshouldcarefullyconsidertheimpactthathealthpromotion

programscanhaveonratesofabsenteeismandotheremployee-relatedexpenses(Aldana,

2001).

Table 1

Table 2

Combined Employee Wellness Study

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Chris(1990)examinedthesuccessofhealthpromotionprogramsintermsof

continuedparticipation.Specifically,whatkeepsanemployeeontrackandways

companiescanensurethatalloftheiremployeesstickwiththeprogram.Oneissueof

laggingemployeeparticipationisthatitishardtogetanaccuratereadingofiftheprogram

isreallyworking.Asamplesizemustberatherlargeinordertocometoanyconclusions.

Anotherbigissueaboutanalyzingparticipationratesandprogrameffectivenessisthat

mostcompaniesdon’ttracknumbersrevolvingaroundthesetopics.Overall,theauthor

statesthathealthprogramparticipationratesstartouthigh,butseeasharpdropoffafew

weeksafterinitiation.

Addley(2001)publishedanarticleinthejournalofOccupationalMedicineinOxford,

EnglandthatfocusesaroundastudycompletedinNorthernIrelandthatevaluatedthe

effectivenessofa6-monthwellnessprogram.Theprogramconcentratedonoverallhealth,

discussingmanydifferentfactorslikeregularexercise,healthyeating,andsmoking.Outof

allthefactorsaddressed,smokingseemedtobethehardesttochange.Only14%ofpeople

whowantedtoquitremainedabstinentbytheendofthesix-monthperiod.Ontheother

hand,closeto70%ofemployeeskeptahealthydietandregularexerciseroutine

throughouttheprogram.Overall,theprogramseemedtobeeffective,butfurtherresearch

isneededtoshowtheprogram’seffectonabsenteeismandproductivity.Theselasttwo

articlesprovideagoodbackgroundastohoweffectiveorineffectivewellnessprograms

canbe.

Nomattertheresearchmethodused,therewasonecommonalityinalmostallofthe

studiesIlookedat.Absenteeismwasoneofthekeyfiguresthatresearcherslookedatto

measuretheeffectivenessofwellnessprograms.Overall,mostarticlesIfoundhavesaid

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thatwellnessprogramsareeffective,buttheyaren’tsuretowhatextent.Tobuildan

effectiveprogram,thereshouldbepriorresearchonproperimplementation.Furthermore,

additionalexplorationandabroaderapplicabilityoffindingsareneededbeforeany

tangiblestatementsshouldbemadeaboutwellnessprograms.Becauseofthislackof

confidenceinthecurrentresearchresults,afirstgoalofthisresearchistohelpconfirmor

denytheresearchthathasalreadybeenconductedwithnewdata.

Hypotheses:

1. H0:ThehealthpromotionprogramwillnothaveatangibleimpactonthecompanyHA:Thehealthpromotionprogramwillhaveatangibleimpactonthecompany

2. H0:Therewillbeasimilarsetofhealthproblemsacrossalltestedlocations

HA:Therewillnotbeasimilarsetofhealthproblemsacrossalltestedlocations

3. H0:Healthandfitnessleveldoeshaveanaffectonanindividual’srankinacompanyHA:Healthandfitnessleveldoesnothaveanaffectonanindividual’srankinacompany

Methodology:

DatafromaFortune100foodandwellnesscompany,referredtoasBrandX,was

usedasthebasisforthisresearch.Theanalysisofthisdatawasnotonlyessentialformy

research,butitalsowasveryhelpfultothehumanresourcedepartmentwithinthe

company.Thefirmimplementedanewwellnessprogramin2016andwaslookingto

examineitseffectiveness.Thisprovidedreal-timedata.Thecompany’sprogramfitthe

stateddefinition(anyprogramimplementedbyanemployertoimprovethehealthofits

employeesandhasofferingstohelpindividualemployeesovercomespecifichealthrelated

issues(i.e.chronicsmoking,depression)).Ihadtheopportunitytoworkdirectlywiththe

HumanResourcesdepartmenttogenerateaplantocollectbothtangibleandintangible

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healthinformationonalargesubsetofemployees.Thisdataretrievalwasbrokenupinto

twodifferentsegments.

ThefirststepItookallowedmetofindanswerstothefirsttwotopicsofmy

research.IneededtounderstandhowthepromotionprogramfinanciallyimpactedBrand

X.IalsowantedtoseewhatthecorehealthissuesatBrandXwereandbasedonthat

decidewhetherthecompanyshouldsustainorrestructureitscurrenthealthprogram.This

firstpartwasverytangibledatathatwasalreadyquantifiedorcouldeasilybequantified.

Justbeforethestartoftheirhealthpromotionprogram,BrandXbeganoptionalannual

biometricscreeningsin2015.Theirhealthcareprovidercameintobothcorporate

buildingsandmanufacturingfacilitiesaroundthenationtocollectinformationrelatingto

corevitalsigns.Theydocumentedinformationsuchasbloodpressure,stresslevels,and

cholesterollevels.Iwasgrantedaccesstothetwoyearsofdatatheyhadcollected,sothatI

couldaggregateandanalyzeit.

OncereceivingthisdataIbrokedownmyanalysisintoathree-stepprocess.The

firstofthesethreestepswastoaggregatetherawbiometricdataIreceivedfromthehealth

carecompany.Ineededtohaveonelocationwhereallofthedatacouldeasilybe

manipulatedforeasierunderstanding.ItransferredthepdffilesIreceivedfromboth2015

and2016intoalargeexceldocument.OnceIhadtherawdatafromeachlocationfrom

whichitwascollected,Icreatedvisualstoshowtrends,outliers,andsimilaritiesbetween

locations.Thissecondstepofanalysiswasusefultome,butwasmoresomeantforBrandX

becauseitwastoospecifictodrawanyoverallconclusions.Thelastandmostimportant

stepwasasecondaggregationofinformation,sothatIcouldseeoveralltrendsacrossthe

companyfrompre-implementation(2015)topost-implementation(2016).Ibroughtall

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locationstogethertogeneratestatisticsthatwouldbehelpfulindrawingconclusionsfor

myresearch.Thesegraphsandconclusionswillbedetailedinthe“Resultsand

Conclusions”portionofthethesis.

ThesecondstepItookinmyresearchwastocombinewiththeBrandXHR

departmenttocreateaseriesofhealthrelatedquestions.Thisstephelpedtogiveanswers

relatedtothethirdcoretopicinmyresearch.Iwantedtoseeifhealthierindividuals

tendedtobemoresuccessfulthanthosethatarenotashealthy.InordertodothisI

comparedthecorporatefacilityquestionnaireresultstothoseofthemanufacturingfacility.

Thequestionwecreatedprovidedanopportunitytoreceiveinformationthatwasmore

intangibleandqualitative.Becauseitwasamassquestionnaire,itnotonlyincludedhealth

relatedquestions,butgeneralcompanyquestionsaswell.Anexampleofthesetof

questionssentoutandrelatedresponsescanbeseenonpage17inTable3.Thissurvey

wascompletelyanonymousanddidnotaskquestionsaboutdemographicsotherthan

genderandage.Asstated,itfocusedontwodifferenttopics:companyspecificquestions

andgeneralhealth.Eventhoughsomeofthequestionswereunrelatedtomydesired

research,theinformationIdidreceivewasextremelyhelpfulingeneratingmyconclusions.

Also,itisimportanttonotethatnotallofthequestionnaireswerecompletebecauseanyof

thequestionscould’vebeenleftunfilledifthepersondidn’twanttoanswerit.

TotalRespondents 1358

Order CATEGORY/ITEM %Fav

NUTRITION,HEALTH,&WELLNESS 1 Mycompanypromotesahealthyworkenvironment. 79%2 Ifeelenergizedtocomeintoworkeverymorning 68%3 Ifeelmotivatedtogobeyondmyformaljobresponsibilities. 81%

Table 3

Example Survey Questions and Responses

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Becausethedataforthesurveywasalreadyaggregatedandinexcel,itwasmuch

easiertoanalyzethisdatacomparedtothesetofrawbiometricinformation.Once

receivingallofthesurveyresults,Ifilteredoutthequestionsthatwereunrelatedtomy

project.Iwasnowleftwithasingleexcelworkbookfromwhichtoanalyzeandfindtrends.

Icreatedasetofvisualsandgraphsfromthe2016data,whichwillbefullydescribedinthe

“ResultsandConclusions”segmentofthethesis.

Asforthetimelineformyresearch,Istartedtheprocessofdatacollectioninthe

middleofJuly2016andfinishedmyanalysisinFebruaryof2017.Thebeginningofthis

processwasfocusedaroundfindingmydatasourcefortheresearch.Thistookmeafew

weeksandledintotheanalysisofthecompany’saccompanyingdata.Althoughtherewasa

largeamountofrawdata,Iwasabletoaggregateeverythingintoafewexcelfileswhich

mademyanalysismucheasier.OnceIfinishedtheanalysisinFebruary,Ibegan

interpretingtheresultsanddrawingconclusions.Thisleadsmetomyfinalandmost

importanttopicsofthisthesis:“ResultsandConclusions”and“FurtherResearch.”

ResultsandConclusions:

Thefirstportionofmyresearchwastodetermineiftherewasasignificantfinancial

impactonBrandX.Ireceivedhealthcarecostsummariesfrom21differentlocationsthat

employedatotalof4,377people.Thefullsummaryofthecostsateachlocationcanbe

foundinAppendix1.Afteraveragingthesenumberstogetamorecompleteoverall

summation,itdoesseemthatthewellnessprogramdidmakeanimpactonlocationhealth

carecosts.Seventy-sixpercentoflocationshadasignificantdecreaseintheiravoidable

directhealthcarecosts.Thesecostsincludeanypaymentmadebythecompanyfor

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employeehealthcare.Eachlocationdecreasedhealthcarecostsbyanaverageof$21,557.

Thisequatestoanannualsavingsofjustunderfivepercent,whichisthenationalaverage

forcompanieswithwellnessprogramsascalculatedbytheHarvardBusinessReview

(Lebowitz,2015).Thesepaymentsdon’tincludeanycostsmadeforfamilymembersonthe

healthcareplanofanemployee.Whenallhealthcarecostsareincludedeachlocation

savesanaverageof$64,962.Thisalsoturnsouttobejustunderafivepercentsavings,

cominginat4.96%.

Myanalysishelpstoshowthattheimplementationofawellnessprogramcanhavea

significantpositivefinancialimpactonabusinessandthatmyfirsthullhypothesis(seepg.

14)canberejected.ThisstatementwasstatisticallysupportedbyaT-Test,fromwhichthe

$-

$200,000.00

$400,000.00

$600,000.00

$800,000.00

$1,000,000.00

$1,200,000.00

$1,400,000.00

Direct Indirect Total

Cost

CostType

AvoidableHealthCareCostsAcrossCorporateandManufacturingFacilities

Pre-Implementation

Current

Direct: actual employee, Indirect: family members, Pre-Implementation: 2015, Current: 2016

Figure 1

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outputcanbeseenbelowinFigure2.Itshowsthattherehasbeenasignificantreductionin

healthcarecostsacrossthesetoftestedlocationsfrom2015to2016.$20,000maynot

seemlikeahugesaving,butwhenyouconsiderthenumberoflocationsmanylarge

companieshavearoundtheglobethisnumberbeginstoaddup.Isuspectthatthisvalue

wouldn’tcontinuetodecreasebyasmuchoverthenextfewyearsbecausetheinitial

implementationwouldshowthelargestchange.But,itisimportanttonotethatnotevery

individualatthetestedsitesparticipatedandthatthe21includedsitesareonlyasmall

samplesizeofthetotallocationsfromwhichBrandXoperates.Thesefindingsare

importantdatapointstohelpsupporttheclaimmadebytheHarvardBusinessReviewin

2015.EventhoughHBRcompletedasimilarstudyinthepastitisimportanttoconfirm

precedenttohelpprovidemoreevidenceinsupportoftheimplementationofawellness

program.Overall,thesesavingsaresignificantandsupporttheeffectivenessofhealth

promotionprograms.

Thesecondportionofmyresearchwastobegintounderstandwhathealthissues

individualsareaffectedbythemostandhowawellnessprogramcouldbeadaptedto

relievetheseproblems.Aswiththebiometricdata,Ireceivedinputfrom21different

Figure 2

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locationsemployingatotalof4,377individuals.Thefullsummaryofthebiometric

responsesrelatedtothistopiccanbefoundinAppendix2.Lookingthrougheverylocation,

itdoesseemthattherearethreeoverwhelminghealthproblemsthatamajorityof

employeesface.Becauseofthesesimilaritiesmysecondnullhypothesis(seepg.14)can’t

berejected.Weight,bloodpressure,andstresswerethethreehighestemployeehealth

risksat77%oflocationstested.Itisalsoimportanttonotethatweightwasthenumber

onehealthriskateverysinglelocation.Becausetherewerenopriordatapointstocompare

thesenumberstothereisnowaytoconcludehowthepromotionprogramhashelped.But,

itisimportanttoknowwherethecompanyshouldfocusitseffortsinthefuture.By

knowingthatthesearethemostcommonhealthissues,BrandXwillbeabletoadapttheir

wellnessprogramtohelpemployeesfacingthesehealthproblems.Thisdatacouldalsobe

usedbyothercompanieslookingforideasonhowtostartupawellnessprogram.

Figure 3

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

1 2 3 4 5

%ofTotalHalthRiskRank

RankofHealthRisk

HealthRiskRankingBreakdown

Weight

BackCare

Cholesterol

Stress

BloodPressure

Eating

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Thelasttopicofinterestinmyanalysisofhealthpromotionprogramsisifhealthier

employeestendtobemoresuccessfulintheworkplace.Differingfromthefirsttwotopics,I

obtainedmyrawdataforthistopicfromthesurveythatIcreatedalongwithBrandX.To

prefacemyresults,itshouldbenotedthatmydistinguishingsuccessfactorwasifan

employeeworkedinacorporatefacilityoratamanufacturingplant.Idonothavespecific

salarynumbers,butitcanreasonablybeassumedthattheaverageemployeesalaryata

corporatefacilityismuchhigherthanthatofamanufacturingworker.Thereweretwo

mainfindingsfromtheanalysisofthisdata.Thefirstrelatedtothenumberofhealthrisks

anemployeehad.Healthriskscanbedefinedasanymedicalailmentthatcanbediagnosed

byadoctor.Afewexamplesofhealthrisksarehighbloodpressureandobesity.

Figure4showsthatthereareahigherpercentageofhealthyindividualsatcorporate

locationsthanmanufacturingplants.Onaverageonly4%ofemployeesatcorporate

Health risks include any listed medical condition (i.e. high blood pressure). Low=0-2 health risks, Moderate=3-5 health risks, High=6+ health risks. # of corporate employees= 1,144. # of manufacturing employees= 9,524

Figure 4

Health Status Indicators (Top- Manufacturing, Bottom- Corporate)

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locationsarehighhealthrisks(6+diagnosablehealthissues).Manufacturingfacilities

employahigherrateoftheseindividuals,cominginat9%.Eventhoughthesamplesizes

aredifferentformanufacturingemployeesandcorporateemployees,thisdataisstill

reflectiveofBrandX.Thecompanyhas5timesmoreworkersinplantsthancorporate

offices.Thisdataonhealthriskssupportsmythirdnullhypothesis(seepg.14).

Anothersignificantsetofstatisticsreceivedfromthesurveyistheconnection

betweenabsenteeratesandhealthrisklevel.Itisveryimportantforemployeesto

minimizethenumberofsickdaystheytaketoincreaseindividualandcompany

productivity.Figure5onthenextpageshowsthedifferencesinabsenteeratesbetween

healthrisklevels.Employeeswithahighhealthrisklevelaccountforhalfofthesickdays

acrossthecompany.Ifyouaren’tattheoffice,thenyoucan’tbeproductive.Thishelpsto

furtherprovemynullhypothesisthathealthieremployeesaremoresuccessfulinthe

workplace.Appendix3provideslocationspecificdataonabsenteeratesforeachrisklevel.

Figure 5

19%

31%

50%

DaysAbsentDuetoHealthReasonsforEachRiskLevel

Low:0-2HealthRisks

Moderate:3-5HealthRisks

High:6+HealthRisks

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Overall,Icanconcludethatahealthpromotionprogramcanbeveryeffectiveif

implementedcorrectlyandemployeehealthdoeshaveanimpactonacompany:

1. Wellnessplanscandecreasecostsby5%(hypothesis#1supported)

2. Weight,BloodPressure,andStresswerethethreemostcommonhealthrisk

factorsat77%oflocations(hypothesis#2supported)

3. Manufacturingplantshaveahigherrateofhighhealthriskemployeesthan

corporateoffices(hypothesis#3supported)

4. HighhealthriskemployeesaccountforhalfofthesickdaysatBrandX

(hypothesis#3supported)

FurtherResearch:

Therearemanydifferentavenuesthatcouldbetakentofeedoffofmyinitial

research.Firstoff,employeesatthecompanyfromwhichIreceivedmydatawillcontinue

myresearch.AlthoughIgeneratedmanyimpactfulresults,theywillbemuchmore

authoritativeifalargersamplesizeofdataisanalyzedoveranextendedperiodoftime.I

wasonlyabletolookatstatisticsfromtwoyearsandacross20+locations.IfBrandXcan

findtrendsacrosstheirhundredsoflocationsovermultipleyearsitwillbeanevenmore

crediblestudy.Alongwiththis,ifmorecompaniesbegintocompletesimilarresearch,

firmsacrossthenationwillbeabletofurtherconfirmordenymyfindings.

Anotherpotentialsourceoffutureresearchwouldbetolookintohowahealth

promotionplanspecificallyaffectscompanyprofits.Iwasabletogainanunderstandingof

thecostreductionsassociatedwithwellnessprograms,butnottheoverallimpactonthe

bottomline.Onewaythiscouldbedoneistoanalyzetheproductivitygainedfroma

sampleprogramandputavalueonthisadditionalcompletedwork.Alongwiththis,

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researchshouldbecompletedlookingathowspecifichealthrisksaffectproductivity.For

example,howmuchefficiencyislostfromincreasedstresslevelsonthejob.

ThefinalresearchextensionthatIwouldliketomentionoccursmoreonthe

medicalsideofthespectrum.Medicalresearchshouldbecombinedwiththisresearchto

outlinespecificactionsemployeesandcompaniescantaketoimprovethecoregroupof

healthissuesimpactingemployees(weight,bloodpressure,andstress).Itisveryusefulfor

BrandXtoknowthatweight,bloodpressure,andstresshavenegativeimpactsona

majorityoftheiremployees,butthereisnosimplefixfortheseailments.Bylookingat

scientificresearch,companieswouldbeabletomakespecificpromotionprogramsforeach

employeetobettertheirhealth.Thisimprovedhealthwouldhopefullyhaveapositive

impactonthebusiness.

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NorthernIreland:evaluationofalifestyleandphysicalactivityassessment

programme.OccupationalMedicine,51,7,439-449.

Aldana,StevenG.PhD;Pronk,NicolaasP.PhD(2001,January).Healthpromotionprograms,

modifiablehealthrisks,andemployeeabsenteeism.JournalofOccupationaland

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Baicker,Katherine;Cutler,David;Song,Zirui.WorkplaceWellnessProgramsCanGenerate

SavingsHealthAffairs,29,no.2(2010):304-311.Retrievedfrom:

http://content.healthaffairs.org/content/29/2/304.full.pdf+html

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WorkplaceHealthPromotionPrograms.HealthEducation&Behavior,17,1,73-88.

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Appendix1:HealthCareCostsSummary

2015 Avoidable Costs by Location

Direct Indirect Total

Medford $574,200 $1,148,400 $1,722,600 Little Chute $791,200 $1,575,100 $2,366,300 Springville $791,100 $1,582,100 $2,373,200 Solon $345,800 $691,700 $1,037,500 Mt. Sterling $593,300 $1,174,200 $1,767,500 Jonesboro $524,500 $1,048,900 $1,573,400 Gaffney $583,100 $1,166,200 $1,749,300 Danville $381,700 $763,500 $1,145,200 Franklin Park $273,500 $546,900 $820,400 Burlington $383,400 $765,500 $1,148,900 Bloomington $320,700 $641,400 $962,100 Waverly $266,800 $527,000 $793,800 Jacksonville $225,100 $450,200 $675,300 Freehold $159,400 $318,900 $478,300 Anderson $895,300 $1,786,100 $2,681,400 Tulare $372,800 $745,700 $1,118,500 Laurel $370,600 $741,100 $1,111,700 Fort Wayne $460,400 $920,800 $1,381,200 Modesto $162,000 $324,000 $486,000 Bakersfield $477,400 $954,800 $1,432,200 Itasca $210,300 $416,700 $627,000

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2016 Avoidable Costs by Location

Direct Indirect Total

Medford $527,800 $1,055,600 $1,583,400 Little Chute $747,200 $1,486,300 $2,233,500 Springville $753,100 $1,506,300 $2,259,400 Solon $346,400 $692,800 $1,039,200 Mt. Sterling $568,600 $1,124,100 $1,692,700 Jonesboro $501,000 $1,002,000 $1,503,000 Gaffney $582,500 $1,165,000 $1,747,500 Danville $379,700 $759,400 $1,139,100 Franklin Park $277,900 $555,900 $833,800 Burlington $343,400 $685,200 $1,028,600 Bloomington $279,600 $559,100 $838,700 Waverly $229,900 $456,900 $686,800 Jacksonville $234,500 $468,900 $703,400 Freehold $170,100 $340,100 $510,200 Anderson $797,000 $1,582,300 $2,379,300 Tulare $355,000 $710,000 $1,065,000 Laurel $351,800 $703,500 $1,055,300 Fort Wayne $411,400 $822,800 $1,234,200 Modesto $157,000 $314,000 $471,000 Bakersfield $460,400 $920,200 $1,380,600 Itasca $235,600 $467,300 $702,900

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Appendix2:HealthRiskSummary

Health Risk Ranking by Location

1 2 3 4 5

Medford Weight Blood Pressure Stress Back Care Cholesterol

Little Chute Weight Stress Blood Pressure Cholesterol Back Care

Springville Weight Cholesterol Stress Blood Pressure Back Care

Solon Weight Blood Pressure Stress Back Care Back Care

Mt. Sterling Weight Blood Pressure Stress Back Care Cholesterol

Jonesboro Weight Blood Pressure Back Care Eating Back Care

Gaffney Weight Back Care Stress Blood Pressure Eating

Danville Weight Blood Pressure Back Care Stress Back Care

Franklin Park Weight Blood Pressure Stress Back Care Back Care

Burlington Weight Blood Pressure Stress Back Care Cholesterol

Bloomington Weight Stress Blood Pressure Cholesterol Eating

Waverly Weight Stress Blood Pressure Back Care Eating

Jacksonville Weight Blood Pressure Cholesterol Stress Back Care

Freehold Weight Blood Pressure Cholesterol Stress Back Care

Anderson Weight Blood Pressure Stress Cholesterol Back Care

Tulare Weight Blood Pressure Stress Cholesterol Back Care

Laurel Weight Blood Pressure Stress Back Care Back Care

Fort Wayne Weight Blood Pressure Stress Cholesterol Back Care

Modesto Weight Stress Blood Pressure Cholesterol Back Care

Bakersfield Weight Blood Pressure Stress Cholesterol Back Care

Itasca Weight Blood Pressure Stress Cholesterol Back Care

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Appendix3:LocationAbsenteeRatesBasedonHealthRiskLevel

Days Absent Due to Health

Low: 0-2 Moderate: 3-5 High: 6+

Medford 450 750 1100 Little Chute 554 969 1349 Springville 380 1055 1224 Solon 284 269 474 Mt. Sterling 308 504 1120 Jonesboro 568 542 774 Gaffney 718 807 2063 Danville 207 435 890 Franklin Park 110 314 345 Burlington 363 406 392 Bloomington 150 363 288 Waverly 67 230 557 Jacksonville 22 161 51 Freehold 98 320 25 Anderson 449 748 860 Tulare 450 242 934 Laurel 467 861 2189 Fort Wayne 494 475 608 Modesto 124 255 738 Bakersfield 355 858 858 Itasca 118 354 380


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