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A Staircase of Individual and Organizational Health:Bringing the Biology of Business Performance to Life
By Jack Groppel, Ph.D. &
Ben Wiegand, Ph.D.
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CONTACT
For more information, please contact us at:
8552063815; or visit us online at:
www.wellnessandpreventioninc.com
WHITE PAPER
A Staircase of Individual and Organizational
Health:
Bringing the Biology of Business Performance to Life
Jack Groppel, Ph.D.
Vice President of Applied Science & Performance Training, Wellness & Prevention,Inc. and Co-Founder of the Human Performance Institute
Ben Wiegand, Ph.D.Vice President, Wellness & Prevention, Inc., and Disruptive Growth
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INTRODUCTION
Several experts throughout the United States have
proclaimed that the healthier one is, the better one
might perform cognitively (Ratey, 2008; Levine, 2009,
Ratey & Loehr, 2011; Groppel & Wiegand, 2012A). Yet, in
the business world, employee health remains largely
relegated to Human Resources departments as a way
to save money, rather than a critical component of corebusiness strategy. Indeed, evidence shows that physically
active people have a 27% lower healthcare cost per year,
averaging $4,240/year for active people and $5,783/year for
inactive people [Anderson et al, (2005)]. But, is there more
to wellness than just lower costs? Can health really drive
business performance? And conversely, could unhealthy
organizational habits lead to poorer individual and
business health? Is there a pathway by which the effect ofwellness can be better understood?
In an earlier 2012 paper, we proposed the
idea of the Biology of Business Performance
(Groppel & Wiegand, 2012A) to identify
health as the ultimate enabler of human
performance. Our goal in this paper is to
broaden that thinking namely to say
that business health and performance are
analogous to a biological organisms health
and performance, in that teams, leadership,
and entire organizations are composed
of biological and behavioral beings who
must, on a daily basis, engage in healthy
behaviors to be able to access all of their
talent and skill to solve problems, innovate,
lead others, sell, connect, serve customers,
communicate, market, and manufacture.
Person
Enterprise
Brain
Leadership
Nervous System
Team
Cell
Employee
Biology is defined in the Merriam-Webster
Dictionary as a branch of k nowledge that
deals with life organisms and life processes
(Merriam Webster). Textbooks in biology
will take us from the very basics of life to
the complex integration of the organism in
question. For human beings, as with all life
forms, the basic structure and unit of life isthe single cell. While incredibly complex in
and of itself, the individual cell is where all
life begins, and i nterestingly, where many
diseases begin. Millions of cells combine
to create tissue, which is further integrated
to create organs. Then, the hierarchy goes
to systems, and finally to the complete
integration of the organism in this case,
a human being (SEE FIGURE 1). There is,
however, one more obvious step. A human
being is a behavioral being, capable ofcognition, free will, and emotions, which
all result from a combination of genetics
(cell make-up) and environment. Thus, a
healthy individual is healthy in se veral
dimensions: Physical, emotional, mental,
and spiritual, and is aligned to a mission in
life and work. (Loehr & Groppel, 2008).
By comparison, lets examine a similar (and
again simplified) hierarchy of a business
enterprise. In a business, the simplest unit
of integration is the individual employee.When employees unite, teams are formed.
For all teams, there is designated leadership
(often several layers deep ), which is
ultimately (and hopefully) integrated and
aligned to produce the desired outcomes of
a profitable enterprise (SEE FIGURE 2). Just
as a person is more than just the sum of his
or her cellular biology, an enterprises overall
performance is more than just the total
performance of each individual employee
(Khair & Saeed, 2011).
THE STAIRCASE: A METAPHOR FOR ORGANIZATIONAL HEALTH
Fig 2: A Simplified Perspective of
Enterprise Organization
Fig 1: A Simplified Perspective of
Human Biology
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Now imagine, if you will, dual columns,
side-by-side, depicting the hierarchical
order of these two systems, progressing
from the simple to the complex with each
step. Lets equate the human cell with the
employee (SEE FIGURE 4); the nervous
system with the organizational team (SEE
FIGURE 5); the brain with the leadershipof the organization (SEE FIGURE 6); and
the integrated biological person with
the overall organization (SEE FIGURE 7).
With this as a lens, it is easy to think of a
business as a hybrid organism made up of
biologic and organizational building blocks,
which comprise a larger staircase.
THE STAIRCASE: A METAPHOR FOR ORGANIZATIONAL HEALTH CONTINUED
Fig 3. A New Perspective of the Biology of
an Enterprise, and why health in the entire
spectrum is important
Whats most interesting in this metaphor
is the pecking order. The absolute highest
order of integration in the biological
diagram is the human being, while this
same human being, when put in the
position of employee, is at the lowest level
of integration in the overall enterprise
(SEE FIGURE 3). This is telling of thecurrent perception of employee health
and the common oversight that the
same mechanisms that must be used to
keep a body healthy actually help kee p
businesses healthy as well: activity, good
nutrition, emotional resilience, laser focus,
engagement, etc.
The Person The Organization
The Brain The Leadership
The Nervous System The Team
The Human Cell The Employee
Fig 4. Equating the human cell with the employee
THE STAIRCASE: A METAPHOR FOR ORGANIZATIONAL HEALTH CONTINUED
Fig 5. Equating the nervous system with the team
Fig 6. Equating the brain with the leadership
Fig 7. Equating the biologically integrated person with the overall organization
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The staircase metaphor is telling of the
current perception and role of employees
in todays corporate world. In 2010, Towers
Watson reported that companies who
are committed to health as a business
imperative achieve significantly better
financial outcomes and lower employee
turnover (Towers Watson, 2009/2010).
Gallup (2010) took this to another level and
found that unhealthy employees are not
engaged in their jobs, and that numerous
chronic conditions existed (e.g., obesity,
diabetes, etc.).
Just as cells are the building blocks of
the body and the body encompasses
the environment in which those cells
exist people are the building blocks
of an enterprise and the enterprise
encompasses the environment in which
those people exist. The body has evolved
to be an optimized model of productivityand efficiency. Its dynamic environment
supports the health of the cells by
supplying oxygen, blood, vital nutrients,
feedback and feed-forward mechanisms,
etc. Healthy cells, in turn, play vital roles
toward the optimal function of the body.
Similarly, the enterprise must supply
an environment to support the (literal)
health of its people. But is our business
environment optimal in that goal? Are
norms like si tting all day, multitasking,
Disengaged employees are less likely to be
productive than engaged workers (Gallup,
2011). When the majority of a workforce
is disengaged, business productivity and
profits often suffer. Additionally, employees
under stress may exhibit survival-
based behaviors, such as impatience,
uncooperativeness, defensiveness,
frustration, hyper-criticality, and pessimism.
All these emotions decrease their ability to
perform effectively with their work teams.
The cost of underutilized human assets
can run from the tens into the hundreds of
millions of dollars, depending on the size of
the firm (Robison, 2010).
a lack of organizational purpose, and no-
recovery cultures healthy or potentially
toxic? Has the business e nvironment
sufficiently evolved to optimize the health
of its building blocks (its people)? Or did it
evolve out of convenience, tradition, old
business think?
For people to achieve the absolute highest
order of biological integration and
perform at high levels, many things must
fall into place, including good nutrition,
physical activity, adequate sleep, and
THE ORGANIZATIONAL IMPACT OF BAD BEHAVIORS
THE STAIRCASE: A METAPHOR FOR ORGANIZATIONAL HEALTH CONTINUED
The Person
The Brain
The Nervous System
The Human Cell
The Organization
The Leadership
The Team
The Employee
purpose, or alignment to a mission, just to
name a few. The key to remember is that
high performance is more than just the
sum of all the cells, tissues, organs, and
systems functioning well. An individuals
performance depends greatly on the
environment and health of the staircase
as well.
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THE ORGANIZATIONAL IMPACT OF BAD BEHAVIORS CONTINUED
In the 2012 Towers Watson Staying @ Work
Survey Report, it was said that, This years
survey results show a strong link between
highly effective health and productivity
strategies and strong human capital and
financial results (Pathway to Health and Pro-
ductivity, NBGH/Towers Watson 2011-2012
Staying @ Work Survey Report, 2012, p. 2).For example, nearly two-thirds of companies
with highly effective health and productivity
programs (66%) report they perform better
than their top competitors.
In 2008-2009, Right Management surveyed
28,800 representative employees across
10 sectors in 15 countries worldwide. They
found that employees who responded
favorably to the proposition that their
organization actively promotes health and
well-being were:
8x more likely to indicate that they
were engaged
4x less likely to indicate that they
planned to leave within the next year
3.5x more likely to identify their
organization as encouraging
innovation and creativity
3x more likely to assess their
organizations as being productive
To summarize our thinking, it seems that
if an individual is healthy physically,
mentally, emotionally, and spiritually a
multitude of possibilities arise for an
enterprise. If an enterprise allows or even
enables unhealthy behaviors (e.g., sitting in
long meetings and on lengthy conference
calls, lack of ability to develop or practice
emotional skills, multitasking, lack of
alignment to the organizational purpose,
no recovery in between meetings, etc.),
employees and teams may not live up totheir potential, due to the habits/culture
of the organization, leadership, and team
leaders. Thus, human capital is not only
harmed from a performance perspective,
but healthcare costs could skyrocket,
simply because of negative cultural habits
being pushed down the staircase.
Rath and Harter, authors of Wellbeing: The
Five Essential Elements, stated, in 2012, that
Wellbeing affects the whole person. The
whole person comes to work, not just the
worker. So how you manage that person
affects key outcomes like new disease
burden, sick days, and obesity, which have
direct implications on annual health-
related costs. If companies take care of the
whole person, they build more loyalty over
time, and that affects their brand in many
different ways (Gallup Business Journal,
2012). As simple as it seems, if a person (on
the same level as the employee) performs
at higher levels, you increase the chancesfor teams to perform better, and thus,
the performance of the enterprise could
improve as well.
So why does employee health continue to
fight for a seat at the strategy table?
THE STAIRCASE AS A CORPORATE CONSTRUCT
The staircase construct can be used to
illustrate and analyze the true impact of
employee health on an organization and
elevate the creation of a culture of health
from a buzz word to a strategic business
imperative that would emanate from the
top down to the bottom up. For example,
if employees engage in healthy behaviors,they likely bring their best energy and
selves to their work and their teams,
fueling the performance of the business.
Similarly, if an organization promotes
a culture of wellness and e ncourages
employees to adopt healthy lifestyles and
work styles, it helps fuel the performance
of its employees, who in turn can ignite
the business and illustrate a successful
feedback and feed-forward staircase of
organizational health.
We believe that a healthy organization
top to bottom and bottom to top could
be the new Going Green (Groppel, 2010).
'Going Green' became the rage from a
top-down (governmental legislation)
and a bottom-up (children emphasizing
to parents the importance of recycling)
approach the perfect staircase
phenomenon! In terms of the environment,
the old story of society was one in which
individuals behaved in thoughtless waysthat were bad for the environment. At the
beginning of the 20th century, foremost
conservationists like John Muir and
President Theodore Roosevelt fought to
save millions of acres of land through
the creation of national parks, forests,
and animal reserves. The Environmental
Protection Agency was created in 1970 and
charged with protecting human health
and the environment. However, in the
late 1970s, two colossal environmental
disastersthe Three Mile Island nuclear
core meltdown in Pennsylvania and the
public health emergency created by 21,000
tons of chemical waste buried beneath the
Love Canal neighborhood in New York
brought the importance of environmental
protection to the awareness of the generalpublic. And, who over the age of 40 does
not remember the simple advertisement
that struck an emotional cord in our
hearts, of an aging Native American with
a tear rolling down his face because of the
destruction of our natural habitat? Once
evidence of the harmful effects of these
behaviors began to accumulate and to be
internalized, society as a whole realized that
a change in story was not only necessary
but of epic importance.
Finally, the new story of environmental
conservation mattered to the majority.
And, so, we rewrote our story based on
a mission that strives for a cleaner and
more sustainable environment. An action
plan, aligned with this new story, then
followed, which induced society at large to
change behaviors as necessary to achieve
these goals. Children were taught about
conservation in schools, and they brought
this knowledge home to their parents(leaders) and their families (teams), who
began adopting these practices. Today,
recycling is becoming the norm, littering
is not tolerated, and natural resources are
better protected. This behavioral cascade
from schools, to children, to homes, to
society, and vice versa illustrates the
staircase at work in a social context, further
underscoring its potential use in the
professional arena.
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Blair (2009) has stated that physical
inactivity is the biggest healthcare concern
of the 21st Century. Likewise, Healy, et
al (2011) have found that sitting too long
increases the likelihood for disease.
Furthermore, in July 2012, the journal Lancet
proclaimed that in view of the prevalence,
global reach, and health effect of physicalactivity, the issue s hould be appropriately
described as pandemic, with far-reaching
health, economic, environmental, and social
consequences.
It is interesting to note the potential effect
of the brains involvement in motion, and
the effect of motion on the brain. The brain
is the control center for motor control and
coordination of movement. According to
Dr. John Ratey, Associate Clinical Professor
of Psychiatry at Harvard and the author of
Spark: the Revolutionary New Science of Exercise
and the Brain, when the body starts moving,
the brain lights up in almost all areas, and
the result is improved cognition, creativity,
and problem-solving (Ratey, 2008).
In an effort to apply these neuroscientific
implications to the corporate framework, we
developed the Organization in MOTION
program to study the impact that small
and frequent amounts of movement canhave on individual energy levels, cognition,
creativity, and problem-solving throughout
the day. The objective of the initiative was
to test the theory that increasing movement
would increase self-reported energy,
engagement, and focus levels in employees.
To do this, we administered the program
to New Balance, the athletic shoe company,
based in Boston, MA.
A STAIRCASE SUCCESS STORY
The leadership at New Balance realized
that although they are an athletic company,
their human capital was doing business
the same way most businesses do sitting
in long meetings or on long conference
calls, grounded in an inactive business
culture. While their employees were likely
fitter than employees at other businesses,workplace inactivity was keeping them
from being their best, and quite possibly,
preventing them from keeping up with
their ever-increasing business demands.
With the launch of the Organization
in MOTION program, New Balance
participants reported that the more they
moved, the more energy they had, the more
engaged they were, and the more focused
and intrinsically motivated they became.
Throughout the 90-day study, several factors
played out to create a successful program
that demonstrates the staircase in action:
1. CEO and C-Suite ownership
2. Leadership buy-in and role modeling
3. Permission from leadership at every
level of the enterprise
4. Champions at every level to stimulateand sustain the program
5. Buy-in at every employee level
6. Bi-directional enthusiasm,
encouragement, and support
7. Establishment of a culture of
movement
SUMMARIZING THE STAIRCASE
Although it is often neglected, employee
health is a critical strategy for business
success. CEOs and other leaders can use
the staircase as a construct to demonstrate
the impact that employee health or the
lack thereof can have on organizational
performance. Using this tool, leaders may
finally have the evidence they need withintheir own cultures to change the legacies
for their organizations from wellness as
parity to wellness as a business engine.
The ability of the staircase progression to
maximize the health of your organization
in both directions and optimize the
development and growth of employees,
teams, and leaders, can help improve the
overall performance of an organization.
In studying the staircase, it is clear that
organizational success is more than
just executing business objectives. It
stems from creating an effective and
functional biological environment whereemployees, teams, and leadership can
thrive. When one takes the time to dissect
the organizations culture of health from
the employee to the enterprise one
can enable a business to grow in an
exponential way while supporting and
improving the health of its people.
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