Wellness Road Map Getting Started with a Wellness …...Wellness Road Map Getting Started with a...

Wellness Road Map Getting Started with a Wellness Program

February 20, 2018

Diane Andrea

Wellness Consultant

[email protected]

J.W. TERRILL• MARSH & McLENNAN AGENCY LLC

Healthcare Costs Are Rising


National Health Expenditures Per Capita

$4,000

$5,000

$6,000

$7,000

$8,000

$9,000

$10,000

$11,000

$12,000

$13,000

$14,000

$15,000

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

2018

2019

2020


Causes of Increasing Health Care Costs

• ACA

• Administrative costs

• Salaries

• Cost of Technology

• Litigation

• Pharmaceutical costs


Causes of Increasing Health Care Costs

• ACA

• Administrative costs

• Salaries

• Cost of Technology

• Litigation

• Pharmaceutical costs

• Unhealthy behaviors


Percent of Chronic Diseases That Are Caused by Poor Lifestyle

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Cancers Stroke HeartDisease

Diabetes

Sources: Stampfer, 2000; Platz, 2000; Hu, 2001

71% 70%

82%

91%


Edington, Burton. A Practical Approach to Occupational and Environmental Medicine 140-152. 2003.

Worker’s

Comp 9%

Absenteeism

6%

Health Care

Cost 25%

Presenteeism

60%

Impact of Poor Health on Employer Costs


Health conditions contributing to lost productivity

• Depression

• Anxiety

• Migraines

• Respiratory illnesses

• Arthritis

• Diabetes

• Back and neck pain


Value of Investment

• VOI

10


Perks of Engaged Employees

• 88% of employees say access to health and well-being programs is an

important factor when selecting an employer

• 80% of employees interested in free tools, resources or programs from

their employer to help manage well-being

• 56% of employees say well-being programs make them feel more

valued by their employer


Getting Started


• CDC Workplace Health Promotion

– www.cdc.gov/workplacehealthpromotion/

13

http://www.cdc.gov/workplacehealthpromotion/

J.W. TERRILL• MARSH & McLENNAN AGENCY LLC cdc.gov/workplacehealthpromotion


Step 1: Assessment

Individual

Organizational

Community


Assess the Individual

• Qualitative

– Employee interest survey

– Site visit

– Employee knowledge

• Quantitative

– Claims data

– Health risk assessments

– Biometric data


Assess the Organization

• Policies and Procedures

• Food policies – in-house and catered

• Cafeteria

• Vending

• Time management


Assess the Community

• Environmental Assessment


Worksite Surveys

• http://www.welcoa.org/wwpchecklist/

• http://www.cdc.gov/dhdsp/pubs/docs/HSC_Manual.pdf

• http://www.cdc.gov/nccdphp/dch/programs/healthycommunitiesprogram

/tools/change/downloads.htm

• HERO Health and Well-Being Best Practices Scorecard

– http://hero-health.org/scorecard/scorecard-complete-the-scorecard/

http://www.cdc.gov/dhdsp/pubs/docs/HSC_Manual.pdf

http://www.cdc.gov/nccdphp/dch/programs/healthycommunitiesprogram/tools/change/downloads.htm

http://www.cdc.gov/nccdphp/dch/programs/healthycommunitiesprogram/tools/change/downloads.htm




Step 2: Planning/Workplace Governance

Leadership Support

Management

Workplace Health Improvement Plan

Dedicated Resources

Communications and Informatics


Leadership Support


Leadership Support

• Communication

• Commitment

• Resource allocation

• Delegation

• Role modeling


Management - Wellness Committee


Management - Wellness Committee

• Integrated

• Size

• Job descriptions


Identify Wellness Champions



• Build an approach

• Targeted

• Promote healthy lifestyles

• Impactful



• Target interventions

– Highest priority chronic medical conditions

– Work-related injuries

– Top cost drivers

– Top prescriptions

– Most common health risk factors


Sample Strategic Plan

• Wellness Mission

– Our company’s mission is to promote and improve employee well-

being and increase engagement in health related activities.

• Focus Areas (as per claims data)

– Stress management

• Overall Goals

– Increase employee participation in stress management programming


Strategic Plan

• Increase employee participation in stress-management programs

– Pre and post survey

– Email campaign: monthly emails on stress management techniques

with monthly quiz

– Sit for 60, move for 3 initiatives with supervisors

– On-site yoga classes/stretches offered weekly

– Art in hallways

– Lunch and laughs once a month

– Offer quarterly stress management programming

– Coordinate weekly walks

– Offer quarterly chair massages

– Offer a stress management challenge every other quarter

J.W. TERRILL• MARSH & McLENNAN AGENCY LLC 32 http://www.cdc.gov/niosh/TWH/essentials.html


Dedicated Resources

• Time and money

• Carriers

• J.W. Terrill

• Vendors

• Staff

• Community partners

• http://www.cdc.gov/workplacehealthpromotion/pdfs/wh-resources.pdf


Communications and Informatics

• Marketing

– Communicate clearly and consistently

• Branding

– Insuring Healthy Lifestyles

• Logo


Step 3: Implementation

Programs

Policies

Health Benefits

Environmental Support


Programs

• Health Risk Questionnaire

• Health Improvement/Wellness Programs

• 24/7 Nurse Line

• Disease Management

• Biometric Screening


Policies

• Tying wellness into corporate policy

• Policies prohibiting tobacco use at the workplace

• Policies allowing flex time


Health Benefits

• Compensation package

• Value Based Insurance Design (VBID)

– Diabetes

– Hypertension

– Asthma

– Cardiovascular disease

• Coverage for nicotine replacement therapy or diabetes management

supplies


Environmental Support

• Examples

– Walking trails

– On-site fitness facilities

– Healthy food options in vending

– On-site showers

– Good lighting and well-designed workspace

– On-site occupational health clinics

– Bulletin boards, kiosks, intranet, etc.


Step 4: Evaluation

Worker Productivity

Healthcare Costs

Improved Health Outcomes

Organizational Change “Culture of Health”


Worker Productivity

• Improvements in physical, mental and emotional health

– Decreased absenteeism

– Reduced overtime to cover absent employees

– Reduced costs to train replacement employees


Healthcare Costs

• Changes in the number and type of claims over time

• Use of preventive health services

• Increase in quality care


Improved Health Outcomes

• Examples

– Percent of employees who self report good or excellent health

– Percent of employees engaging with physician after biometric

screening event

– Percent of employees who are overweight after a weight

management program


Organizational Change “Culture of Health”

• Organizational structure

• Policies

• Procedures

• Practices


Culture Change


Wellness is a Process


Q&A

Diane Andrea

[email protected]

J.W. Terrill

(314) 594-2704

47


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