How to Build a Wellness Program That Works

1
How to Build a Wellness Program That Works

• Troy Adams, PhD

2
The Perfect Storm
3
Costs for Each Person (2009)
8,160
Centers for Medicare and Medicaid Services
4
Costs for Each Person (2018)
13,100
8,160
Centers for Medicare and Medicaid Services
5
(No Transcript)
6
(No Transcript)
7
(No Transcript)
8
(No Transcript)
9
(No Transcript)
10
(No Transcript)
11
(No Transcript)
12
(No Transcript)
13
(No Transcript)
14
Age Drives Cost
But So Does Risk
N43,687
Source StayWell Health Management
15
Obesity Trends Among U.S. Adults1987
No Data lt10 1014
16
Obesity Trends Among U.S. Adults1992
No Data lt10 1014 1519
17
Obesity Trends Among U.S. Adults1995
No Data lt10 1014 1519
18
Obesity Trends Among U.S. Adults1998
No Data lt10 1014 1519
20
19
Obesity Trends Among U.S. Adults2001
No Data lt10 1014 1519
2024 25
20
Obesity Trends Among U.S. Adults2004
No Data lt10 1014 1519
2024 25
21
Obesity Trends Among U.S. Adults2007
No Data lt10 1014 1519
2024 2529 30
22
Lifestyle and Chronic Disease
23
The Cause Behind the Cause
Employee health costs
Unhealthy behaviors
Health risks
Chronic disease
24
(No Transcript)
25
Indicator 24 Physical Activity
26
(No Transcript)
27
What Should We Do?
28
(No Transcript)
29
How to Build a Program That Works
Hellness
Wellness
30
5 Steps

• 1. Encourage leadership support
• 2. Begin to change culture and environment
• 3. Assess employee health
• 4. Plan and implement wellness strategies
• 5. Evaluate your efforts

31
1. Leadership Support
32
(No Transcript)
33
(No Transcript)
34
Towers 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

35
(No Transcript)
36
(No Transcript)
37
(No Transcript)
38
(No Transcript)
39
(No Transcript)
40
(No Transcript)
41
(No Transcript)
42
2. Change culture and environment

• Physical Environment
• Policy
• Culture

43
Wellness Committee
44
(No Transcript)
45
Wellness Committee

• Adds credibility and importance to your efforts
• Provide program PR
• Team lightens the load
• Provides stability

46
What does the committee do?

• Decide to use vendors or go it alone
• Oversees the wellness efforts
• Establishes the vision and operating plan
• Decides on goals and outcomes to measure

47

• Its not
• We want a vendor to solve this problem for us
• It is
• How can the vendors help us create a worksite
  culture of health?

48
Tools to change culture
49
(No Transcript)
50
(No Transcript)
51
(No Transcript)
52
Wellness and benefits design

• Different health care plan for participants
• Lower co-pays, deductibles and premiums for
  participants
• Contribute to FSA or HRA with participation
• Many more

53

• Policies
• Medical coverage for preventive services
• No smoking policies
• Flex time
• Time on the clock to be healthy
• Free from overly stressful work

54
Supportive Environments

• Physical environments
• Healthy food in cafeteria
• Healthy food in vending machines
• Farmers market
• Realistic work demands
• Support to be physically active
• Walking paths
• Onsite shower or lockers

55
3. Assess Employee Health
56
Biometric Screenings

• 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

57

• Health Risk Appraisal
• Free?
• Vendor?
• Clinical risk measures?

58

• Health Risk Appraisal
• Free?
• Vendor?
• Clinical risk measures?

An HRA is NOT a wellness program!
59
(No Transcript)
60
(No Transcript)
61
(No Transcript)
62
(No Transcript)
63
Aggregate Feedback

• Health Behaviors
• Emotional Health
• Physical Health
• Health and Productivity Management

64
4. Plan and implement wellness strategies
65
Behavior Drives Everything
Employee related costs
Unhealthy culture and behaviors
Health risks
Chronic disease
66
Individual
Family
Worksite
Community
67
(No Transcript)
68
Effective Wellness Programs

• Promote change by
• Creating awareness
• Motivating
• Providing tools and skills
• Promoting wellness policies and environments

69
(No Transcript)
70
(No Transcript)
71
Awareness

• Flyers
• Posters
• Email notifications
• Television/video programs
• Books

• Payroll stuffers
• Internet sites
• Magazines
• Lunch and learns
• Special speakers
• Newsletters

72
Behavior Change Programs...

• Move It!
• The Culprit and The Cure
• TV Timeout
• Random Acts of Kindness
• The Fast Food Guide
• Maintain Dont Gain
• Food Makeover

• Earth Wise
• What's Your Pressure
• Good to the Bone
• Silver Buckle
• Fall into Fitness
• Drive Sober
• Chopping Block
• Finding Fiber
• Fat Fighters

73

• Low hanging fruit
• Preventive screenings
• Flu shots
• Seat belts
• High hanging fruit
• One-on-one coaching/training

74
(No Transcript)
75
(No Transcript)
76
(No Transcript)
77
Motivate

• Before/after stories in newsletters
• Incentives can jump start some employees, but
  dont create an entitlement mentality
• 101 ways to use incentives
• Small incentives with each program
• Work toward a larger, benefit-based incentive

78
Impact of cash incentives
79
Build Skills (How do I do this?)

• How to overcome barriers
• How to strategies
• Goal setting, contracts
• Healthy substitutions
• Making healthy movement choices
• How to prepare healthy foods
• Finding inexpensive healthy foods

80
How long will it take to get the program going?

• The planning process can take from 3-7 months
• Data collection, risk, health care costs,
  pharmaceuticals, behaviors
• Look at worksite health culture
• Understand the benefits package and how wellness
  fits in.
• What will the package look like with a wellness
  program?

81
Whats it going to cost?

• What does your insurance company offer?
• What does your health care provider offer?
• What about vendors?
• Can it be done for free?

82
Whats it going to cost?
83
Is Big Brother watching?

• Secure, confidential data
• How hard should you push healthy behaviors?
• How far do you go to verify compliance?
• No food police or fitness freaks allowed
• What about unions?

84
What about HIPAA?

• Wellness program can discriminate based on health
  risk status provided.
• The amount is lt20 of health benefit
• Program must promote health
• Employees can try every year
• Provide an alternative way to get the award
• Disclose the award rules

85
Individual versus Group
86
Well
Risk
Urgent
Disease
10
87
Well
Risk
Urgent
Disease
60
88
Well
Risk
Disease
Urgent
5
89
Well
Risk
Urgent
Disease
25
90
(No Transcript)
91
(No Transcript)
92
Who Needs Help Adopting and Maintain Healthy
Behaviors?
93
Who Needs Help Adopting and Maintain Healthy
Behaviors?
Everybody
94
5. Evaluation

• Participation and satisfaction
• HRA data (behavior and biometric)

95
5 Steps

• 1. Encourage leadership support
• 2. Begin to change culture and environment
• 3. Assess employee health
• 4. Plan and implement wellness strategies
• 5. Evaluate your efforts

96
(No Transcript)
97
Wellsteps.com