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Workplace Health and Productivity Management

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On corporate agendas - Leadership buy-in. Healthier employees make a healthier bottom line ... Health and Wellness Committee. Select. Train. Assign ... – PowerPoint PPT presentation

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Title: Workplace Health and Productivity Management


1
Workplace Health and Productivity
Management Connecting Strategy and Program
Delivery
Denise Balch, President Connex Health
Consulting Connecting Health
to the Bottom Line
2
Overview
  • The Development of Workplace Health
  • The Rationale
  • Developing a Strategy
  • The Process
  • Programming examples
  • Measurement

3
The Development of Workplace Health
  • Hard Deliverables
  • - On corporate agendas
  • - Leadership buy-in
  • Healthier employees make a healthier bottom line
  • Evidence based
  • Proactive approach
  • Disease and lifestyle
  • Outcomes measurement
  • Soft Deliverables
  • - Lunch n Learns
  • Lifestyle programs
  • No measurement

4
  • The Rationale for a Healthy Workplace
  • Philosophy of a Positive Workplace
  • Health and Organizational Culture
  • Healthy and satisfied employees
  • are more productive while at work
  • and have less absenteeism than employees who
  • are unfit and dissatisfied due to family, work or
    work
  • life balance issues.

5
Why Target Health in the Workplace?
Because We Can!
  • The working population is aging
  • We eat too much and too high fat
  • We are more obese and less active than ever
    before
  • The cost of managing ill health is rising
  • We need to retain our current workforce for
    longer
  • there are not enough new workers to support us.

Boom Bust Echo!
6
What is Workplace Health and Wellness?
  • A process that identifies and delivers solutions
    in the workplace to address employee and
    organizational health issues that can negatively
    impact employee health and productivity.

7
  • Developing a Strategy
  • Benchmarking

8
National Quality Institute A Benchmark
  • National not-for-profit agency that annually
  • recognizes
  • Business Excellence
  • Healthy Workplace
  • Provides a roadmap for healthy workplace
  • Also provides training and support
  • Certification Certified Excellence Professional

9
National Quality Institute Healthy Workplace
Award Winners
  • IBM
  • NCR (2002)
  • Dofasco Inc. (2002)
  • Statistics Canada (2003)
  • Daimler Chrysler-CAW (2004)

10
  • The Process

11
The Workplace Health Process Summarized
NQI www.nqi.ca (guiding and recognizing Healthy
workplace achievement)
Base Line Review Progressive Excellence
Program Levels 1-4
  • Level 1 Organizational Commitment-demonstrated
    through written policies and procedures, and
    wellness committee
  • Level 2 Planning identifying needs and
    preferences through assessment tools
  • Level 3 Implementation programming and short
    term measurement
  • Level 4 Sustainability long term measurement
    and benchmarking.

Commitment
Level 1
Level 2
Planning
Level 3
Implementation
Level 4
Sustainability
12
Planning Tools and Measures
13
Program planning and delivery must be based on
research and evidence

14
Health Evidence
  • Software based
  • Confidential (uses aggregate data only)
  • Analyze drug, healthcare, disability and WSIB
    data
  • Determines the burden of illness for all
    employees by disease category
  • Can also be used as Evidence to build the case.

15
  • Health Evidence
  • Burden of Illness

Mental Disorders across cost elements.
16
  • Health Risk Assessment
  • On-line/hard copy
  • Individual feedback
  • Determines aggregate health risks for all
    employees
  • Personal lifestyle/health habits/family history
  • Programming interest
  • Stages of change
  • Recent Developments
  • Organizational health indicators
  • Productivity

17
  • Prepare for Programming
  • Buy-in at all levels of organization
    orientation sessions
  • Health and Wellness Committee
  • Select
  • Train
  • Assign responsibilities
  • Create a plan
  • Identify a budget
  • Approval
  • Create a fuss the launch

18
Preparing for Programming
  • Key Lessons
  • Corporate buy-in is critical
  • People dont change overnight
  • Its a long term commitment
  • One person cant do it all team effort
  • Walk before you can run
  • Promote, promote, promote
  • Deliver on site or on company time
  • Measure everything to create sustainable long
    term strategy

19
  • Programming Examples

20
NQI Healthy Workplace Award
One of Canadas largest steel producers, serving
customers throughout North America with high
quality flat rolled and tubular steels and laser
welded blanks.
21
NQI Healthy Workplace Award Winners 2002
Dofasco Programs
Off-site rec. complex Pre shift
walk/stretch On-site fitness facilities Lunch
time aerobics Shift work education Health and
safety fair Chol/BP Screenings Glucose
Screenings Stress management Weight
Watchers Smoking Cessation And
more
Tailored programming Available to all
employees/all shifts Broad-based Multi-focused,
integrated program
22
Dofasco Lifestyle Program
  • Productivity Sales
  • Shipped 4.3m tons of steel in 2001, 4.8m in 2002
  • Sold 2.9b in 2001, 3.5b in 2002
  • Reductions in lost-time injuries and absences
  • 85 of lost-time injuries are due to home-like
    injuries, not work
  • resulting in decreased payments to WSIB
  • Lost hours per 100 hours worked 2002 0.6
    1994 1.4
  • Individual unhealthy habits
  • Decrease number of smokers by 5
  • Decrease those with a BMI gt 25 by 5
  • Non-occ injuries per 200 000 hrs worked 2000
    1.5 1991 5

23
Disease Programming Examples
  • Asthma education/screening
  • Cardiovascular education/screening
  • ADHD Asthma productivity survey
  • Diabetes education/screening

Lifestyle Programming Examples
  • Fitness testing (benchmark)
  • Fitness clubs
  • Shift work training
  • Walking route

24
Connex Asthma Initiative 2001
  • Facts
  • Affects over 2 million Canadians
  • 57 are not in control
  • Higher unscheduled doctor visits, emergency
    visits and hospitalization
  • Higher rates of absenteeism

Sponsor GSK
  • Results
  • 53 previous diagnosis
  • 83 control issues
  • 77 referred to Physicians
  • 33 referred to Community
  • Asthma Care Centre for counselling
  • ROI
  • Decrease absenteeism
  • Increase productivity
  • Decrease drug waste

25
Connex Cardiovascular Initiative 2002
  • Facts
  • 40 of all Canadian deaths
  • 4 out of 10 people suffer from undiagnosed
    hypertension
  • Leading cost driver of drug/disability
  • 16 of those diagnosed are under control

Sponsor Pfizer
  • Results
  • 33 referral rate
  • Call-backs Outcomes
  • 77 visited Physician
  • 58 prescribed medication/lifestyle changes
  • 91 made lifestyle changes whether or not they
    visited their Physician
  • ROI
  • Prevention
  • Early detection
  • Absenteeism avoidance
  • Increase productivity
  • Decrease drug waste

26
Connex ADHD Asthma Initiative 2003
Sponsor JOI
  • Facts
  • ADHD 4-12 prevalence
  • Asthma control disease
  • High rates of non compliance
  • Workplace and societal issues when not
    controlled
  • Symptom recurrence within hours if dosing missed
    (ADHD)
  • Results
  • 65 of those with ADHD patients in family
    reported missing time from work (12 asthma)
  • 35 missed 1-5 hours for ADHD (12 asthma)
  • 72 reported productivity at work declined as a
    direct result of ADHD
  • 68 reported not pursuing opportunities at work
    due to ADHD effects
  • 66 reported non compliance at least once in a
    two week period, similar figures for asthma
  • ROI
  • Calculated annual savings potential per employee
    for one person with ADHD
  • including drug costs 4,352.84 (compliant
    patient,effective drug,symptom control)

27
Connex Diabetes Initiative 2004
Facts
  • Incidence 6
  • Diagnosed are generally poorly managed
  • Serious co-morbidities
  • Large undiagnosed population
  • Rising incidence

Partnership Project GSK Bayer
GM/CAW Wellness GreenShield
  • ROI Objectives
  • Prevention
  • Early detection
  • Increased compliance and decrease drug waste
  • Absenteeism avoidance
  • Increase productivity

28
Program Elements
  • Education and promotion
  • Screening clinics and referrals
  • Follow up and measurement over 12 months
  • 3 call-backs (phone or on-line via email)
  • Communications (Plant News Letters, Intranet
    emails, Posters)
  • Measurement and reporting

29
(No Transcript)
30
Clinic Results
  • No prior diagnosis 228 (89)
  • 55 (140) reported not having their blood sugar
    tested with the past 3 years
  • 53 (120) 3 risk factors
  • Body Mass Index and Waist Circumference
  • 81 had a BMI gt25
  • 49 of total had an unhealthy WC

31
  • Clinic Results
  • Previously Diagnosed 28 (11)
  • 64 answered yes to at least one of the
    questionnaire items taken from the 30 Second
    Diabetes Test
  • Of those who knew their most recent A1C result,
    none were in the healthy range
  • Body Mass Index and Waist Circumference
  • 93 had a BMI gt25
  • 64 had an unhealthy WC

32
Clinic Results
  • Referral
  • 58 (22) referred to Physician due to
  • Glucose screening results (20/9 of those with no
    diagnosis)
  • A1C test results (9/32 of those diagnosed)
  • Risk factors (29/13 of those with no diagnosis)
  • Participant Satisfaction
  • 100 participant satisfaction based on feedback
    survey results
  • Would refer co workers to clinics

33
Recommendations
  • - Re-screen clinic attendees in 12 months
  • Implement targeted programs - reduce
    risk/improve management
  • A diagnosis of diabetes and referred
  • Not diagnosed but referred Plus
  • Modifiable risk factors
  • Encourage wider attendance by holding further
    clinics
  • Conduct company wide health risk assessment

34
Measurement
  • Measure everything
  • Survey and re survey
  • Collect data
  • With written consent
  • Over time

Ultimately ROI  
  • TERTIARY
  • Improved disease
  • management
  • Illness avoidance
  • Improved Culture
  • Employee Satisfaction
  •  
  • SECONDARY - CHANGES
  • Attitudes, beliefs and knowledge.
  • Job performance, behaviours or actions
  • Lifestyle(long-term ? illness)
  • Decrease in Risk Factors
  • PRIMARY
  • Participation
  • Cost
  • Employee
  • satisfaction  

35
Strategy to Delivery
Overall Outcome measurement
Programming delivery and measurement
Assess employee and organizational issues
Adopt a healthy workplace strategy
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