2012 nov-01 family-cornerstone_overview-4-ymca-et-al_sjr

The Family Cornerstone
Sustained Healthy Lifestyle Program
Builds healthy communities
around the family dinner.
A Wellness Program
from Pangea Health Solutions LLC
Steve Reichenstein, CEO
250 Ridgedale Avenue, Y-3, Florham Park, NJ 07932
sjr.mba.ussa@gmail.com  732 -236-3746

Family Cornerstone
A Pangea Health Solutions LLC Initiative  Steve Reichenstein, CEO  sjr.mba.usa@gmail.com  732-236-3746
2
March 2013
Parents recognize the challenges and
struggle to restore the family dinner.

Family Cornerstone
Remember the family meal?
Bonding, playing, relaxing.
Before the meal, some played, some cooked, and some set the table.
When we sat down to eat, first, we thanked the cooks and setter-uppers ... and
God … for this food, this companionship, this experience.
At the table we shared stories, discussed current events, and told jokes.
Sometimes just parents and kids. Sometimes with grandparents, even cousins.
Afterwards, we cleaned up and went back to playing with everything and
everyone … or, if we had homework, studied together.
I learned by the examples and words of my parents, grandparents, brother,
cousins – about food, playing, the world, and life – around the family meal.
The Family Meal became the Family Cornerstone.
3

Family Cornerstone
I compared my family’s meals
to friends’ families in the
neighborhood and at school ...
We swapped stories. I brought what my friends liked back our family dinners.
Over the years, I’ve looked back at when my father insisted that every night
should be a family meal in some way and it should look and feel special. Later,
he told me that was mainly how he stayed connected to our lives while he was
working very long hours, and often weekends. He connected other ways too,
but daily dinners and holiday family meals were the best memories, he said.
Now older, when I see it in other families all over the world, I realize that …
Family Cornerstones build Community Cornerstones.
4

Family Cornerstone
Healthy children. Healthy families. Healthy communities.
At the beginning of each of my son’s karate classes, Master Nick asked the students to focus
their eyes, focus their minds, then focus their bodies.
Master Nick also started each class by sharing a poem, a parable, or a story to firmly connect
karate to the rest of their lives. They cannot separate their karate lives and the rest of their
lives. He taught them that karate values are individual & family values … core values.
The karate teacher made his classes into family meals … and it worked. My son blossomed into
2nd degree black belt karate teacher and scholarship student.
5
Family Cornerstone and YMCA
share a common mission

Family Cornerstone
“The Big Idea”
Stress is a killer. Living in a constant state of high stress strengthens the influence of
unhealthy behaviors and decreases the drive towards healthy behaviors.
Family Cornerstone creates consistent opportunities for healthy behaviors around
natural family fun & bonding. We focus on parents building ‘Norman Rockwell’
memories with their children and the foundations of tradition and values for their
children to enjoy good lives. They think family, we ensure healthy foods & exercise.
Family Cornerstone contrasts with fast-food, video games, rushing, tension, so parents
feel & recognize the difference ... And recognizing the problem starts the solution.
Family dinner environment restores parents’ sense of control … over their own lives
and their kids’ lives … control they felt slowly slip away as constraints piled up.
The family meal attracts & contrasts, not push & lecture.
6

Family Cornerstone
The Business Concept
The Family Cornerstone builds on parents’ interest in family dinners; employers’ interest
in more & better wellness programs; and experts’ support for family dinners.
1. Family Cornerstone starts with employers acknowledging the severely limited
resources of time & money available to their employees and providing these resources
2. Family Cornerstone attracts employees by tapping existing drive for more family life
employer’s desire for clinical results – pull, not push – and this drives participation
3. Family Cornerstone gets employers, employees & clinical professionals into the same
car and drives them all on the one road that gets them all to their desired destinations
Functional families. Productive employees. Lower health costs.
7

Family Cornerstone
The Business Concept
The Family Cornerstone also works for Medicare seniors, survivors, and disabled
looking for safe, active, family surroundings; good-tasting, healthy meals that they can
afford and are not overwhelming to prepare. Many seniors might also see this as
activity with their grandchildren.
1. Medicare also searches for long-term cost savings through wellness and prevention,
especially under the Affordable Care Act.
2. Seniors and survivors face financial and physical challenges to good meals, getting
out, and finding affordable activities to enjoy with grandchildren and other couples.
Less Stress & Depression. Active Seniors. Lower health costs.
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Family Cornerstone
Key Elements of the Family
Cornerstone Wellness Program
 Bring families together for a traditional family evening around a family meal
at an established, respected, convenient facility, like YMCA, 2x-3x per week.
 Bring families together with a certified dietician to plan, prepare, and eat a
tasty & healthy meal. Dieticians purchase the food and guide the meal event.
 Bring families together, before & after the meal with trainer to exercise in the
swimming pool, basketball court, machines, and floor games, or outdoors.
 Bring each parent together with a certified family counselor 1x per week for a
15-20 minute private meeting where the parent decompresses & discusses
stuff and the councilor helps & screens for degree of distress … and stress.
Restore, Refresh, Reset, and Recognize the difference.
9

Family Cornerstone
Operating Elements of the Family
Cornerstone Wellness Program
• Employers sponsor a full membership for employees’ to the YMCA.
• Plus employers pay a supplemental (single, couple, or) family membership to
the Family Cornerstone wellness program that covers the costs of food &
materials for the family meals. (Recommend: Cost plus performance fees.)
• Employees (and their families) enjoy a free family meal of modestly priced,
easily prepared, delicious-yet-healthy food; family members participate in
cooking with dietician (2x – 3x per week).
• Employees enjoy a free full membership to YMCA and attention from a staff
recreation coach (trainer) to identify, encourage, and guide appropriate play.
Restore, Refresh, Reset, and Recognize the difference.
10

Family Cornerstone
We approach employers &
health plans to sponsor
 We establish the case for replacing the usual wellness program push with the
draw of evolving into healthy living … and ask pilot programs at YMCA’s.
 We calculate & prepare projected costs vs. health-related savings algorithms for
both company & employee plus the program details , timelines & budgets.
 We get audit endorsement from Disease Management Purchasing Consortium,
which has already endorsed the concept.
 We present the concept & supporting data to large employers and plans to get a
pilot program started in some representative sample YMCE locations.
Prepare the case. Pick-up endorsements. Present to clients.
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Family Cornerstone
Simple Rationale
They say that you can boil a frog alive by placing it in water and slowly turning up the
temperature. We say that explains how families, parents, have come to accept & acclimate
to faster pace, less time, and less income to “afford” a healthy family lifestyle. The family
meal, especially the dinner table, exemplifies the foundation and the change.
By now, families might not realize how unhealthy and unhappy they have become because
they have distanced, lost, and forgotten how good the healthy lifestyle feels – physically,
mentally, and emotionally. It’s like feeling neck pain so long that, essentially, you become,
in every way, numb to it.
The Family Cornerstone wellness program reverses this trend … undoes the damage.
To repeatedly experience lifestyles they miss or have never known that,
instinctively feels great, draws families into adopting healthy lifestyles.
12

Family Cornerstone
Messaging Overview
If this program … any wellness program … looks, sounds, smells like wellness
program in words or tone, then employees will run for the hills!!
Another lecturing, scolding, nagging, informing program… an order with a
smile … likely will add stress and stress-induced unhealthy behaviors.
Change the message to change the response ...
13

Family Cornerstone
YOUR employer gets it …
and will help you fix it.
“Your employer recognizes the everyday stresses facing your family and the
limited time and money available for you to deal with family stresses … and that
hurts productivity.
“Your employer agreed to sponsor for you and your family a unique opportunity
you to regain your control over your destiny, regroup with your family, restore
your sense of security, and rebuild your optimistic outlook … to just feel good,
look good, and have more family fun … with a full family membership to your
local YMCA and a full family membership to the new YMCA family meal club.
The message?? “It’s about time!”
14

Family Cornerstone
15
Financial executives are recognizing the facts
“Nine Reasons Why Wellness Works”, Larry S. Chapman
CFO.com Health Benefits | January 04, 2013 | CFO.com | US
Reason #9: Few employers spend more than $500 per
year per employee, while the average health-benefit plan
cost per employee per year is more than $12,000. Some
have estimated that for an average company, the
combined cost of health plan, sick leave, workers’
compensation, disability insurance, and presenteeism
amounts to more than $35,000 per employee per year.
Five hundred dollars is about 1.4% of $35,000.
Wellness is cheap.

Family Cornerstone
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The Logistics – Staffing
We plan for staffing available for 5 hours per day – 4:00 PM to 9:00
PM – for each family schedule option, which would be:
• Initially, at 2x per week – either Monday & Wednesday OR Tuesday &
Thursday – we project 1 dietician and 1 social counselor, each at 20 hours
onsite per week plus an estimated 2 hours per week for prep & reporting for a
total of 22 hours paid time each … or about 3/5 of f/t each
• If successful enough, so that both employers and employees agree to add a
third day to each schedule option, the 3x per week options would be Monday,
Wednesday, and Friday OR Tuesday, Thursday, and Saturday; and the total
staffing costs scaled up by half (50%) each
• We estimate dietician = $85,000 f/t and a licensed social worker = $87,000
(Salary.com); hence $167,000 combined f/t basis and $10 per plate food , so
the more members the lower the per-member cost to these meal overhead costs.

Family Cornerstone
17
The Logistics – Families
• We allow the family evening to be somewhat flexible around family’s schedules
to recognize and accommodate after-school activities, jobs, commutes.
• We offer the families, or members of participating families, the opportunity
to arrive as early as they like – after all, they are YMCA full members
• We invite families or members of families, on all of their program days, to
join with the dietician in planning and preparing the actual family meal
• We require families, as a rule to spend a least ½-hour at the dinner table
during the meal and 1-hour doing other activities onsite after the meal –
guided by YMCA physical trainer, sport, swim, workout, walking, …,
something moving … if had afterschool sports, then can do homework, etc.
• We require at least the parents, individually and/or together as a couple, to
spend 10-20 minutes with the counselor once per week, every week

Family Cornerstone
18
The Logistics –
Food & Materials
Dietician(s) will guide planning and preparation of all foods as well as the
other materials required . Dieticians are uniquely qualified to know:
• Meals should comply with plenty fresh fruits, vegetables, grains, and other
nutritional requirements of a healthy & energetic dietary lifestyle
• Meals should take into account food & other related allergies; tastes &
cultural preferences; physician restrictions; and be delicious & feel fully
satisfying
• Meals be reviewed & authorized by each member’s primary care physician …
with notation of any foods & materials restrictions required … and that the
dietician(s) have reviewed and complied with these restrictions

19
FamilyCornerstone

Family Cornerstone
20
Some facts & statistics …

Family Cornerstone
21
The Main Message …
U.S. Centers for Disease
Control and Prevention

Family Cornerstone
22
“Boost Employee Health & Wellness with Behavioral Economics”
Copyright © Towers Watson. All rights reserved. TW-NA-2010-191134
“Overeating, sedentary behavior, and cigarette smoking cost employers billions of
dollars in healthcare expenses and lost productivity each year* …
“More important, by contributing to preventable chronic diseases and early
deaths, these behaviors exact an enormous economic and emotional toll on
employees and their families …
We Americans are the last
frontier in achieving better
overall health at lower cost of
healthcare … without lowering
prices to providers of healthcare

Family Cornerstone
23
“Periods of disability due to job stress tend
to be much longer than disability periods for
other occupational injuries and illnesses.”

Family Cornerstone
24
Employers are recognizing the facts & factors

Family Cornerstone
25
$1,598 per person per year with
hypertension in hypertension-
attributable cost
National Center for Chronic Disease Prevention and Health Promotion,
Division of Diabetes Translation
U.S. Centers for Disease Control and Prevention
– Trogdon (2007)
based on
2000-2003 Medical Expenditure Panel Survey

Family Cornerstone
26
Disability-Adjusted Life Years Lost to Disease

Family Cornerstone
27
Proven to save employers big money …
every year

Family Cornerstone
28
Wellness programs will be enhanced
under the HealthCare Affordability Act.
“The Affordable Care Act creates new incentives and builds on
existing wellness program policies to promote employer wellness
programs and encourage opportunities to support healthier workplaces.
“The Departments of Health and Human Services (HHS), Labor and
the Treasury are jointly releasing proposed rules on wellness programs
to reflect the changes to existing wellness provisions made by the
Affordable Care Act and to encourage appropriately designed,
consumer-protective wellness programs in group health coverage.
“These proposed rules would be effective for plan years starting on or
after January 1, 2014.”

Family Cornerstone
29
“Constant stress puts your health at risk”

Family Cornerstone
30
“Stress effects your body, feelings,
behavior.”

Family Cornerstone
31
“Learning how to react to life’s stressors
in a healthy way ”

Family Cornerstone
32
Employers: Health Care + Lost Productivity
= Total Cost for Heart Disease & Stroke
Total =
$18,618 per
patient per
year 2002

Family Cornerstone
33
What Employers are hearing from consultants
and current Employer Strategies

Family Cornerstone
34
What Employers are hearing from
consultants and current Employer Strategies

Family Cornerstone
35
“As organizations seek
to do more with less,
strategies for
maximizing workers’
contributions are
critical.”
– Towers Watson, 2012
“Companies need to remove
barriers to getting work done …
“The Power of Three: Taking Engagement to New Heights.” Copyright © Towers Watson. All rights reserved. TW-NA-2011-18532

Family Cornerstone
36
“These and other workplace
problems can hinder
employees’ productivity.“
“Many factors can lead to
employee frustration ...

Family Cornerstone
37
“We found highest levels of net profit
margin in companies with high levels
of both engagement and enablement ...
Enabling employee performance thus
increases the positive impact of
engagement on company success.”
“In a study of 10 global
companies …”

Family Cornerstone
38
Positive well-being generates
energy, supports sustained effort
“Our study of a large
multinational organization
illustrates how well-being
contributes to sustained employee
engagement.”
Figure 1: The impact of well-being

Family Cornerstone
39
“Health improvements are well within the reach of many employees, but too
few workers pursue them, especially in today’s post-recession environment.
Continued job insecurity and ongoing financial pressures mean fewer
employees are placing an high priority on their health and wellness.”
“Towers Watson research found that, between 2008 and 2010, the percentage
of employees who considered managing their health a top priority dropped 10
percentage points, from 69% to 59%.”
“… Percentage of employees
who took action to
significantly improve their
health declined 65% to 59%”
“Boost Employee Health & Wellness with Behavioral Economics”
Copyright © Towers Watson. All rights reserved. TW-NA-2010-191134

Family Cornerstone
40
“Employers encourage
changes in provider
strategies … based on
their value-added.”
Changes to employee
healthcare strategy
planned by mid-sized and
large employers
Towers-Watson 2011
“Changes Ahead
Survey”
“Value-based, Reference-based Providers”

Family Cornerstone
41
Changes to
employee healthcare
strategy planned by
mid-sized and large
employers
Towers-Watson
2011 “Changes
Ahead Survey”
“Value-based, Reference-based Providers”

Family Cornerstone
42
Commonly used health
management program
tools.
… top down, one-offs
Towers-Watson 2011
“Changes Ahead Survey”
Changes to employee healthcare strategy
planned by mid-sized and large employers

Family Cornerstone
43
“… All that changes is the sizes and prices of their
toys.”
… New ways to attract and connect. Yet, perhaps,
today, face-to-face connection is more needed
than ever.
Changes to employee
healthcare strategy
planned by mid-sized
and large employers.
Towers-Watson
2011 “Changes Ahead
Survey”

Family Cornerstone
sjr.mba.usa@gmail.com
732-236-3746 44
Universal

Family Cornerstone
732-236-3746 45
Timeless

Family Cornerstone
732-236-3746 46
The Path to Success

Family Cornerstone
732-236-3746 47
Yesterday

Family Cornerstone
732-236-3746 48
Today

Steven J. Reichenstein
Chief Executive Officer
732-236-3746
50
Pangea Health Solutions

2012 nov-01 family-cornerstone_overview-4-ymca-et-al_sjr

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