Title: How to Convince Decision Makers
1How to Convince Decision Makers
- To Taste the Wellness Kool-Aid
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3Major Points
- Feel the decision makers pain
- Be grounded in evidence
- Learn how to play poker
4Feel the Pain
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7Employee Related Costs
- Salary
- Health care
- STD
- LTD
- Workers Comp
- Life Insurance
- 401K
- Vacation
- Sick leave
8Cost of Poor Health
Presenteeism 60
Absenteeism 6
Health Care Cost 25
Workers Comp 9
Edington, Burton. A Practical Approach to
Occupational and Environmental Medicine 140-152.
2003.
9Lost Productivity
Annual Health Care Costs
3 X
- Edington et al Health and productivity. In
McCunney, RJ A Practical Approach to
Occupational and Environmental Medicine.
PhiladelphiaLippincott Williams Wilkins. 3rd
ed. 2003140-152. - Burton WN, Pransky G, Conti DJ, Chen CY, Edington
DW. The association of medical conditions and
presenteeism. J Occup Environ Med. 200446(6)
supplS38-S45. - Pelletier B, Boles M, Lynch W. Change in health
risks and work productivity over time. J Occup
Environ Med. 200446(7)746-754. - Goetzel RZ, Long SR, Ozminkowski RJ, Hawkins K,
Wang S, Lynch W. Health, absence, disability, and
presenteeism cost estimates of certain physical
and mental health conditions affecting U.S.
Employers. J Occup Environ Med.
200446(4)398-412.
10Health Care Cost 25
Edington, Burton. A Practical Approach to
Occupational and Environmental Medicine 140-152.
2003.
1170
Health Care
Edington, Burton. A Practical Approach to
Occupational and Environmental Medicine 140-152.
2003.
12Costs for Each Person (2009)
8,160
Centers for Medicare and Medicaid Services
13Costs for Each Person (2018)
13,100
8,160
Centers for Medicare and Medicaid Services
14You Want How Much for What?
15Painful Comments
- We have a high turnover rate
- Employees dont care
- Employees wont change
- We would only be subsidizing the well
- Dont believe in wellness pixie dust
16CEO Water
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19Towers Perrin report
- High performing companies
- Will pay 12 less per employee per year
- Will receive a health dividend that is linked to
other workforce management outcomes such as
higher employee engagement
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28Evidence
29Age and Risk Drive Cost
N43,687
Source StayWell Health Management
30Lifestyle Causes Chronic Disease
71
70
82
91
Sources Stampfer, 2000 Platz, 2000 Hu, 2001
31The Cause Behind the Cause
Unhealthy behaviors
Health risks
Chronic disease
Health care costs
32So What Should We Do?
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35Evidence
- The Community Guide
- thecommunityguide.org
- USPSTF
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38Example of Using Evidence
- Assess Risk
- http//www.thecommunityguide.org/worksite/ahrf.ht
ml - BMI and Blood Pressure http//www.ahrq.gov/clinic
/uspstf/uspsobes.htm http//www.ahrq.gov/clinic/us
pstf/uspshype.htm - Use this data with age and sex to recommend
screenings - Cancer screening (mammography) for women over 40.
http//www.ahrq.gov/clinic/uspstf/uspsbrca.htm - Diabetes screening for asymptomatic adults with
sustained BP greater than 135/80 mm Hg - http//www.ahrq.gov/clinic/uspstf/uspsdiab.htm
- Elevated lipid screening for all men 35, and
both women 20 and men 20-34 with at least one
risk factor http//www.ahrq.gov/clinic/uspstf/usps
chol.htm
39Evidence of Interventions
40Well
Risk
Urgent
Disease
25
41Well
Risk
Disease
Urgent
5
42Well
Risk
Urgent
Disease
60
43Well
Risk
Urgent
Disease
10
44Well
Risk
Urgent
Disease
10
60
5
25
Top 15 of employees with disease 85 of costs
The rest 15 of costs
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46Disease
25
59 Turnover
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48Who Needs Help Adopting and Maintain Healthy
Behaviors?
49Who Needs Help Adopting and Maintain Healthy
Behaviors?
Everybody
50Questions
51Poker
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537
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571. Reframe ROI
582. Wellness ROI isnt Investment ROI
593. How much will you invest? Calibrate the
Investment
60Against the size of the problem
61What Companies Invest PEPY
- 5000 42
- 1000 - 5000 75
- 500 - 1000 105
- 50 - 500 135
- Under 50 250
62Major Points
- Feel the decision makers pain
- Be grounded in evidence
- Learn how to play poker
63Questions