What is a Comprehensive Workplace Health Management Program? with George Pfeiffer

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What is a Comprehensive Workplace Health Management Program? with George Pfeiffer

  1. 1. + 0 DESIGNING A COMPHREHENSIVE HEALTH PROMOTION PROGRAMGEORGE J PFEIFFER, MSE, FAWHP PRESIDENT, THE WORKCARE GROUP, INC. georgeworkcare@earthlink.net
  2. 2. + 1Designing a Comprehensive Worksite Health Promotion Program  Understand the value and need of having an integrated, comprehensive approach to employee health promotion.  Identify common elements/practices for designing a comprehensive worksite health promotion program.  Identify common practices using a national accreditation model. LEARNING OBJECTIVES
  3. 3. + 2 Designing a Comprehensive Worksite Health Promotion Program  Only 24% of large companies (>750) have a comprehensive program as defined by the 2004 National Worksite Health Promotion Survey: • Health education • Integration • Linkage with other programs • Supportive social and physical environment • Worksite screening DID YOU KNOW?
  4. 4. + 3 National Worksite Health Promotion Survey: 2004  Total Companies 6.9%  50-99 employees 4.6%  100-249 employees 6.0%  250-749 employees 11.3%  >750 employees 24.1% Source: Linnan L, Bowling M, Childress J, Lindsay G, Blakey C, Pronk S, Wieker S, Royall P. Results of the 2004 national worksite health promotion survey. American Journal of Public Health. 2008;98(8):1503-1509.9 Companies Implementing All Five Elements
  5. 5. + 4 National Worksite Health Promotion Survey: 2004  41.3% of all companies linked their health programming to related programs.  29.9% offered supportive social and physical environments.  28.6% integrated their programming into the organizational structure.  26.2% provided health education.  23.5% provided worksite screenings. Source: Linnan L, Bowling M, Childress J, Lindsay G, Blakey C, Pronk S, Wieker S, Royall P. Results of the 2004 national worksite health promotion survey. American Journal of Public Health. 2008;98(8):1503-1509.9 Companies Implementing Specific Elements
  6. 6. + 5 Designing a Comprehensive Worksite Health Promotion Program  An integrated, comprehensive model to employee health management addresses an organization’s entire population: • disregards risk status. • facilitates positive risk migration (e.g., medium/high to low). • represents a sustainable health management/well-being strategy. • encourages and facilitates a cross-functional approach to program planning and management. VALUE PROPOSITION
  7. 7. + 6 Designing a Comprehensive Worksite Health Promotion Program  *$6,000 per employee Direct Medical Costs Estimated Total Costs $18,000 PEPY Sources: Loeppke, et.al., JOEM, 2003; 45:349-359 and Brady, et al, JOEM, 1997; 39:224-231 DIRECT COSTS RELATED TO INDIRECT COSTS ■ Estimated $12,000 per Employee Medically Related Productivity Costs Presenteeism Absenteeism Short-term Disability Long-term Disability
  8. 8. + 7 Designing a Comprehensive Worksite Health Promotion Program CHANGE OF COSTS RELATED TO CHANGE IN RISKS
  9. 9. + 8 Designing a Comprehensive Worksite Health Promotion Program Goals  Keep employees healthy  Avoid migration to higher risk levels Goals  Identify risk factors early  Target risks with appropriate interventions Goals  Provide appropriate treatment with the greatest benefit at the least risk and cost  Improve treatment compliance/ adherence Goals  Assess outcomes  Reassess total health needs Goals  Improve decision-making skills regarding care options  Improve provider/patient communication Pfeiffer, GJ. Stages of the continuum of care. WorkSET Program. 2008. Goals  Keep employees healthy  Avoid migration to higher risk levels
  10. 10. + 9Designing a Comprehensive Worksite Health Promotion Program  Identifying strengths, weaknesses, and gaps along continuum • Review existing program components against continuum. • Identify what needs to be fixed. • What needs to be added/eliminated? • “Low hanging fruit”? FIRST STEP: HOW BALANCED ARE YOUR OFFERINGS?
  11. 11. + 10Designing a Comprehensive Worksite Health Promotion Program ■ What needs to be done before implementing your new plan? • Do you need more data? • Do you need to change your goals/objectives? • Do you need additional resources? • Do you need to change your staffing/contracts? FIRST STEP: HOW BALANCED ARE YOUR OFFERINGS?
  12. 12. + 11 Designing a Comprehensive Worksite Health Promotion Program Goals  Keep employees healthy  Avoid migration to higher risk levels Goals ■ Identify risk factors early ■ Target risks with appropriate interventions Goals ■ Provide appropriate treatment with the greatest benefit at the least risk and cost ■ Improve treatment compliance/ adherence Goals ■ Assess outcomes ■ Reassess total health needs Goals ■ Improve decision-making skills regarding care options ■ Improve provider/patient communication Pfeiffer, GJ. Stages of the continuum of care. WorkSET Program. 2008. Goals ■ Keep employees healthy ■ Avoid migration to higher risk levels
  13. 13. + 12 Designing a Comprehensive Worksite Health Promotion Program Program/Practice Models
  14. 14. + 13 Designing a Comprehensive Worksite Health Promotion Program 1. Align features and incentives with the organization’s core mission, goals, operations, and administrative structures. 2. Operate at multiple levels. 3. Target the most important health care issues. 4. Tailor components to needs of individuals. 5. Achieve high rates of engagement and participation. 6. Achieve successful health outcomes. 7. Evaluate—scorecards and metrics. Adapted from: Goetzel RZ, Shechter D, Ozminkowski RJ, et al. Promising practices in employer health and productivity management efforts: findings from a benchmarking study. J Occup Environ Med. 2007;49:111–130. “PROMISING PRACTICES”
  15. 15. + Level 4 – Special Needs Disease management, EAP, behavior health, health concierge, prenatal education, work hardening, ergonomics Level 3 – Risk Reduction Targeted interventions, health coaching, risk specific online & print applications, topic specific workshops/support groups Level 2 – Risk Avoidance/Well-being Screenings, HRA’s, health coaching, benefit education, online resources, benefit education, self-care Level 1 – Organizational Readiness and Engagement Business alignment, total leadership support, benefit design, policies, environmental supports, incentives Pfeiffer, GJ. Worksite Health International. 2011 Special Needs Risk Reduction Risk Avoidance/ Well-being Organizational Readiness & Support
  16. 16. + US Healthiest HealthLead™ Workplace Accreditation Program 15
  17. 17. + 16 Copyright 2012 Alliance to Make US Healthiest : Business Sustainability Model? on Places of Work Business Sustainability
  18. 18. + Medal Criteria Based on Comprehensiveness and Impact™ Planned
  19. 19. + 18Designing a Comprehensive Worksite Health Promotion Program ■ Organizational Engagement and Alignment ■ Population Health Management and Well-being ■ Outcomes Reporting © US Healthiest/HealthLead™ 2010. All rights reserved US HEALTHIEST HEALTHLEAD™ HEALTHIEST WORKPLACE ACCREDITATION PROGRAM
  20. 20. + 19Designing a Comprehensive Worksite Health Promotion Program  Business Alignment  Leadership Alignment  Data Alignment  Policy Alignment  Employee Benefits Alignment  Environmental Alignment  Communications Alignment  Administrative/Operations Alignment © US Healthiest/HealthLead™ 2010. All rights reserved Organizational Engagement and Alignment
  21. 21. + 20Designing a Comprehensive Worksite Health Promotion Program  Business Alignment  Is your program aligned with your organization’s business goals?  Specific mission statement and related goals/objectives?  Leadership Alignment  “C-Suite”/Senior leadership?  Middle-management/Supervisory  Lay-leadership  Wellness committees? © US Healthiest/HealthLead™ 2010. All rights reserved Organizational Engagement and Alignment
  22. 22. + 21Designing a Comprehensive Worksite Health Promotion Program  Data Management Alignment  Data sources aligned with defined goals/objectives?  Standard collection/evaluation processes?  Dashboard?  Policy Alignment  Tobacco-free, vending?  Policies that reduce access/cost barriers?  Physical activity  On/off the clock  Flex-time © US Healthiest/HealthLead™ 2010. All rights reserved Organizational Engagement and Alignment
  23. 23. + 22Designing a Comprehensive Worksite Health Promotion Program  Employee Benefits Alignment  Affordable healthcare?  Value-based benefit design?  Incentive programs?  Well-being: personal leave, education, financial health, retirement?  Environmental Alignment  Physical activity?  Nutrition?  Ergonomics?  Lactation rooms? © US Healthiest/HealthLead™ 2010. All rights reserved Organizational Engagement and Alignment
  24. 24. + 23Designing a Comprehensive Worksite Health Promotion Program  Communications Alignment  Branding?  Know leverage formal/informal networks  Health literacy?  Multiple media/channels?  Administrative/Operations Alignment  Dedicated staff?  Wellness committee?  Performance standards internal/external?  Quality control? © US Healthiest/HealthLead™ 2010. All rights reserved Organizational Engagement and Alignment
  25. 25. + 24Designing a Comprehensive Worksite Health Promotion Program  Primary Prevention and Health Maintenance  Risk Factor Intervention/Modification  Decision Support/Medical Management  Well-being and Information Support Services  Work Safety  Community Engagement © US Healthiest/HealthLead™ 2010. All rights reserved Population Health Management/Well-being
  26. 26. + 25Designing a Comprehensive Worksite Health Promotion Program  Primary Prevention and Health Maintenance  Health risk assessment/biometrics?  Lifestyle and well-being management?  Incentives?  Safety?  Risk Factor Intervention/Modification  Risk identification/targeting?  Personalized programming?  Incentives? © US Healthiest/HealthLead™ 2010. All rights reserved Population Health Management/Well-being
  27. 27. + 26Designing a Comprehensive Worksite Health Promotion Program  Decision Support/Medical Management  Health benefit support?  Health literacy?  Medical consumerism/self-care?  Disease management?  Well-being and Information Support Services  Resiliency?  Work/life balance information and support  EAP  Continuing education? © US Healthiest/HealthLead™ 2010. All rights reserved Population Health Management/Well-being
  28. 28. + 27Designing a Comprehensive Worksite Health Promotion Program  Work Safety  Culture of safety—job/personal?  Compliance with federal/local safety regulations?  Ongoing education/cross-training wellness?  Community Engagement  Leverage community resources?  Engaged in health-related issues?  Support employee volunteerism?  “Leading by Example”—locally, nationally, internationally? © US Healthiest/HealthLead™ 2010. All rights reserved Population Health Management/Well-being
  29. 29. + 28Designing a Comprehensive Worksite Health Promotion Program  Process Outcomes  Risk Outcomes  Clinical Outcomes  Financial Outcomes © US Healthiest/HealthLead™ 2010. All rights reserved Outcomes Reporting
  30. 30. + 29Designing a Comprehensive Worksite Health Promotion Program What percentage of your population:  Eligible?  Complete HRA?  Complete biometric screening?  Know your program by name/logo? © US Healthiest/HealthLead™ 2010. All rights reserved Outcomes Reporting/Process Outcomes
  31. 31. + 30Designing a Comprehensive Worksite Health Promotion Program What percentage of your population:  Are considered low-risk?  Continue to be low-risk after second HRA?  Are engaged in targeted risk interventions? © US Healthiest/HealthLead™ 2010. All rights reserved Outcomes Reporting/Risk Outcomes
  32. 32. + 31Designing a Comprehensive Worksite Health Promotion Program What percentage of your population:  Comply with preventive screenings?  Medication adherence for leading chronic conditions?  Comply with minimum health measures regarding:  Activity, BMI, Fruits/Vegetables, Tobacco Free, Alcohol? © US Healthiest/HealthLead™ 2010. All rights reserved Outcomes Reporting/Clinical Outcomes
  33. 33. + 32Designing a Comprehensive Worksite Health Promotion Program What is your organization’s three-year trend:  Direct medical costs?  Medical-related sick-days?  Short-term disability?  Workers compensation? © US Healthiest/HealthLead™ 2010. All rights reserved Outcomes Reporting/Financial Outcomes
  34. 34. + 33 Designing a Comprehensive Worksite Health Promotion Program  We address our entire population.  We address all levels of risk.  We address the “total worker.”  We have a “total leadership” model.  We work cross-functionally.  Our program is aligned with our business: mission, goals, and objectives. CHECKLIST
  35. 35. + 34 Designing a Comprehensive Worksite Health Promotion Program  We attempt to integrate our services and data rather than segmenting our services.  We align policies, benefits, and environmental supports.  We continually communicate.  We try to identify and reduce barriers to participation and engagement.  We provide meaningful data to our key stakeholders. CHECKLIST
  36. 36. + 35 Further Information  www.ushealthiest.org
  37. 37. + 36 ARE THERE ANY QUESTIONS?

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