Ann Mirabito Hankamer School of Business Baylor University. Institute of Medicine Workshop on Workforce Resiliency September 15, 2011

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1 Ann Mirabito Hankamer School of Business Baylor University Institute of Medicine Workshop on Workforce Resiliency September 15, 2011

2 Present findings from original research on effective workplace wellness programs Identify the pillars of an effective workplace wellness initiative Discuss the business case for investing in workplace wellness

3 1 Hewitt Associates and Business Roundtable estimate for 2019 healthcare spending level. 2 Historical data source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits,

5 Workplace wellness is an organized, employer-sponsored program designed to engage and support employees (and often family members) in adopting and sustaining behaviors that: reduce health risks improve quality of life enhance personal effectiveness benefit the organization s bottom line

6 Employe e Access Employe e Influence Financial Incentive

7 Workplace wellness involves encouraging, assisting and sustaining behavioral change. Many reasons for not participating Lack of awareness Lack of time No perceived benefit Lack of manager support Inaccessibility Privacy

9 Pillar 1 C-Suite Make part of your vision the wellness of your employees and the quality of employees interactions with their families and the community. Build that into your executive conversations during planning and performance reviews, just as you do with financial, operational, and cultural objectives. Jim Balkins, Chief Strategic Officer, Healthwise

10 Pillar 1 C-Suite Middle Managers Results by Region Company Goal 100% 90% 91% 80% 82% 83% 70% 60% 75% 75% 75% 75% 75% 74% 75% 75% 68% 75% 75% 71% 75% 58% 75% 79% 75% 67% 75% 50% 53% Healthy at H-E-B Participation Rates by Region, % 30% 20% 10% 0% Total Stores Region A Region B Region C Region D Region E Region F Region G 34% Region H Region I Region J Region K

11 Pillar 1 C-Suite Middle Managers Wellness Program Managers The 4 Ps of Wellness Leadership Passion Persistence Patience Persuasiveness Any company that s serious about wellness needs to make the commitment to hire an expert. Mike Dunlap, CEO, Nelnet

12 Pillar 1 C-Suite Middle Managers Wellness Program Managers Wellness Champions Departments with wellness champions providing the personal touch experienced two to three times greater participation than units without them. Source: MD Anderson Wellness Participation Study

13 Pillar 2 Cultural Wellness permeates the Healthwise culture q q q Wellness team report at monthly staff meetings Healthy Snack on Wednesday afternoons Annual Wellness Day

14 Pillar 2 Cultural Business priorities 60 to 70% of Chevron jobs are considered safety-sensitive

15 Pillar 3 Whole-person wellness Tailored services I honestly believe I would not be in the shape I m in if I didn t work for this company. The company has given me the opportunity as a working mother to attend classes, to exercise, to be as productive as I can be and not be stressed out that I took an hour or an hour and a half to exercise. Karen Lee, Internal Communications Manager, SAS

16 Pillar 3 Whole-person wellness Tailored services Signature programs

17 Pillar 3 Whole-person wellness Tailored services Signature programs Fun

Pillar 3 Whole-person Tailored services Signature programs Fun Well-executed We practice evidence-based, personalized healthcare and couple it with high tech.

18 Pillar 3 Whole-person Tailored services Signature programs Fun Well-executed We practice evidence-based, personalized healthcare and couple it with high tech. We hire good people and give them the time they need to serve their patients well. Everyone will come for free and good; no one will come for free and lousy. Gale Adcock, Director of Corporate Health Services, SAS Institute

19 Pillar 4 Health fairs

people wouldn t use the facility and we worked to eliminate every

20 Pillar 4 Health fairs Onsite fitness centers 70% of SAS employees work out 2x-3x/week When we opened, we thought of all the reasons people wouldn t use the facility and we worked to eliminate every one of them. Jack Poll, Director of Recreation & Fitness SAS Institute

21 Pillar 4 Health fairs Onsite fitness centers Healthful food at work Stealth Health

22 Pillar 4 Health fairs Onsite fitness centers Healthful food at work Online access to services

23 Pillar 5 Internal partnerships When we have ideas like the chaplains program or the onsite clinic, we talk to our friends in Finance who help us with the financial vetting. Ann Ashley, SVP of HR, Biltmore

24 Pillar 5 Internal partnerships External partnerships Metabolic Makeover was pure torture.... We worked every muscle group every time I consider it a great thing. Employee, Comporium

25 Pillar 6 Target media and messages Pictures are big for people who don t read a lot. Warehouse Industrial Safety Supervisor, H-E-B

26 Pillar 6 Target media and messages Blitz with multiple media

27 Pillar 6 Target media and messages Blitz with multiple media Embed the right clues

28 Pillars Multilevel Leadership Organizational Outcomes Alignment Scope, Relevance, Quality Accessibility Partnerships Employee Health Status Healthcare Costs Productivity Organizational Culture Communication

29 Baicker, Cutler, Song. Workplace Wellness Programs Can Generate Savings. Health Affairs 2011; 29:2

30 Johnson & Johnson Adjusted Medical And Drug Costs Versus J&J Expected Medical And Drug Costs With Comparison-Group Trend. Henke R M et al. Health Aff 2011;30:

32 Employee Metrics Employee Participation Employee Satisfaction Health Risk Status Organizational Metrics Health Costs Safety Productivity Organizational Culture

33 America s healthcare system is backwards. We reimburse for fixing problems after they occur. We need to focus on the front end of the problem. That can take place at work. People come here every day. Steve Miller, EVP of Biltmore If your only reason is to cut healthcare costs, you won t get employee buy-in and support because there s nothing motivating for anyone other than senior management. Terry Heimes, CFO at Nelnet The number one benefit you can give an employee is good health. Jim Goodnight, Founder and CEO of SAS

Putting the Patient First, by Putting Employees First

Putting the Patient First, by Putting Employees First Quint Studer CEO & Founder, Studer Group October 7, 9 To remain the best place to receive care, for physicians to practice medicine and for employees