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Measuring and Acting upon Well-Being:   The Learnings, the Application           and the ImpactJohn Harris                ...
Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved.Copyright © 2011 Gallup, Inc. All rights reserved...
GDP Doesn’t Help us UnderstandHow People will Behave    Egypt: Recent Trends in Percentage “Thriving” and GDP per Capita (...
Leaders Have Corrected Public Health                Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserv...
Obesity Rates Trending up Globally                 Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserve...
Reducing Obesity Saves Money               Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved.      ...
Americans’ Health Habits Are Getting Worse                                                                                ...
Obesity and Related Chronic Conditions Areon the Rise:                    More Americans                    have high bloo...
Americans’ Job Satisfaction Is Decreasing and Future Outlook forTheir Community Is Still Recovering From the Recession:   ...
Well-Being Index Measures                      Global                     Wellbeing         Objective                     ...
The Gallup-Healthways Well-Being Index • 25-year commitment, initiated January 2, 2008 • Telephonic-based for “community” ...
Life Evaluation on a Scale From 0 to 10: TheCantril Ladder                        Cantril Self-Anchoring Striving Scale: “...
Germans Rate Their Lives Lower Despite SuperiorResults in Health, Work, and Basic Access                                  ...
Germans Rate Their Lives Lower ThanAmericans and Britons                Copyright ® 2011 Gallup-Healthways Well-Being Inde...
Germans More Likely to Exercise and ExpressSatisfaction With Cities                 Copyright ® 2011 Gallup-Healthways Wel...
Noteworthy Trends from U.S.      2010 WBI Data        Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights rese...
2010 Well-Being Index Findings  • Work Environment down 2.7 points since 2008  • Healthy Behavior score improved slightly ...
Well-Being in America                                                      2008                                           ...
Well-Being in Virginia                                                                                          Result    ...
Well-Being in Virginia Cities                                       Washington-Arlington-Alexandria, DC-VA-MD-WV          ...
Life EvaluationLife Perception & Correlation to Healthcare Costs        “Please imagine a ladder with steps numbered from ...
The Residents of the Top 10 WellbeingCities in America… 1.    Learn new and interesting things each day. 2.    Have very l...
A New Orleans Super Bowl Wellbeing Bounce?                Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights ...
U.S. vs. New Orleans:% “Thriving” Trended Over Time               U.S.          New Orleans70                             ...
Compelling Findings Since Inception            Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved.  ...
Cost Disparity of Life Evaluation                                                   “Please imagine a ladder with steps nu...
Risk Disparity By Life Evaluation                                            Risk Category by Life Evaluation             ...
Life Evaluation      % With Significant Stress                                                                 % Feeling W...
Life Evaluation & Presenteeism DriversDuring the past four weeks (28 days), how often have you been at work but had troubl...
Risk Disparity By Life Evaluation                                                   Risk Category by Life Evaluation      ...
Productivity Impairment Disparity byLife Evaluation  Activity Impairment, Work Presenteeism and Work Productivity Loss by ...
Commute Time and Well-Being                                             %%% %% Obese                                      ...
Work Environment Affects Health andEngagement of a Workforce                             Impact of Negative Work Environme...
Work Environment Impact onEmployees With Chronic Conditions      Days Unable to Carry Out Usual Activities Per Year       ...
2010 U.S. Well-Being DisparitiesAge    Well-Being Index Composite Score = 66.8                              Life Evaluatio...
The Interconnectedness of All Domains                      Drivers of BMI Risks: Example of New Insight Healthy Eating    ...
Cost and Performance Impact         Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved.         Copy...
Well-Being Relationship to Total Medical Costs     ANNUAL MEDICAL AND RX CLAIMS COST | Low:High Well-Being = ~3.5x more co...
Well-Being and ProductivityHIGHER    OVERALL WELL-BEING   IS ASSOCIATED WITH HIGHER                                PERFORM...
Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved.Copyright © 2011 Gallup, Inc. All rights reserved...
Expanded Value Proposition  Improve                          Reduce Total                                   Increase      ...
What Can We Do About It?       Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved.       Copyright ©...
We Can’t Rely on the Status Quo• Worksite health programs have been in existence for about  40 years• There is evidence th...
Making the Transition from Health to     Well-Being       Well-being is bigger       than Physical Health                 ...
The Best Science                                Behavioral Change                 Prochaska’s Transtheoretical Model   Dec...
Leveraging Emotional and Social HealthTo Impact Physical Health                            Copyright ® 2011 Gallup-Healthw...
Think Differently Often on-line wellness programs don’t work because they are:       UNREALISTIC MISALIGNED    INCONVENIEN...
Health is More Like a Game                 Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved.      ...
Stop Being Sloppy About Behavior ChangeSource: BJ Fogg, Stanford University                                       Copyrigh...
Make it Fulfilling – “Gamification”              adapted from Dr. Richard Bartle                    Copyright ® 2011 Gallu...
One Small Daily Action…                                                 The likely impact of one person                   ...
Daily Challenge: Take Small Stepsin All Six Well-Being DomainsSmall daily actions | Conversations | Assessment | Social En...
Make it Social                 Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved.                 C...
Keep it Dynamic We are connected Health solutions aren’t medical, they’re social Pixel Tracking System                    ...
Create the Ability to Go Deep • Tracks are unlocked by using keys. • Keys are bought with a credit card, by exchanging tok...
Make it Mobile  • Mobile apps  • Interactive SMS    messaging being                      Copyright ® 2011 Gallup-Healthway...
Make it Easy to Track   Build a “well-being sensor” that adds movement to our lives. Realistic about who will wear it… Con...
Optimizing the Community – Beyond Virtual                                               Blue Zones                        ...
Final Thoughts                                 Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved.  ...
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Measuring and Acting upon Well-Being: The Learnings, the Application and the Impact. with John Harris and Katie Bell

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Mr. John Harris, Chief Well-Being Officer and Vice President Innovations with Healthways and Ms. Katie Bell, Partner, Gallup Healthcare Group, will present on The Gallup-Healthways Well-Being Index, the first-ever daily assessment of U.S. residents’ health and well-being. This presentation will address the logic and science behind the tool, what the data is telling us, and how the well-being programs of the future will more effectively impact individuals in ways that drive improved health, reduce cost, and improve business performance. This webinar will also describe the actions employers must take to create a high well-being culture, deliver effective programming, and reap the many benefits of optimal well-being.

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Transcript of "Measuring and Acting upon Well-Being: The Learnings, the Application and the Impact. with John Harris and Katie Bell"

  1. 1. Measuring and Acting upon Well-Being: The Learnings, the Application and the ImpactJohn Harris Katie BellChief Well-Being Officer PartnerVice President, Innovations Global WellbeingHealthways, Inc. Gallup, Inc. Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 1 Copyright © 2011 Healthways, Inc. All rights reserved.
  2. 2. Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved.Copyright © 2011 Gallup, Inc. All rights reserved. 2Copyright © 2011 Healthways, Inc. All rights reserved. 2
  3. 3. GDP Doesn’t Help us UnderstandHow People will Behave Egypt: Recent Trends in Percentage “Thriving” and GDP per Capita (PPP) 2005-2010 GDP Per capita (PPP) estimates are from the International Monetary Fund’s World Economic Outlook database. Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 3 Copyright © 2011 Healthways, Inc. All rights reserved.3
  4. 4. Leaders Have Corrected Public Health Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 4 Copyright © 2011 Healthways, Inc. All rights reserved.
  5. 5. Obesity Rates Trending up Globally Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 5 Copyright © 2011 Healthways, Inc. All rights reserved.
  6. 6. Reducing Obesity Saves Money Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 6 Copyright © 2011 Healthways, Inc. All rights reserved.
  7. 7. Americans’ Health Habits Are Getting Worse Fewer Americans are eating healthy. Fewer Americans are exercising. Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 7 Copyright © 2011 Healthways, Inc. All rights reserved.
  8. 8. Obesity and Related Chronic Conditions Areon the Rise: More Americans have high blood More Americans More Americans pressure. have high are obese. cholesterol. More Americans have diabetes. Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 8 Copyright © 2011 Healthways, Inc. All rights reserved.
  9. 9. Americans’ Job Satisfaction Is Decreasing and Future Outlook forTheir Community Is Still Recovering From the Recession: Fewer Americans are satisfied with their jobs. Americans’ optimism about the future of their community has yet to recover from the recession. Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 9 Copyright © 2011 Healthways, Inc. All rights reserved.
  10. 10. Well-Being Index Measures Global Wellbeing Objective Subjective Evaluative Experienced GDP Health Employment What one Literacy How one rates experiences his or her life Poverty in daily life Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 10 Copyright © 2011 Healthways, Inc. All rights reserved. 10
  11. 11. The Gallup-Healthways Well-Being Index • 25-year commitment, initiated January 2, 2008 • Telephonic-based for “community” survey Six Domains: • 1,000 completed surveys per day/7 days/week 1. Life Evaluation • 1,310,000+ surveys completed as of October 15, 2011 2. Emotional Health • The maximum 95% margin of sampling error is ±0.1 3. Physical Health percentage points 4. Healthy Behavior • Science-based design, support and oversight: 5. Work Environment • Behavioral economists • Psychologists 6. Basic Access • Experts in psychometric statistical analysis • Largest and most comprehensive well-being survey of its kind Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 11 Copyright © 2011 Healthways, Inc. All rights reserved. 11
  12. 12. Life Evaluation on a Scale From 0 to 10: TheCantril Ladder Cantril Self-Anchoring Striving Scale: “Please imagine a ladder. . . . On which step of the ladder would you say you personally feelyou stand at this time? On which step do you think you will stand about five years from now?” Thriving 7/8 Struggling Suffering 4/4 Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 12 Copyright © 2011 Healthways, Inc. All rights reserved.
  13. 13. Germans Rate Their Lives Lower Despite SuperiorResults in Health, Work, and Basic Access Germany U.K. U.S. (n=4.811) (n=7.843) (n=208.013) Well-Being Index Composite Score 67.9 67.0 66.4 Average of six sub-indexes Life Evaluation 35.3 48.0 49.4 Ranking one’s life today and in the future Emotional Health 80.1 80.8 79.3 Daily feelings; clinical depression Physical Health 77.3 80.4 76.9 Chronic conditions, obesity, physical pain, cold/flu Healthy Behavior 70.2 66.8 64.0 Smoking, healthy eating, exercise Work Environment 54.8* 39.5* 47.1* Using strengths, supervisor relationships Basic Access 89.8 86.7 82.0 Healthcare, community satisfaction, money for basics*WEI sample includes only respondents employed by an employer. Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 13 Copyright © 2011 Healthways, Inc. All rights reserved.
  14. 14. Germans Rate Their Lives Lower ThanAmericans and Britons Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 14 Copyright © 2011 Healthways, Inc. All rights reserved.
  15. 15. Germans More Likely to Exercise and ExpressSatisfaction With Cities Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 15 Copyright © 2011 Healthways, Inc. All rights reserved.
  16. 16. Noteworthy Trends from U.S. 2010 WBI Data Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 16 Copyright © 2011 Healthways, Inc. All rights reserved. 16
  17. 17. 2010 Well-Being Index Findings • Work Environment down 2.7 points since 2008 • Healthy Behavior score improved slightly in 2010 • Life Evaluation up 9.8 points since 2008 • Hawaii: highest state well-being score • Boulder, CO: highest city well-being score Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 17 Copyright © 2011 Healthways, Inc. All rights reserved.
  18. 18. Well-Being in America 2008 2009 2010 Ranking: Top Quintile Second Quintile Third Quintile Fourth Quintile Bottom Quintile Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 18 Copyright © 2011 Healthways, Inc. All rights reserved.
  19. 19. Well-Being in Virginia Result Rank 2009 2010 2009 2010 Well-Being Overall 67.0 66.7 12 21 Life Evaluation 49.7 50.5 5 15 Emotional Health 79.3 79.0 15 22 Physical Health 77.4 77.0 16 22 Healthy Behavior 63.1 63.6 22 24 Work Environment 48.7 47.7 29 28 Basic Access 83.7 82.8 16 21 TOP QUINTILE 2ND QUINTILE 3rd QUINTILE 4TH QUINTILE 5TH QUINTILE Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 19 Copyright © 2011 Healthways, Inc. All rights reserved. 19
  20. 20. Well-Being in Virginia Cities Washington-Arlington-Alexandria, DC-VA-MD-WV Charlottesville, VA Richmond, VA Kingsport-Bristol-Bristol, TN-VA Virginia Beach-Norfolk-Newport News, VA-NC Washington DC Charlottesville Virginia Beach Richmond Kingsport 5,358,130 192,779 1,658,292 1,225,626 303,686 STATE Overall Rank 2010 10 39 55 73 168 21 2009 8 #N/A 35 106 179 12 Life Evaluation 2010 6 16 28 87 166 15 2009 6 #N/A 15 104 185 5 Emotional Health 2010 18 67 27 42 175 22 2009 20 #N/A 24 69 172 15 Physical Health 2010 12 25 57 38 187 22 2009 12 #N/A 20 59 186 16 Healthy Behavior 2010 37 38 103 133 119 24 2009 51 #N/A 76 136 69 22 Work Environment 2010 81 168 141 84 74 28 2009 106 #N/A 142 132 116 29 Basic Access 2010 32 47 59 91 100 21 2009 31 #N/A 53 84 108 16 TOP QUINTILE 2ND QUINTILE 3rd QUINTILE 4TH QUINTILE 5TH QUINTILE Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 20 Copyright © 2011 Healthways, Inc. All rights reserved. 20
  21. 21. Life EvaluationLife Perception & Correlation to Healthcare Costs “Please imagine a ladder with steps numbered from zero at the bottom to ten at the top. The top of the ladder represents the best possible life for you and the bottom of the ladder represents the worst possible life for you. On which step of the ladder would you say you personally feel you stand at this time?” Suffering Struggling Thriving 53 48 55 61 58 56 44 47 41 42 42 37 2 2 2 3 5 3 Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 21 Copyright © 2011 Healthways, Inc. All rights reserved. 21
  22. 22. The Residents of the Top 10 WellbeingCities in America… 1. Learn new and interesting things each day. 2. Have very low rates of clinical depression. 3. Have supervisors at work that treat them like partners, not bosses. 4. Have a lot of energy each day. 5. Have low rates of chronic conditions such as high blood pressure, high cholesterol and diabetes. 6. Have low rates of obesity. 7. Have very few smokers. 8. Find it easy to get clean and safe water. 9. Have safe places to exercise. 10. Have enough money to buy food at all times. 11. Visit the dentist each year. Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 22 Copyright © 2011 Healthways, Inc. All rights reserved. 22
  23. 23. A New Orleans Super Bowl Wellbeing Bounce? Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 23 Copyright © 2011 Healthways, Inc. All rights reserved. 23
  24. 24. U.S. vs. New Orleans:% “Thriving” Trended Over Time U.S. New Orleans70 61.9 62.960 54.7 54.1 53.0 50.850 53.1 53.0 53.4 53.4 52.0 46.040 Saints Win Super Bowl! February 7, 201030 June-July 09 August-Sept Oct-Nov 09 Dec 09-Jan 10 Feb-March 10 10-Apr 09 Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 24 Copyright © 2011 Healthways, Inc. All rights reserved. 24
  25. 25. Compelling Findings Since Inception Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 25 Copyright © 2011 Healthways, Inc. All rights reserved. 25
  26. 26. Cost Disparity of Life Evaluation “Please imagine a ladder with steps numbered from zero at the bottom to ten at the top. The top of the ladder represents the best possible life for you and the bottom of the ladder represents the worst possible life for you. On which step of the ladder would you say you personally feel you stand at this time?” Thriving Average 20% Lower Six well-being Medical Costs domains 1. Life Evaluation 7.0 2. Work Quality 3. Basic Access Struggling 4. Healthy Behavior 5. Physical Health 4.0 6. Emotional Health Suffering Average 50% Higher Medical CostSource: Gallup-Healthways Well-Being Index Community Survey and Wellmark Corporate Survey 2008 Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 26 Copyright © 2011 Healthways, Inc. All rights reserved. 26
  27. 27. Risk Disparity By Life Evaluation Risk Category by Life Evaluation 80% 60% 0-1 risks 2-3 risks 40% 4-5 risks 6-9 risks 20% 0% Suffering Struggling ThrivingToward Integration to Enhance Health and Well-Being by Evers, KE, Prochaska, JO, Castle, P. & Prochaska, JM. 2009 (under review) Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 27 Copyright © 2011 Healthways, Inc. All rights reserved. 27
  28. 28. Life Evaluation % With Significant Stress % Feeling Well Rested Suffering 80% Suffering 30% Struggling 61% Struggling 57% Thriving 33% Thriving 82% 0% 20% 40% 60% 80% 100% 0% 20% 40% 60% 80% 100% % With Sufficient Energy % Satisfied with Job Suffering 50% Suffering 50% Struggling 79% Struggling 74% Thriving 95% Thriving 91% 0% 20% 40% 60% 80% 100% 0% 20% 40% 60% 80% 100% Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 28 Copyright © 2011 Healthways, Inc. All rights reserved.
  29. 29. Life Evaluation & Presenteeism DriversDuring the past four weeks (28 days), how often have you been at work but had trouble concentrating ordoing your best because of: Thriving Struggling Suffering Thriving Struggling Suffering80% 69% 70% 65% 60%70% 60%60% 54% 49% 48% 50%50%40% 33% 40% 35% 24% 24% 30%30% 21% 30%20% 11% 20% 15%10% 10% 11% 7% 0% 10% 4% % With Personal % With Financial % With Caregiver 0% Problems Stress or Responsibilities Depression/Anxiety Health and Regulatory/Legal Concerns Physical Condition Issue Thriving Struggling Suffering Thriving Struggling Suffering80% 45% 42% 70%70% 65% 40% 35% 32% 32%60% 53% 30% 30%50% 45% 25% 20% 39% 18% 19%40% 33% 20% 30% 15% 11%30% 23% 9% 10%20% 13% 5%10% 0% 0% Supervisor Issues Insufficient Lack of Job Overload Co-Worker Technology Training Resources to Issues Issues Effectively do Work Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 29 Copyright © 2011 Healthways, Inc. All rights reserved.
  30. 30. Risk Disparity By Life Evaluation Risk Category by Life Evaluation 80% 60% 0-1 risks 2-3 risks 40% 4-5 risks 6-9 risks 20% 0% Suffering Struggling ThrivingToward Integration to Enhance Health and Well-Being by Evers, KE, Prochaska, JO, Castle, P. & Prochaska, JM. 2009 (under review) Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 30 Copyright © 2011 Healthways, Inc. All rights reserved. 30
  31. 31. Productivity Impairment Disparity byLife Evaluation Activity Impairment, Work Presenteeism and Work Productivity Loss by Life Evaluation 25% Activity Impairment Productivity Impairment 20% Work Presenteeism 15% 10% Work Productivity Loss 5% 0% Suffering Struggling Thriving Source: Toward Integration to Enhance Health and Well-Being by Evers, KE, Prochaska, JO, Castle, P. & Prochaska, JM. 2009 (under review) Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 31 Copyright © 2011 Healthways, Inc. All rights reserved. 31
  32. 32. Commute Time and Well-Being %%% %% Obese Eating Healthy Exercising Feeling Well Rested Reporting Anger 15 minutes or less 15 minutes or less less 15 minutes or 58% 67% 28% 1-15 Minutes 15 Minutes or Less 13% 71% 16-30 minutes 16-30 minutes 56% 69%67% 16-30 16-30 Minutes 16-30 minutes Minutes 29%14% 31-45 Minutes 31-4531-45 minutes 31-4531-45 minutes Minutes minutes 52% 67% 65% 14% 32% 46-60 Minutes 66% 46-6046-60 minutes Minutes 46-60 minutes 46-60 minutes 63% 15% 34% 50% Over 60 Minutes 64% Over 60 Minutes Over 60 minutes 63% 17% Over 60 minutes Over 60 minutes 50% 36% 60% 62% 64% 66% 68% 70% 72% 0%61% 0% 2% 5% 62% 4% 10% 6% 15% 63% 8% 64% 20% 10% 25% 65% 12% 66%30% 14% 16% 67% 35% 18% 68% 40% 46% 48% 50% 52% 54% 56% 58% 60% Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 32 Copyright © 2011 Healthways, Inc. All rights reserved.
  33. 33. Work Environment Affects Health andEngagement of a Workforce Impact of Negative Work Environment More Disengaged Employees / Higher Productivity Losses 80% 70% Negative Positive or Neutral 60% 50% 40% 30% 20% 10% 0% Job Impacts Disengaged Health Service Mark SM 2008 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2008 Gallup, Inc. All rights reserved. Copyright © 2008 Healthways. All rights reserved. Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 33 Copyright © 2011 Healthways, Inc. All rights reserved. 33
  34. 34. Work Environment Impact onEmployees With Chronic Conditions Days Unable to Carry Out Usual Activities Per Year 16.2 Days/Year 6.6 Days/Year Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 34 Copyright © 2011 Healthways, Inc. All rights reserved. 34
  35. 35. 2010 U.S. Well-Being DisparitiesAge Well-Being Index Composite Score = 66.8 Life Evaluation Score = 49.8 Physical Health Score = 76.9 Emotional Health Score = 79.3 Healthy Behavior Score = 64.1 Work Environment Score = 48.2Source: Gallup-Healthways Well-Being Index Community Survey 2010, n= 352,840 Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 35 Copyright © 2011 Healthways, Inc. All rights reserved. 35
  36. 36. The Interconnectedness of All Domains Drivers of BMI Risks: Example of New Insight Healthy Eating Height Weight Energy Level Exercise Physical Health # of Health Risks BMI Risk Coping with Stress Emotional Health Negative Affect Personal Sources of Presenteeism Recognition at Financial Stress Work Days of Best Work traditional approach current approach future areas of exploration Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 36 Copyright © 2011 Healthways, Inc. All rights reserved. 36
  37. 37. Cost and Performance Impact Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 37 Copyright © 2011 Healthways, Inc. All rights reserved. 37
  38. 38. Well-Being Relationship to Total Medical Costs ANNUAL MEDICAL AND RX CLAIMS COST | Low:High Well-Being = ~3.5x more cost Annual Costs (Indexed) 4.0 3.0 2.0 1.0 0-50 >50-60 >60-70 >70-80 >80-90 >90-100 (n=109) (n=151) (n=347) (n=582) (n=683) (n=363) Low Well-Being Score (Composite) HighSource: Wellmark Data, Healthways Center for Health Research Analysis (n=2,235) Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 38 Copyright © 2011 Healthways, Inc. All rights reserved. 38
  39. 39. Well-Being and ProductivityHIGHER OVERALL WELL-BEING IS ASSOCIATED WITH HIGHER PERFORMANCE & PRODUCTIVITY Well-Being and Performance Well-Being and Absenteeism Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 39 Copyright © 2011 Healthways, Inc. All rights reserved. 39
  40. 40. Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved.Copyright © 2011 Gallup, Inc. All rights reserved. 40Copyright © 2011 Healthways, Inc. All rights reserved.
  41. 41. Expanded Value Proposition Improve Reduce Total Increase Increase Total Well-Being Medical Cost Performance Economic Value Adopt or maintain • Hospitalizations • Productivity • States healthy behaviors • Event Rates • Engagement • Communities Reduce health-related risks • Disease Rates • Absence • Sponsors Optimize care for health • Lifestyle Risks • Work Impairment • Individuals conditions and disease Prevent or delay next new case of disease or condition Economic Drivers Prevent or reduce impact of the next new episode of care Enhance one’s ability to actively manage their well-being Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 41 Copyright © 2011 Healthways, Inc. All rights reserved. 41 41
  42. 42. What Can We Do About It? Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 42 Copyright © 2011 Healthways, Inc. All rights reserved. 42
  43. 43. We Can’t Rely on the Status Quo• Worksite health programs have been in existence for about 40 years• There is evidence that these programs can generate an ROI• However, penetration and sustained engagement have been lacking Insanity: doing the same thing over and over again and expecting different results - Albert Einstein Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 43 Copyright © 2011 Healthways, Inc. All rights reserved. 43
  44. 44. Making the Transition from Health to Well-Being Well-being is bigger than Physical Health Community Financial Physical Social Emotional Career Individuals ● Experts ● Social Connections ● Environment ● Policy Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 44 Copyright © 2011 Healthways, Inc. All rights reserved.44
  45. 45. The Best Science Behavioral Change Prochaska’s Transtheoretical Model Decision • Rational decision-making through stages of change Making • Pro-Change Embedded in Healthways Core Products Behavioral Dynamic Intermittent Reinforcement • Predictably irrational decision making in humans Economics • Already in use for medication adherence HEALTHHONORS® Emotional and Mindfulness and Neuro-plasticity • Paying attention in a particular way: on purpose, in the Social Health present moment, and non-judgmentally LifeMatters® • The changing of neurons via new experiences Social Social Networks • A social structure of “nodes” which are connected by Connectivity one or more specific types of interdependency, such as friendship, kinship, common interest, knowledge, etc. Gaming Theory Gamification • Fun vs. fulfillment • Appealing to all…Explorer, achiever, socializer, competitor Community, Work, School, Home and Play Environment • Permanent and semi-permanent environmental changes • Silver “Buckshot” versus the Silver “Bullet” Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 45 Copyright © 2011 Healthways, Inc. All rights reserved. 45
  46. 46. Leveraging Emotional and Social HealthTo Impact Physical Health Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 46 Copyright © 2011 Healthways, Inc. All rights reserved. 46
  47. 47. Think Differently Often on-line wellness programs don’t work because they are: UNREALISTIC MISALIGNED INCONVENIENT DISINGENUOUS The solution is a light-weight, self-directed, social well-being product that is realistic, immediate, convenient, and genuine... …deployed for the typically unengaged. Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 47 Copyright © 2011 Healthways, Inc. All rights reserved.
  48. 48. Health is More Like a Game Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 48 Copyright © 2011 Healthways, Inc. All rights reserved.
  49. 49. Stop Being Sloppy About Behavior ChangeSource: BJ Fogg, Stanford University Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 49 Copyright © 2011 Healthways, Inc. All rights reserved.
  50. 50. Make it Fulfilling – “Gamification” adapted from Dr. Richard Bartle Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 50 Copyright © 2011 Healthways, Inc. All rights reserved.
  51. 51. One Small Daily Action… The likely impact of one person reducing their soft drink consumption over time? •They lose weight •Their overweight friends may lose weight •Their normal weight friends will be less likely to gain weight Now, imagine if 100,000 people do it? Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 51 Copyright © 2011 Healthways, Inc. All rights reserved. 51
  52. 52. Daily Challenge: Take Small Stepsin All Six Well-Being DomainsSmall daily actions | Conversations | Assessment | Social Engagement 1. Complete Daily Challenges 3. Assess & track well-being 2. Share, discuss, celebrate 4. Social support & comparison Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 52 Copyright © 2011 Healthways, Inc. All rights reserved.
  53. 53. Make it Social Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 53 Copyright © 2011 Healthways, Inc. All rights reserved. 53
  54. 54. Keep it Dynamic We are connected Health solutions aren’t medical, they’re social Pixel Tracking System Facebook Data Extraction Individuals retrieved 660,000+ Unique individuals 88,000 2,000 new added per day 3 MM Events and social connections 20 MM Friends mapped Avg 280 friends per person Friend connections mapped 300 MM Each person shares 4,400 connections Harness the understanding of the network, to help participants build more effective social systems that drive engagement and effectiveness. Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 54 Copyright © 2011 Healthways, Inc. All rights reserved.
  55. 55. Create the Ability to Go Deep • Tracks are unlocked by using keys. • Keys are bought with a credit card, by exchanging tokens, or given to you by a sponsor. Earn points participating Every 1000 points gets Acquire keys to Each track is unlocked In the daily challenge you one (1) token Unlock tracks for 30 days or more Healthy Eating Balance & Flexibility Stress Family Health A sponsor (employer, payer, Participant purchased or other participant) can keys with a credit card give/purchase keys Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 55 Copyright © 2011 Healthways, Inc. All rights reserved. 55
  56. 56. Make it Mobile • Mobile apps • Interactive SMS messaging being Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 56 Copyright © 2011 Healthways, Inc. All rights reserved.
  57. 57. Make it Easy to Track Build a “well-being sensor” that adds movement to our lives. Realistic about who will wear it… Convenient enough to use regularly… Immediate feedback and sense of daily value… Genuine care for your personal challenges and goals… Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 57 Copyright © 2011 Healthways, Inc. All rights reserved. 57
  58. 58. Optimizing the Community – Beyond Virtual Blue Zones Community Framework Power 9 Principles The Prototype Community Albert Lea, Minnesota Healthways| Blue Zones 2008-2009 Vitality Cities 2010 Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 58 Copyright © 2011 Healthways, Inc. All rights reserved. 58
  59. 59. Final Thoughts Copyright ® 2011 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2011 Gallup, Inc. All rights reserved. 59 Copyright © 2011 Healthways, Inc. All rights reserved.Confidential and Proprietary 59
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