Workplace Wellness - States of Wellness 2012 Hawaii

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  • 1. Made possible with funding from the Centers for Disease Control and Prevention. Sponsored by the Minnesota Department of Health.
  • 2.  The Alliance for a Healthier Minnesota conducted this survey among business leaders in Hawaii through September 19, 2012. It was held in conjunction with a national survey conducted by the Society for Human Resource Management (SHRM); Public Opinion Strategies was instrumental in the design of the survey questionnaire and analysis of the data. The Hawaii project is sponsored by the Centers for Disease Control and Prevention, in partnership with the Hawaii State Department of Health, Society for Human Resource Management Hawaii Chapter, Chamber of Commerce of Hawaii, Hawaii Business Health Council, Knoa-Kohala Chamber of Commerce, Kaiser Permanente, HMSA, University Health Alliance, American Heart Association, Kauai and Maui Nutrition and Physical Activity Coalitions, YMCA of Honolulu, Coalition for a Tobacco Free Hawaii, Kauai Chamber of Commerce, Healthways, Hawaii American Cancer Association, and Hawaii Association of Non-Profits. For the national survey, 406 HR professional respondents from a randomly selected sample of SHRM’s membership participated. For more findings, visit www.statesofwellness.com SLIDE 2
  • 3. Most organizations give themselves a “B” rating. The larger the organization, the lower the rating.“What grade would you give your organization’s employees in terms of being healthy?” 54% 51% 38% 35% 10% 4% 4% 3% National Hawaii A B C D/FTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 3
  • 4. Health insurance costs top the list of issues impacted by employee health and behavior. “Below are some issues that may be impacted by employee health behaviors and conditions. Please rate the importance of these issues in terms of overall organization priorities. (1 = Not Important At All To Your Organization; 10 = Extremely Important To Your Organization)” Health Insurance Costs 62% 84% Decreased Productivity 46% 80% Absenteeism 44% 74% Workers Compensation 41% 69% 10 or Disability Claims 8-10THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 4
  • 5. Obesity, stress and a lack of exercise are seen as the top health conditions facing employees.“Which from the list do you consider to be the top three health conditions or areas that you feel are the greatest concern to your employees?” Obesity/Overweight 19% 41% Stress & Other Mental Health 18% 51% Issues Lack of Exercise/Fitness 19% 56% High Blood Pressure 9% 32% Chronic Diseases 11% 35% Tobacco Use 3% 10% Poor Nutrition 4% 22% Workplace Injuries 5% 12% High Cholesterol 3% 16% Cold & Flu Vaccinations 6% 16% First Choice Alcohol & Substance Abuse 3% 9% Top 3 ChoicesTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 5
  • 6. Eight out of ten organizations spend 5% or less of their budget on these initiatives. “Approximately what percentage of your “How many years ago was your organization’s organization’s operating budget would you say worksite wellness initiative first created?”is spent on worksite wellness initiatives that are separate from health insurance coverage?” NATIONAL SAMPLES 46% 44% 38% 17% 18% 15% 11% 10% 0-1% 2-5% 6+% 1 2 3 4 5+THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 6
  • 7. Organizations place high value on whether or not initiatives have any return on investment. “How important is it to your organization to have a measureable ROI (return on investment) one to three years from now in order to determine the value of worksite wellness initiatives?” HAWAII % Important NATIONALLY % Important Very 36% Very 41% Somewhat 42% Somewhat 43% Not Very 9% Not Very 14% Not At All 4% Not At All 1%THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 7
  • 8. Organizations place high value on whether or not initiatives have any return on investment. “Does your organization track the return on investment (ROI) of its worksite wellness initiatives? “ 58% Nationally Hawaii 51% 42% 19% Yes No Yes NoTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 8
  • 9. Nine out of ten organizations see the benefit of having worksite wellness initiatives in place. “In general, how beneficial would you say worksite wellness initiatives are to organizations like yours?” National Hawaii Very Beneficial 38% 35% Somewhat Beneficial 49% 45% Not Very Beneficial 12% 11% Not Beneficial at All 1% 1%THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 9
  • 10. There is widespread belief they help both the employees and the company’s waistline. “Below are a series of different viewpoints on worksite wellness initiatives. For each one, please select if you AGREE or DISAGREE with a particular position.” 90% 81% 78% 78% 10% 12% 13% 6%Help workers develop Increase worker Lower health care Reduce worker healthier lifestyles productivity costs absenteeism Total Agree Total Disagree THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 10
  • 11. Some agree that wellness initiatives impact only a limited number and might impact privacy. “Below are a series of different viewpoints on worksite wellness initiatives. For each one, please select if you AGREE or DISAGREE with a particular position.” 67% 60% 57% 36% 33% 26%Only impact a limited number Make employees feel their Do little to improve overall of workers privacy is being intruded upon worker health Total Agree Total Disagree THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 11
  • 12. Employers’ primary objective is to keep employees healthy. “To the best of your knowledge, what are your organization’s reasons for offering a worksite wellness initiative?” To improve the overall health of employees 82% To reduce employee health care costs 72% To improve employee productivity 62% To improve employee morale 65% To reduce employee absenteeism 57% To reduce the costs associated with disability claims 49% To attract and recruit employees 27% Was requested by employees 20% To reduce employee turnover rates 22% Were part of the existing health plan 28%THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 12
  • 13. The cost of the initiatives is also a main concern. “Regardless of whether you have a worksite wellness initiative at your organization or not, what are some of the reasons why organizations like yours often decide NOT to offer a worksite wellness initiative?” Cost of the initiative 56% Lack of employee interest/expected low levels of participation 52% Lack of time 51% Management does not see the value of it 32% Employees do not see the value of it 32% Lacking expertise/staff 46%Lack of information/resources about how to develop and maintain an initiative 43% Lack of facilities 41% Unable to find someone who will champion the initiative 37% Organization is too small 29% Would not reduce health insurance costs 32% High employee turnover 8%THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 13
  • 14. They are longitudinally capable of reducing health care costs. “Based on your experience, over the last year do you think that worksite wellness initiatives were effective in reducing your organization’s health care costs?” 52% 48% 38% 23% National Hawaii Yes NoTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 14
  • 15. Almost seven out of ten organizations believe thattheir larger investments in wellness initiatives help keep health care costs low. Effectiveness in Reducing Health Care Costs by % Operating Budget NATIONAL SAMPLE 65% 58% 54% 46% 42% 35%Worksite Wellness Initiative Worksite Wellness Initiative Worksite Wellness Initiative0-1% of Operating Budget 2-5% of Operating Budget 6%+ of Operating Budget Yes NoTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 15
  • 16. Those that offer financial incentives have higher return on investment. Effectiveness in Reducing Health Care Costs by Financial Incentive & Return On Investment NATIONAL SAMPLE 66% 63% 60% 59% 40% 41% 37% 34% Worksite Wellness Worksite Wellness Worksite Wellness Worksite Wellness Initiative Provides Initiative Does Not Provide Initiative Has Return on Initiative Has No Return on Financial Incentive Financial Incentive Investment Investment Yes NoTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 16
  • 17. But they don’t seem to reduce overall worker absenteeism. “Based on your experience, do you think that worksite wellness initiatives are effective in reducing worker absenteeism at your organization?” NATIONAL SAMPLE 62% 63% 53% 50% 47% 38% 37% 19% Overall Worksite Wellness Worksite Wellness Worksite Wellness Initiative 1-2 Years in Initiative 3-4 Years in Initiative 5+ Years in Operation Operation Operation Yes NoTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 17
  • 18. Organizations that have recently added wellnessinitiatives to their worksites don’t see the employee absenteeism rates falling. Effectiveness in Reducing Worker Absenteeism by % Operating Budget 63% NATIONAL SAMPLE 58% 49% 51% 42% 37%Worksite Wellness Initiative Worksite Wellness Initiative Worksite Wellness Initiative0-1% of Operating Budget 2-5% of Operating Budget 6%+ of Operating Budget Yes NoTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 18
  • 19. But they do see positive changes in productivity in the workplace. “Based on your experience, do you think that worksite wellness initiatives are effective in improving worker productivity at your organization?” NATIONAL SAMPLE 76% 61% 56% 56% 44% 39% 24% 11% Overall Worksite Wellness Worksite Wellness Worksite Wellness Initiative 0-1% Initiative 2-5% Initiative 6%+ of Operating Budget of Operating Budget of Operating Budget Yes NoTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 19
  • 20. There is high interest in launching initiatives at new organizations and improving existing ones. “How interested is your organization in developing a worksite wellness initiative in the next one to three years?” 85% 63% 39% Very Interested 26% 26% Very Interested 15% National Hawaii Total Interested Total Not InterestedTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 20
  • 21. There is high interest in launching initiatives at new organizations and improving existing ones. “How interested is your organization in expanding or improving your current worksite wellness initiative in the next one to three years?” 85% 77% 55% 39% Very Interested Very Interested 15% 12% National Hawaii Total Interested Total Not InterestedTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 21
  • 22. Employees see them as beneficial to their health. “How beneficial would your employees find a worksite wellness initiative if your organization created one?” 90% 71% 15% 15% Very Beneficial 13% Very Beneficial 10% National Hawaii Total Beneficial Total Not BeneficialTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 22
  • 23. If subsidies or financial incentives existed, organizations would be more willing to establish wellness programs. “Please select if you AGREE or DISAGREE with the following statements. My organization would be interested in creating or expanding a worksite wellness initiative if…” 86% 86% 78% 23% 14% 14%Health plans offered premium We could demonstrate a financial The state and federal governmentdiscounts or rebates for these return on investment for these provided tax incentives for these initiatives. initiatives. initiatives. Total Agree Total DisagreeTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 23
  • 24. But they also would invest in initiatives to fulfill their employees’ needs. “Please select if you AGREE or DISAGREE with the following statements. My organization would be interested in creating or expanding a worksite wellness initiative if…” 80% 74% 72% 26% 28% 19%It would help attract and retain My employees actively requested There was a community initiative talented employees. such an initiative. that recognized employers with healthy workplaces. Total Agree Total DisagreeTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 24
  • 25. Business executives look at other businesses’ experience with initiatives.“Which of the following would you consider to be TRUSTED and VALUED sources of information about creating or expanding a worksite wellness initiative for your organization?” Business peers or fellow human resource managers 43% Health care service providers 59% Worksite wellness vendors and consultants 38% Health care insurers 43% State and local health departments 36% Non-profit health organizations 42% Online resources 23% Business organizations and trade associations 27%THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 25
  • 26. They are willing to learn more through community networking. “If there was a network in your community for business leaders to learn about issues related to worksite wellness initiatives and to share information, how likely is it that someone from your organization would join this network?” 81% NATIONAL SAMPLE 70% 65% 35% 30% 36% Very 26% Likely 19% Very 20% Likely Very Likely Overall Organization With Worksite Organization Without Worksite Wellness Initiative Wellness Initiative Total Likely Total UnlikelyTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 26
  • 27. Organizations, overall, think there should be more government involvement in wellness initiatives. “In your professional opinion, which one of the following best describes how your organization views the federal governments involvement in worksite wellness initiatives for companies like yours?” 53% 39% 40% 30% 20% 16% Hawaii National Should Be More Active Should Be Less Active Should Not Really ChangeTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 27
  • 28. Organizations, overall, think there should be more government involvement in wellness initiatives.“In your professional opinion, which one of the following best describes how your organization views the state and local governments involvement in worksite wellness initiatives for companies like yours?” 63% 47% 38% 25% 15% 12% National Hawaii Should Be More Active Should Be Less Active Should Not Really ChangeTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 28
  • 29. …even more so among those organizations thatalready have worksite wellness initiatives in place. Government Involvement Among Organizations With Worksite Wellness Initiatives 51% 43% 39% 36% 18% 13% State & Local Government Involvement Federal Government Involvement Should Be More Active Should Be Less Active Should Not Really ChangeTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 29
  • 30. Kona: Question 1 How has the provider shortage in Hawaii County impacted your employees? (Please check ALL that apply.) Unable to access timely specialty care on Big island resulting in employees needing 69% to travel to Honolulu Delays in getting an appointment which 47% results in less productivity at work Delays in getting an appointment, which results in employee using the Emergency 44% room instead of an office visit Delays in getting an appointment which 40% results in delays in return to workTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 30
  • 31. Kona: Question 2 Has limited access to healthcare affected your ability to recruit employees? Not at all affected 55% Somewhat affected 29% Moderately affected 14% Only when I recruit from the mainland 2% Greatly affected 0%THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 31
  • 32. Kona: Question 3 Do you allow return to work authorization forms to be signed by a Physician’s Assistants or Nurse Practitioners? 74% 26% Yes NoTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 32
  • 33. Kona: Question 4 Might you consider changing this in order to get employees back to work sooner? 67% 33% Yes NoTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 33
  • 34. Kona: Question 5 Beyond providing healthcare benefits, what do you, as an employer, do to assist your employees in getting access to healthcare? (Please, check all that apply.) Allow personal time off work or offer flex time for appointments 61% Provide a list of providers 29% Nothing 26% Have a provider come to my business 11% Contact physicians on their behalf 10% Authorize travel expenses to see a physician in off- island 6%THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 34
  • 35. Kona: Question 6 What do you think would help most to improve access to healthcare in Hawaii County? (Please, check all that apply.) More physicians 79% Better reimbursements for healthcare providers 66% Additional healthcare providers such as physicians assistants, physical… 65% A new, bigger hospital by the airport 45% Longer office hours, including evenings and Saturdays 45% More efficient medical offices 42%THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 35
  • 36. Oahu, Maui & Kauai: Question 1 What does your worksite wellness initiative currently include? (Check all that apply) A health risk assessment or employee wellness survey that assesses needs and interests 64% A social environment that supports healthy behaviors (encourages stretch breaks, walking meetings, flexible work schedules, and/or healthy food at … 58% Exercise/fitness programs 54% worksite injury prevention programs 54% Benefits that support healthy behaviors (co-pays waived for cancer screenings and other preventive care, discounted gym memberships) 54% A physical environment that supports healthy behaviors (has accessible stairwells, bike racks, fitness facilities, showers, basic kitchen equipment, and/or … 53% Tobacco cessation programs 46% Stress management programs 44% Nutrition programs 29% Chronic disease management programs 25% Alcohol and substance abuse programs 24% Breastfeeding programs 15% Other 14%THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 36
  • 37. Oahu, Maui & Kauai: Question 2 In your opinion, what is the key to keeping employees engaged in your initiative? Support from leadership 22% Having a healthy worksite culture 22% Programs designed to meet their needs & interests 18% Financial incentives 13% Seeing and feeling results 7% Marketing/communication 5% Customized incentives 5% Having a wellness champion 4% Other 2% Competition 2%THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 37
  • 38. Oahu, Maui & Kauai: Question 3 Does your organization conduct a formal evaluation of your wellness initiative? 51% 29% 20% Yes No UnsureTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 38
  • 39. Oahu, Maui & Kauai: Question 4 Does your health plan(s) provide claims data or reports to assist in planning and evaluating your wellness initiative? 35% 33% 17% 16% Yes No Some do and Unsure some dontTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 39
  • 40. Oahu, Maui & Kauai: Question 5 Which of the following ways do you gather information on worksite wellness initiatives and other employee health issues? SHRM or other professional networks 61% Newsletters or email updates from trusted organizations 53% Websites of trusted organizations 47% Internet searches 44% Social media posts from trusted organizations (Facebook, Twitter, LinkedIn) 10%THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 40
  • 41. What do we now know? The time is right for workplace wellness Employers want it. – 87 percent nationally see it as “beneficial.” We know why. – Insurance/productivity/absenteeism We know what attracts them. – Weight/stress/fitnessTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 41
  • 42. What do we now know? The time is right for workplace wellness We know what they’re nervous about. – Cost/engagement/ROI They want to work together. – 74 percent nationally said they would join a community network They believe in government. – Majorities value the role of federal, state & localTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 42
  • 43. States of Workplace Wellness in America 2012 Hawaii Survey The Alliance for a Healthier Minnesota 800 Nicollet Mall Suite 2690 Minneapolis, MN 55402 www.statesofwellness.com www.healthiermn.comTHE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 43