Post on 03-Jun-2020
Wellness Road Map Getting Started with a Wellness Program
February 20, 2018
Diane Andrea
Wellness Consultant
dandrea@jwterrill.com
J.W. TERRILL• MARSH & McLENNAN AGENCY LLC
Healthcare Costs Are Rising
J.W. TERRILL• MARSH & McLENNAN AGENCY LLC
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
J.W. TERRILL• MARSH & McLENNAN AGENCY LLC
Causes of Increasing Health Care Costs
• ACA
• Administrative costs
• Salaries
• Cost of Technology
• Litigation
• Pharmaceutical costs
J.W. TERRILL• MARSH & McLENNAN AGENCY LLC
Causes of Increasing Health Care Costs
• ACA
• Administrative costs
• Salaries
• Cost of Technology
• Litigation
• Pharmaceutical costs
• Unhealthy behaviors
J.W. TERRILL• MARSH & McLENNAN AGENCY LLC
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%
J.W. TERRILL• MARSH & McLENNAN AGENCY LLC
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
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Health conditions contributing to lost productivity
• Depression
• Anxiety
• Migraines
• Respiratory illnesses
• Arthritis
• Diabetes
• Back and neck pain
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Value of Investment
• VOI
10
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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
J.W. TERRILL• MARSH & McLENNAN AGENCY LLC
Getting Started
J.W. TERRILL• MARSH & McLENNAN AGENCY LLC
• CDC Workplace Health Promotion
– www.cdc.gov/workplacehealthpromotion/
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J.W. TERRILL• MARSH & McLENNAN AGENCY LLC cdc.gov/workplacehealthpromotion
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Step 1: Assessment
Individual
Organizational
Community
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Assess the Individual
• Qualitative
– Employee interest survey
– Site visit
– Employee knowledge
• Quantitative
– Claims data
– Health risk assessments
– Biometric data
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Assess the Organization
• Policies and Procedures
• Food policies – in-house and catered
• Cafeteria
• Vending
• Time management
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Assess the Community
• Environmental Assessment
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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/
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J.W. TERRILL• MARSH & McLENNAN AGENCY LLC
J.W. TERRILL• MARSH & McLENNAN AGENCY LLC
Step 2: Planning/Workplace Governance
Leadership Support
Management
Workplace Health Improvement Plan
Dedicated Resources
Communications and Informatics
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Leadership Support
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Leadership Support
• Communication
• Commitment
• Resource allocation
• Delegation
• Role modeling
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Management - Wellness Committee
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Management - Wellness Committee
• Integrated
• Size
• Job descriptions
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Identify Wellness Champions
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Workplace Health Improvement Plan
• Build an approach
• Targeted
• Promote healthy lifestyles
• Impactful
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Workplace Health Improvement Plan
• Target interventions
– Highest priority chronic medical conditions
– Work-related injuries
– Top cost drivers
– Top prescriptions
– Most common health risk factors
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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
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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
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Dedicated Resources
• Time and money
• Carriers
• J.W. Terrill
• Vendors
• Staff
• Community partners
• http://www.cdc.gov/workplacehealthpromotion/pdfs/wh-resources.pdf
J.W. TERRILL• MARSH & McLENNAN AGENCY LLC
Communications and Informatics
• Marketing
– Communicate clearly and consistently
• Branding
– Insuring Healthy Lifestyles
• Logo
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Step 3: Implementation
Programs
Policies
Health Benefits
Environmental Support
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Programs
• Health Risk Questionnaire
• Health Improvement/Wellness Programs
• 24/7 Nurse Line
• Disease Management
• Biometric Screening
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Policies
• Tying wellness into corporate policy
• Policies prohibiting tobacco use at the workplace
• Policies allowing flex time
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Health Benefits
• Compensation package
• Value Based Insurance Design (VBID)
– Diabetes
– Hypertension
– Asthma
– Cardiovascular disease
• Coverage for nicotine replacement therapy or diabetes management
supplies
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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.
J.W. TERRILL• MARSH & McLENNAN AGENCY LLC
Step 4: Evaluation
Worker Productivity
Healthcare Costs
Improved Health Outcomes
Organizational Change “Culture of Health”
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Worker Productivity
• Improvements in physical, mental and emotional health
– Decreased absenteeism
– Reduced overtime to cover absent employees
– Reduced costs to train replacement employees
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Healthcare Costs
• Changes in the number and type of claims over time
• Use of preventive health services
• Increase in quality care
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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
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Organizational Change “Culture of Health”
• Organizational structure
• Policies
• Procedures
• Practices
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Culture Change
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Wellness is a Process
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Q&A
Diane Andrea
dandrea@jwterrill.com
J.W. Terrill
(314) 594-2704
47
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Legal/regional regulatory statement to be added here if required.