How can organizations maximize the
resilience and productivity of their
human resources?
Chaired by: Andrew Lee,
Vice President of Aetna, YGL Class of 2011
Hyong Un,
Head of Employee Assistance Programs at Aetna...
Hyong Un,
Head of Employee
Assistance Programs at Aetna
How can organizations maximize the resilience
and productivity of ...
AETNA RESOURCES FOR LIVING.
Brain health and resiliency
in the workplace
September 2013
AETNA RESOURCES FOR LIVING.
Stress Today
5
AETNA RESOURCES FOR LIVING.
If you are feeling stressed, you are not alone
Over 1/2 of Americans self-report that they are...
AETNA RESOURCES FOR LIVING.
Courtesy of ELIZA CORPORATION
Frequency of life stressors
5
AETNA RESOURCES FOR LIVING.
Impact of Stress
0 20 30 40
Lying awake at night
Irritability or anger
Overeating
Fatigue
Lack...
AETNA RESOURCES FOR LIVING.
Courtesy of ELIZA CORPORATION
Life stressors and productivity
6
AETNA RESOURCES FOR LIVING.
Perceived stress and medical cost
Courtesy of Dr. Michael Baime 10
AETNA RESOURCES FOR LIVING.
How can we keep our stress level in check?
11
Resilience: (from the Latin word resilo –
to jum...
AETNA RESOURCES FOR LIVING.
Resiliency Approaches
12
AETNA RESOURCES FOR LIVING.
Resiliency – what does it look like?
Resilient people:
• overcome adversity
• bounce back from...
AETNA RESOURCES FOR LIVING.
Lifestyle options for healthy brains -
promoting wellbeing in the workplace
1. Healthy nutriti...
AETNA RESOURCES FOR LIVING.
Brain health – the secret to positive change
Neuroplasticity - the ability of the brain to
cha...
AETNA RESOURCES FOR LIVING.
The Science of Happiness
Happiness research- a current hot topic!
What makes us happy? Surpris...
AETNA RESOURCES FOR LIVING.
Happy employees have:
• 31% higher productivity
• 37% higher sales
• 3 times the creativity
Ba...
AETNA RESOURCES FOR LIVING.
means paying attention
in a particular way
on purpose,
in the present moment,
and nonjudgmenta...
AETNA RESOURCES FOR LIVING.
Response to stress
This is how most of us typically react…
…and this is the response with mind...
AETNA RESOURCES FOR LIVING.
Meditation changes your brain!
20
MRI scans show increased brain
density in areas of:
• Attent...
AETNA RESOURCES FOR LIVING.
The impact of mindfulness on stress
Studies show that mindfulness mediation
promotes:
• Empath...
AETNA RESOURCES FOR LIVING.
Who’s using meditation at work?
• AOL Time Warner
• Apple
• eBay
• Deutsche Bank
• General Mil...
Aetna Inc. 23
23
Employee Assistance Programs as a work place
resiliency tool
Employee
Assistance
Helping members address
...
AETNA RESOURCES FOR LIVING.
Resiliency case study
24
AETNA RESOURCES FOR LIVING.
Aetna’s employees
25
At Aetna, we understand that finding the
time to engage in your own healt...
AETNA RESOURCES FOR LIVING.
Thank You
26
Q&A
10 minutes
(Included in session
recording)
Evian Gordon,
Executive Chairman of
Brain Resource
How can organizations maximize the resilience
and productivity of their...
Employee Resilience and Peak Performance
 Dr. Evian Gordon PhD., MD.
 Chairman of Brain Resource Inc.
Overview of Resilience Training
30
 What is Resilience?
 Corporate Impact of a Non-Resilient Workforce
 A Brain Health ...
What is Resilience?
31
Resilience:
The capacity to bounce back following adverse events, adapt and succeed.
Like many life...
Impact of Non-Resilient employees
The Problem:
• 69% of employees report work is a significant source of stress and 41% of...
MyBrainSolutions.com: Assess—Train—Monitor Results
Positivity
Social
Skills
Building Resilience Through Brain Training
Tra...
Resilience Outcomes of MyBrainSolutions Training
34
Results after a 30-day Resilience training
period in a corporate setti...
Q&A
10 minutes
(Included in session
recording)
David Nill,
Chief Medical Officer at
Cerner Corporation
How can organizations maximize the resilience
and productivity of ...
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information ...
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information ...
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information ...
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information ...
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information ...
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information ...
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information ...
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information ...
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information ...
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information ...
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information ...
Q&A
10 minutes
(Included in session
recording)
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information ...
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information ...
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How can orga­ni­za­tions max­i­mize the resilience and pro­duc­tiv­ity of their human resources?

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His­tor­i­cally, human resource depart­ments have not had the toolkit to develop the most human resource of all – our brains. What are some large employ­ers and insur­ers doing to apply emerg­ing sci­ence and best prac­tices in this domain, via well­ness and train­ing ini­tia­tives, and HR benefits?

- Chair: Andrew Lee, Vice Pres­i­dent at Aetna, YGL Class of 2011
- Hyong Un, Head of Employee Assis­tance Pro­grams at Aetna
- Evian Gor­don, Exec­u­tive Chair­man of Brain Resource
- David Nill, Chief Med­ical Offi­cer at Cerner Corporation

This session took place at the 2013 SharpBrains Virtual Summit: http://sharpbrains.com/summit-2013/agenda/

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  • Certain known things make people happy- money, health, relationships– however it is amazing how little any one of them matters
  • Empathy: An important component of EI is empathy; having the ability to step into another person’s shoes by acknowledging and understanding their perspective is crucial to fostering and maintaining productive and effective work relationships.7Decision Making: While decision making seems to be entirely rational, it is also highly emotional. Meditation seems to improve decision making by minimizing or removing emotional components that may cloud clearer thinking.8Self-Awareness: In a 2011 study, mindfulness meditation was shown to increase the part of the brain associated with self awareness.9Positive Emotions: Being in a good mood helps people take in information effectively and respond nimbly and creatively. After an eight-week MBSR program, study participants showed greater activation in their left prefrontal cortex, which is associated with positive emotions and a more adaptive response to negative or stressful events.10
  • Health care is personal and too important to stay the same. It’s more than doctors, medications, waiting rooms, and insurance companies. It’s about the people impacted: Your spouse, a neighbor, coworker, or friend. Helping you provide the best care for each person is our passion. You are the experts at providing care and helping your patients be well. Our role is to help you thrive in today’s challenging health care landscape.
  • How can orga­ni­za­tions max­i­mize the resilience and pro­duc­tiv­ity of their human resources?

    1. 1. How can organizations maximize the resilience and productivity of their human resources?
    2. 2. Chaired by: Andrew Lee, Vice President of Aetna, YGL Class of 2011 Hyong Un, Head of Employee Assistance Programs at Aetna Evian Gordon, Executive Chairman of Brain Resource David Nill, Chief Medical Officer at Cerner Corporation How can organizations maximize the resilience and productivity of their human resources?
    3. 3. Hyong Un, Head of Employee Assistance Programs at Aetna How can organizations maximize the resilience and productivity of their human resources?
    4. 4. AETNA RESOURCES FOR LIVING. Brain health and resiliency in the workplace September 2013
    5. 5. AETNA RESOURCES FOR LIVING. Stress Today 5
    6. 6. AETNA RESOURCES FOR LIVING. If you are feeling stressed, you are not alone Over 1/2 of Americans self-report that they are “struggling” with life today and 1/3 state their average stress level as “extreme”. Source: Gallup-Healthways Well-being Index 2010 Financial Challenges Personal Safety Headaches Sick Child Time to Exercise Aging ParentsCareer Unease Teenager’s Homework Diabetes Addiction 6
    7. 7. AETNA RESOURCES FOR LIVING. Courtesy of ELIZA CORPORATION Frequency of life stressors 5
    8. 8. AETNA RESOURCES FOR LIVING. Impact of Stress 0 20 30 40 Lying awake at night Irritability or anger Overeating Fatigue Lack of motivation Headaches Source: The American Psychological Association 2011 Stress in America Survey. Stress will effect your people’s ability to show up and focus on their job. 8 7.1 productive days are lost per employee each year due to stress-related factors. ─ The World Health Organization
    9. 9. AETNA RESOURCES FOR LIVING. Courtesy of ELIZA CORPORATION Life stressors and productivity 6
    10. 10. AETNA RESOURCES FOR LIVING. Perceived stress and medical cost Courtesy of Dr. Michael Baime 10
    11. 11. AETNA RESOURCES FOR LIVING. How can we keep our stress level in check? 11 Resilience: (from the Latin word resilo – to jump back): The capacity to bounce back from adverse events, adapt and succeed. 83%of people believe that stress can have a strong impact on their health in
    12. 12. AETNA RESOURCES FOR LIVING. Resiliency Approaches 12
    13. 13. AETNA RESOURCES FOR LIVING. Resiliency – what does it look like? Resilient people: • overcome adversity • bounce back from setbacks • thrive under pressure • maintain emotional stability • maintain a positive outlook Developing a highly resilient, change proficient workforce is critical 13 Successfully adapting to difficult or challenging life experiences.
    14. 14. AETNA RESOURCES FOR LIVING. Lifestyle options for healthy brains - promoting wellbeing in the workplace 1. Healthy nutrition and exercise 2. Work life balance 3. Exercise the brain 4. Practice positive psychology 5. Mindfulness 6. Social networking – friends and families * From Sharpbrains. URL to article: http://sharpbrains.com/blog/2007/08/22/10-habits-of-highly-effective-brains/ 14
    15. 15. AETNA RESOURCES FOR LIVING. Brain health – the secret to positive change Neuroplasticity - the ability of the brain to change even in adulthood- developing new habits re-wires the brain Train the brain to: • Boost memory • Sustain attention • Learn from mistakes • Plan ahead • Overcome impulses • Develop a positive outlook 15
    16. 16. AETNA RESOURCES FOR LIVING. The Science of Happiness Happiness research- a current hot topic! What makes us happy? Surprising findings and the resiliency connection from Harvard Business Review 2012. • Expectations • Resiliency post trauma or tragedy • Rich social networks • Frequency of positive experiences • “Little things” • Focus 16
    17. 17. AETNA RESOURCES FOR LIVING. Happy employees have: • 31% higher productivity • 37% higher sales • 3 times the creativity Based on a meta-analysis of 225 academic studies, Lyubomirsky, King & Diener Employees who score highest on social support are: • 40% more likely to receive a promotion in the following year • report significantly higher job satisfaction • feel 10X more engaged by their jobs than people who score in the lowest quartile. Source: Achor research “name of study” date 17
    18. 18. AETNA RESOURCES FOR LIVING. means paying attention in a particular way on purpose, in the present moment, and nonjudgmentally. -Jon Kabat-Zinn Mindfulness 18
    19. 19. AETNA RESOURCES FOR LIVING. Response to stress This is how most of us typically react… …and this is the response with mindfulness 19
    20. 20. AETNA RESOURCES FOR LIVING. Meditation changes your brain! 20 MRI scans show increased brain density in areas of: • Attention • Sensory processing • Learning and memory • Emotion regulation • Awareness of self • Awareness of others’ feelings and perspectives Source: Lazar 2005 and Holzel 2010
    21. 21. AETNA RESOURCES FOR LIVING. The impact of mindfulness on stress Studies show that mindfulness mediation promotes: • Empathy • Decision-making • Self-awareness • Flexibility & Creativity 20
    22. 22. AETNA RESOURCES FOR LIVING. Who’s using meditation at work? • AOL Time Warner • Apple • eBay • Deutsche Bank • General Mills • GlaxoSmithKline • Google • HBO • McKinsey & Co • Nike • Prentice Hall Publishing • Proctor & Gamble • Roche/Genetech • Yahoo! 23
    23. 23. Aetna Inc. 23 23 Employee Assistance Programs as a work place resiliency tool Employee Assistance Helping members address work and life issues before they become large problems Well-being Using proactive engagement solutions, motivational techniques and relationship building to help members achieve long term behavior change Work-life Providing access to work-life services along with coaching or counseling to help members achieve work- life balance Aetna Resources for Living • Addressing distress and engagement causing loss of productivity  Life stressors - legal and financial  Family and relationship  Work place intervention  Reduce engagement barriers  Behavior change  Integration of social network • Integrating brain health and mindfulness • Work place solutions • Management consultation • Training • Crisis debriefing and intervention
    24. 24. AETNA RESOURCES FOR LIVING. Resiliency case study 24
    25. 25. AETNA RESOURCES FOR LIVING. Aetna’s employees 25 At Aetna, we understand that finding the time to engage in your own health isn’t as easy as it sounds, so we offer: • Flexible work time for physical activity • Two Mind Body Stress Reduction programs • Viniyoga (Onsite) • Mindfulness at Work (Virtual) • Health in small bytes (online classes) • Healthy Lifestyle Coaching • Aetna Resources For Living EAP support
    26. 26. AETNA RESOURCES FOR LIVING. Thank You 26
    27. 27. Q&A 10 minutes (Included in session recording)
    28. 28. Evian Gordon, Executive Chairman of Brain Resource How can organizations maximize the resilience and productivity of their human resources?
    29. 29. Employee Resilience and Peak Performance  Dr. Evian Gordon PhD., MD.  Chairman of Brain Resource Inc.
    30. 30. Overview of Resilience Training 30  What is Resilience?  Corporate Impact of a Non-Resilient Workforce  A Brain Health Approach to Resilience (MyBrainSolutions)  Building Resilience Through Brain Training  Outcomes  Q & A
    31. 31. What is Resilience? 31 Resilience: The capacity to bounce back following adverse events, adapt and succeed. Like many life skills, resilience skills can be learned. What habits are common in resilient individuals? Resilience Stress Management Positivity Social Skills
    32. 32. Impact of Non-Resilient employees The Problem: • 69% of employees report work is a significant source of stress and 41% of workers report they typically feel tensed or stressed out during the workday. 1 • Health care expenditures of workers who report high levels of stress are 46% greater than workers with low levels of stress (Average $1,700/year). • The median number of days lost due to anxiety, stress and related disorders is 25 days versus a median of 6 for all other nonfatal injury and illness cases. The current solution? •Wellness solutions for physical health are abundant – but what about brain health? •Employer Assistance Programs are underutilized and remain stigmatized. •Do not promote brain health and peak performance. 32
    33. 33. MyBrainSolutions.com: Assess—Train—Monitor Results Positivity Social Skills Building Resilience Through Brain Training Training 20+ times on the exercises/games: significantly improved core brain resilience capacities Reference: Gordon, E, Palmer, DM, Liu, H, et al. (2013). Online cognitive brain training associated with measurable improvements in cognition and emotional well-being. Technology and Innovation, 15: 53-62. Stress Management
    34. 34. Resilience Outcomes of MyBrainSolutions Training 34 Results after a 30-day Resilience training period in a corporate setting. Employees experienced significant improvement in key areas of brain health linked to Resilience and Peak Performance.
    35. 35. Q&A 10 minutes (Included in session recording)
    36. 36. David Nill, Chief Medical Officer at Cerner Corporation How can organizations maximize the resilience and productivity of their human resources?
    37. 37. © 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 37 Health care is too important to stay the same. TM
    38. 38. © 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 38 Cerner at a Glance Founded in 1979, based in Kansas City Revenue 2012 2.7B Largest standalone healthcare IT company in the world Associates as of Sept 2013: 13,500+ 66% KC Based 17% Outside KC 17% Outside US Average Tenure/Age: 5/36 Years Associate Mix: 35% Services 20% IP 14% Clinical 31% Sales & all others Two on-site clinics, pharmacies, and free fitness centers Health Plan Spend 2012: $70 Million Covered Lives in 2012: 17,200 8500 associates 8700 dependents 85% participation rate
    39. 39. © 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 39 To contribute to the systemic improvement of health care delivery and the health of communities Alignment within Cerner Population Health • Living Lab • Driving Cerner’s future
    40. 40. © 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 40 Cerner Health & Wellness: Core Principles Align with Cerner’s vision, mission, and culture Build, support and promote a healthy and productive workforce Provide comprehensive benefit offerings Develop innovative and wellness focused benefits Proactive view of health: Health and Care Plan for Health vs. Health Plan Promote joint accountability and individual engagement: Education Tools Support Create a ‘Culture of Health’
    41. 41. © 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 41 Clinics & Pharmacies Healthe at Cerner Coordinated Programs and Services “Get Well” (Clinics, Pharmacies, Preventive Care) “Manage Well” (Health Benefits, Wellness Incentive Program, Condition Management) “Stay well” (Fitness, Nutrition, Education, Personal & Team Challenges) STAY WELL CONTINUUM Benefits/Condition Mgmt. HEALTH CAR E MANAGE WELL GET WELL LIVE WELL
    42. 42. © 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 42 Why Brain Health? Only represented 3% of our total spend when looking at summary claims data Deeper evaluation shows that in our top 20% of utilizers over 50% had a co-morbid behavioral diagnosis Behavioral diagnoses are not typically coded as the primary diagnosis in medical encounters Well recognized that a significant amount of risk in this area is not identified because member has not engaged Stigma Denial Pre-condition – not to a level where a member seeks care
    43. 43. © 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 43 Connection to Health Needed a Holistic Approach We provide health for the body Fitness Centers - Exercise Cafeterias - Nutrition Clinics – Professional Services Should provide the same for the Mind Missing component was the exercise component Message our associates that we need to exercise the mind as well as the body
    44. 44. © 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 44 Proactive Behavioral Health Programming Get Well: Onsite Services Primary Care Physicians – Onsite Clinics Therapists at Healthe Clinics Manage Well: Health Plan Design Value-based benefit design around anti-depressants and anxiety medications: generics covered at 100% Stay Well: Wellness Programming Brain Resource Partnership: brain training to improve resiliency, decision-making capabilities and stress management techniques
    45. 45. © 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 45 Wellness Program: Improvements in Brain Health The number of Associates who completed a baseline & follow up brain health assessment was 246. The analysis focused on results where baseline scores where < 1 SD below the mean. * = Significant at alpha = 0.05; ** = Significant at alpha = 0.01; *** = Significant at alpha = .0001 *** *** *** 0% 10% 20% 30% 40% 50% 60% 70% 80% Negativity Bias Emotional Resilience Social Skills % improvement in Self Regulation *** *** *** 0% 10% 20% 30% 40% 50% 60% 70% 80% DASS Depression DASS Anxiety DASS Stress % improvement in Feeling *** *** *** *** *** *** 0% 10% 20% 30% 40% 50% 60% 70% 80% % improvement in Thinking *** *** 0% 10% 20% 30% 40% 50% 60% 70% 80% Emotion Identification Emotion Bias % improvement in Emotion
    46. 46. © 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 46 Wellness Program: Improvements in productivity The number of Associates who completed a baseline & follow up HPQ Survey was 269. The analysis focused on results where baseline scores where < 1 SD below the mean. * = Significant at alpha = 0.05; ** = Significant at alpha = 0.01; *** = Significant at alpha = .0001 HPQ Result t-value p-value Mean (baseline) Mean (follow up) Percentage Improvement Relative Absenteeism -5.96 0.0000 -0.34 -0.11 69% Total Productivity -4.97 0.0000 0.68 0.92 34% *** *** 0% 10% 20% 30% 40% 50% 60% 70% 80% Relative Absenteeism Total Productivity Percentage Improvement on HPQ Scores
    47. 47. © 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 47 Wellness Program: What people have said I thought the brain assessment was really cool and taught me a lot. I appreciate the opportunity to stimulate my brain by using these solutions. I think the opportunity to refocus on the challenges has been helpful. It is very easy to get into a rut of negativity and monotony. This program helps me to look at things a little differently. So far I think all of it is helpful. The assessment was great and very interesting. Now I'm working on skills so I can do the assessment again to see how it changes. I really like it. I think the description is fairly accurate, and after just a couple exercises I could tell a difference in my attitude. That stupid balancing the ball game has defeated me so far, but as soon as I figure out [how] to actually play it, I will kick its butt. I enjoyed the assessment because it gave me insight into how my brain processes information. So far, my experiences are positive. I like the games available. They are fun and helpful exercises. I like the ability to track progress that I make.I like it so far. The games are good in that I can tailor what I need to work on based on my profile to what games I need to do...as well as hone the skills that I am better at.. It's told me a lot of what I already know, but from some new perspectives. The initial assessment was awesome. It tested my brain through a series of fun and interesting tasks. The games are fun. The articles are interesting b/c you only rarely see articles about the brain on websites or even in health magazines. Overall, [MyBrainSolutions] has got me hooked.
    48. 48. Q&A 10 minutes (Included in session recording)
    49. 49. © 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 49 Sponsors Partners Thank You for Joining Us!
    50. 50. © 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 50 To Learn More… Summit Recordings Book Market Report sharpbrains. com/book/ sharpbrains. com/summit/ sharpbrains.com /market-report/

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