Half day interactive open workshop on health & wellbeing initiatives held in Guelph.

1. Make health & wellbeing work for your organization by Toronto Training and HR September 2011

2. Contents 3-4 Introduction to Toronto Training and HR 5-6Definition 7-9Return on investment 10-12 Objectives of wellness programs 13-15 Advantages of wellness programs 16-19 Incentives 20-22 Meaningful work and wellbeing 23-24 Sleep 25-28 Alcohol 29-31 The heart of the matter 32-37 Healthy workplace initiatives 38-40 Benefits of on site fitness facilities 41-43 Health and wellbeing framework 44-47 US healthcare; the key changes 48-49 Contributors of health and wellbeing 50-51 Drill 52-55 Case studies 56-57 Conclusion and questions Page 2

3. Page 3 Introduction

6. Improving employee engagement & morale

8. Page 6 Definition Physical health Psychological health Social health Presenteeism

9. Page 7 Return on investment

10. Page 8 Return on investment 1 of 2 PILLARS OF AN EFFECTIVE PROGRAM Multilevel leadership Alignment Scope, relevance and quality Accessibility Partnerships Communications

11. Page 9 Return on investment 2 of 2 METRICS Employee metrics Employee participation Satisfaction Health-risk status Organizational metrics Health care Safety Productivity Organizational culture

12. Page 10 Objectives of wellness programs

13. Page 11 Objectives of wellness programs 1 of 2 Attracting and retaining employees Complying with legislation Fulfilling social/community responsibility Furthering organizational values/mission Improving worker productivity/reducing presenteeism Improving workforce morale/engagement Improving workplace safety

14. Page 12 Objectives of wellness programs 2 of 2 Maintaining work ability Promoting corporate image or brand Reducing employee absences due to sickness or disability Reducing health care or insurance premium costs Supplementing government-provided health care

15. Page 13 Advantages of wellness programs

16. Page 14 Advantages of wellness programs 1 of 2 EMPLOYERS Decreased absenteeism Reduced cost of health benefits Increased productivity Better recruitment Reduced employee turnover Improved corporate image

17. Page 15 Advantages of wellness programs 2 of 2 EMPLOYEES Reduced stress Increased energy Improved overall health Reduced illness & risk of injury Healthier families Improved morale

18. Page 16 Incentives

19. Page 17 Incentives 1 of 3 ACTIVITIES FOR WHICH REWARDS ARE OFFERED Completing a health risk appraisal Participation in workplace health “challenges” Completing a biometric health screening Obtaining regular preventive care examinations Refraining from tobacco use Tracking regular healthy living activities Completing educational courses (live or online) Contacting a health coach or advisor Adherence to a disease management program Achieving or maintaining measurable health status results

20. Page 18 Incentives 2 of 3 INCENTIVES AND REWARDS Gifts/merchandise Free or low cost preventive health services Raffles/drawings Employer-subsidized gym membership Cash Reimbursement for wellness classes (e.g., nutrition/smoking) Health insurance premium reductions Contribution to flexible spending Vacation days/paid time off Reduced health copayments

21. Page 19 Incentives 3 of 3 DETERRENTS AND PENALTIES Health insurance premium increases Mandatory participation (such as health risk appraisal) in order to receive health insurance Increased health copayments Condition of employment (e.g., not hiring smokers) Benefit reduction Salary penalty

22. Page 20 Meaningful work and wellbeing

23. Page 21 Meaningful work and wellbeing 1 of 2 Meaningfulness of work Meaningfulness at work Positive and negative perceptions Indicators of a person’s psychological state Psychological distress and wellbeing Commitment Organizational commitment Key characteristics of meaningful work Avenues of action

24. Page 22 Meaningful work and wellbeing 2 of 2 STRATEGIES Primary level Secondary level Tertiary level What the manager can do What the employee can do

25. Page 23 Sleep

26. Page 24 Sleep Four stage cycle A deficit in sleep leads to a deficit in work performance Avoid caffeine Try to nod off quickly Darken the room completely Sleep in a restful environment Exploit the power of power naps

27. Page 25 Alcohol

28. Page 26 Alcohol 1 of 3 Employee alcohol use can pose many problems for employers and employees Companypolicies regarding alcohol use and disciplinary action should be clear, publicized, and enforced in a consistent manner Even without a specific rule, an arbitrator may decide that employees know or should know that consuming alcohol while at work is prohibited

29. Page 27 Alcohol 2 of 3 Employee alcohol use while at work, in uniform, in public, by an employee (particularly a supervisory employee) and by employees engaged in dangerous work are all factors that may negatively impact a company’s image and its ability to manage its work force, as well as impact the safety of the employee and co-workers Violation of a company’s alcohol use policies may be considered just cause for discharge, and arbitrators will not customarily substitute their judgment for that of the employer

30. Page 28 Alcohol 3 of 3 Supervisors and other managerial employees should be knowledgeable about their employer’s alcohol use policies and cognizant of the impact of their own behaviour and their observance and enforcement of the policies

31. Page 29 The heart of the matter

32. Page 30 The heart of the matter 1 of 2 RISK FACTORS THAT CAN BE CONTROLLED High blood pressure High cholesterol Smoking Diabetes Being overweight Physical inactivity Excessive alcohol consumption Stress

33. Page 31 The heart of the matter 2 of 2 RISK FACTORS THAT CANNOT BE CONTROLLED Age Gender Family history Ethnicity

34. Page 32 Healthy workplace initiatives

35. Page 33 Healthy workplace initiatives 1 of 5 POSITIVE ORGANIZATIONAL CULTUREConflict management training Bullying awareness training Leadership development programs Employee recognitions Annual awards ceremony

36. Page 34 Healthy workplace initiatives 2 of 5 SAFE AND SUPPORTIVE WORK ENVIRONMENT Provide hand sanitizers Training on lifting and handling Monthly safety audits Ergonomic assessments Smoke-free property Fund for employee crises

37. Page 35 Healthy workplace initiatives 3 of 5 PROMOTE INDIVIDUAL HEALTH On site fitness facilities Discounted fitness facilities situated locally Showers Healthy eating classes Smoking cessation clinics Water coolers Weight Watchers Nutrition month campaigns

38. Page 36 Healthy workplace initiatives 4 of 5 LOW-COST IDEAS Encouraging and supporting employees to get a flu shot Encourage employees to wash their hands on a regular basis Encourage employees to use stairs instead of elevators Hold a 'biggest loser' contest where the person or team that loses the most weight in a defined period wins a prize

39. Page 37 Healthy workplace initiatives 5 of 5 LOW-COST IDEAS Make sure that the benefits plan cover the basic health costs and are flexible for employees Develop and promote a Code of Conduct and Harassment Policy to name and enhance the interpersonal norms within your organization Ensure that the Health and Safety Policy promotes a safety culture Provide regular education sessions on health issues. Promote a smoke-free workplace Train managers to notice early signs of health concerns

40. Page 38 Benefits of on site fitness facilities

41. Page 39 Benefits of on site fitness facilities 1 of 2 Attract employees with a favourable attitude towards both work and health Reduce absenteeism and employee turnover Produce an increase in productivity Reduce healthcare costs

42. Page 40 Benefits of on site fitness facilities 2 of 2 SPECIFIC FITNESS BENEFITS Body mass Body fat Aerobic power Muscle strength and endurance Flexibility Skinfolds and body fat Cardiac risk factors Life satisfaction and wellbeing Illness and injury

43. Page 41 Health & wellbeing framework

44. Page 42

45. Page 43 Health & wellbeing framework 2 of 2 PROGRAM MANAGEMENT Workplace health risk management Individual health risk management Attendance management Workplace wellbeing Individual wellbeing

46. Page 44 US healthcare; the key changes

47. Page 45 US healthcare; the key changes 1 of 3 2010 Tax credit given to small businesses to provide health coverage “High-risk” pool created to give adults with pre-existing conditions affordable coverage Insurance companies forced to allow children with pre-existing conditions coverage, no longer drop individuals from coverage once they become sick, remove lifetime and annual limits on individual coverage Adult children up to the age of 26 to be automatically covered by their parents’ plan

48. Page 46 US healthcare; the key changes 2 of 3 2011-13 Drug manufacturers required to provide a 50% discount on brand-name drugs Individual states begin to offer home care for disabled residents covered by Medicaid 2014 Exchanges open, allowing individuals an easy one-stop shop to buy insurance Employees with 50 employees or more face a $2000 fine per employee for not providing health coverage

49. Page 47 US healthcare; the key changes 3 of 3 2014 Individual mandate begins; people are required to have insurance or pay a fine-government subsidies are available on an incremental scale to individuals depending on income Employers allowed to increase financial incentives for employees to meet wellness standards through internal programs 2015-2018 Final stages include an excise tax for some employer-paid plans, and bonuses change for medical professionals

50. Page 48 Contributors of health and wellbeing

51. Page 49 Contributors of health and wellbeing Physical and mental health Work-life balance Social and community vitality Cultural vitality Material standards Quality of governance Environmental vitality

52. Page 50 Drill

53. Page 51 Drill

54. Page 52 Case study A

55. Page 53 Case study A

56. Page 54 Case study B

57. Page 55 Case study B

58. Page 56 Conclusion & Questions

59. Page 50 Conclusion Summary Questions