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The Art and Science of Employee Engagement Through Health Coaching

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Presentation Title: The Art and Science of Employee Engagement through Health Coaching

Program Description Employers are increasingly focused on lifestyle coaching as the core of robust and scalable employee wellness programs. Employers are also increasingly aware that the most effective wellness interactions have little impact if the employees are not engaged in the programs and resources available to them. As companies continue to invest in worksite health and wellness programs with an eye towards making wellness more convenient and impactful for employees, the lack of employee engagement remains an industry challenge. This webinar will address a best practice model for member engagement, lifestyle program design and delivery methods, and health coaching training and development. Finally, a case study of how onsite health coaching can supercharge employee engagement in health and wellness programs will be reviewed.

Learning Objectives:
•Participants will be able to identify best practices in member engagement, program design, and training delivery methods.
•Participants will understand how to overcome engagement barriers in the workplace.
•Participants will recognize how onsite coaching “done right” can supercharge engagement in health coaching, wellness, and health management programs.

Published in: Healthcare
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The Art and Science of Employee Engagement Through Health Coaching

  1. 1. Advancing the quality, accessibility, and affordability of health care The Art and Science of Employee Engagement through Health Coaching Presented by: Dr. Tim Cline & Amanda Budzowski
  2. 2. Copyright 2014 UPMC Health Plan. All rights reserved. Today’s Presenters Timothy R. Cline, PhD, MCC; Senior Director, Clinical Training and Development, UPMC Health Plan and UPMC WorkPartners Amanda Budzowski, MPH, MS, CHES, On-site Health Coaching Manager UPMC Health Plan and UPMC WorkPartners
  3. 3. Copyright 2014 UPMC Health Plan. All rights reserved.
  4. 4. Copyright 2014 UPMC Health Plan. All rights reserved. • Participants will be able to identify best practices in member engagement, program design, and training delivery methods. • Participants will understand how to overcome engagement barriers in the workplace. • Participants will recognize how onsite coaching “done right” can supercharge engagement in health coaching, wellness, and health management programs. Learning Objectives Time for a Poll
  5. 5. Copyright 2014 UPMC Health Plan. All rights reserved. – Review current state of employee wellness program delivery – Explore best practice model for lifestyle health coaching – Learn how you can supercharge employee engagement through on-site health coaching Learning Objectives
  6. 6. Copyright 2014 UPMC Health Plan. All rights reserved. 70% of our health and well-being is determined by lifestyle factors that generally results from our everyday choices. 1
  7. 7. Copyright 2014 UPMC Health Plan. All rights reserved. Why Health Coaching? How Many Americans Can Say “Yes” to All 5? 1. I am within 5 pounds of my ideal body weight 2. I exercise 30 minutes or more most days of week 3. I eat a healthy diet with 5 fruits/vegetables most days 4. I don’t use tobacco products 5. I have 2 or fewer alcoholic drinks per day
  8. 8. Copyright 2014 UPMC Health Plan. All rights reserved. • Participants will be able to identify best practices in member engagement, program design, and training delivery methods. • Participants will understand how to overcome engagement barriers in the workplace. • Participants will recognize how onsite coaching “done right” can supercharge engagement in health coaching, wellness, and health management programs. Learning Objectives Time for a Poll
  9. 9. Copyright 2014 UPMC Health Plan. All rights reserved. Leading Causes of Death in US Disease Reduction Compared to U.S. Comment Heart Disease 64%*−83%** 80% due to modifiable risk factors Cancer 60%* Approximates NCI estimates Diabetes 91%** No type 2 epidemic All-cause Mortality 50%* 25 year Okinawa program —similar findings * Knoops et al and **Rimm, Stampfer, JAMA 2004;292:1433-1439
  10. 10. Lifestyle Improvement IS Good Medicine
  11. 11. Copyright 2014 UPMC Health Plan. All rights reserved.
  12. 12. Copyright 2014 UPMC Health Plan. All rights reserved.
  13. 13. Employer Utilization in Health Coaching
  14. 14. Copyright 2014 UPMC Health Plan. All rights reserved. RAND: Percentage of Employers Offering Wellness Program, by Employer Size3 51% 39% 62% 85% 86% 91% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Percentage of Employers Offering Wellness Program, by Employer Size All employers 50-100 101-1,000 1,001-10,000 10,000-50,000 > 50,001
  15. 15. Copyright 2014 UPMC Health Plan. All rights reserved. RAND: Workplace Wellness Offerings3 79% 77% 72% 52% 52% 36% 5% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% Among Employers Offering a Lifestyle Management Program, Percentage Offering Specific Interventions Nutrition/ Weight Smoking Fitness Alcohol Drug Abuse Stress Management Health Education
  16. 16. Copyright 2014 UPMC Health Plan. All rights reserved. 2013 Healthcare Benchmarks: Health Coaching2 74% 59% 54% 42% 32% 28% 14% 12% 6% 3% 0% 10% 20% 30% 40% 50% 60% 70% 80% 1 Modalities Used for Program Delivery Telephonic Face-to Face Web site E-mail US mail Group Sessions Texting Smart Phone app Other Avatars
  17. 17. Copyright 2014 UPMC Health Plan. All rights reserved. 25.3% 74.7% Does your Organization Offer Health Coaching? Yes No 2013 Healthcare Benchmarks: Health Coaching2
  18. 18. Lifestyle Health Coaching: A Best Practice Model • Goals • Paradigm • Core programs • Delivery options • Health coach training • Supercharging engagement
  19. 19. Copyright 2014 UPMC Health Plan. All rights reserved. • Mitigate Health Risks • Arrest disease progression • Reduce medical costs • Increase employee productivity • Improve QOL Goals of Health Coaching
  20. 20. Copyright 2014 UPMC Health Plan. All rights reserved. Health Coaching Paradigm Shift
  21. 21. Lifestyle Intervention Support, Delivery, and Evaluations
  22. 22. Copyright 2014 UPMC Health Plan. All rights reserved. Recommended Program Offerings Lifestyle Improvement Programs: – Weight Management – Nutrition – Tobacco Cessation – Stress Management – Physical Activity – Personalized Program
  23. 23. Copyright 2014 UPMC Health Plan. All rights reserved. Lifestyle Program Materials Evidence-based | Curriculum driven | Best in class
  24. 24. Copyright 2014 UPMC Health Plan. All rights reserved. Comprehensive and Self Contained Workbook | Toolkit | Trackers | Inserts
  25. 25. Copyright 2014 UPMC Health Plan. All rights reserved. Hard Science Healthcare Intelligence Network (2013). 2013 healthcare benchmarks : Health Coaching. www.him.com 2 0% 10% 20% 30% 40% 50% 60% 70% Motivational Interviewing Stages of Change Self-efficacy Mindfullness Health Belief Model Socail Cognitive Theory Appreciative Inquiry PAM Visualization Other Theory of Planned Behavior Positive Psychology Behavior Change Tools
  26. 26. Copyright 2014 UPMC Health Plan. All rights reserved. Soft Touch
  27. 27. Copyright 2014 UPMC Health Plan. All rights reserved. Health Coaching Delivery Options Matched to individuals’ learning styles and preferences Coach-delivered Coach-supported self-study Telephone- based Program On-site group Call on CoachTM Online Text Tip Support Tool Workbook Tele-group Additional Support
  28. 28. Health Coach Training
  29. 29. Copyright 2014 UPMC Health Plan. All rights reserved. Health Coach Backgrounds Interdisciplinary Team #1 Asset
  30. 30. Copyright 2014 UPMC Health Plan. All rights reserved. Coaching Communication (Motivational Interviewing) Process of Inquiry • Reduces resistance • Resolves Ambivalence • Increase intrinsic motivation • Builds on strengths • Expands perception
  31. 31. Copyright 2014 UPMC Health Plan. All rights reserved. Stages of Change Stages of Change A Spiral Model “Linear progression is a possible but relatively rare phenomenon with addictive behaviors.” -J. Prochaska,PhD. Maintenance Action Preparation Contemplation Pre-contemplation
  32. 32. Copyright 2014 UPMC Health Plan. All rights reserved. Focus on Member Needs Motivation Commitment Accountability Feedback Self-Efficacy Reinforcement Knowledge Social Support Self Awareness Resource Awareness
  33. 33. Copyright 2014 UPMC Health Plan. All rights reserved. Build Self- management Skills SMART Goals Self Monitoring Problem- Solving Assertiveness Task-specific skills Self-talk
  34. 34. Copyright 2014 UPMC Health Plan. All rights reserved. State-of-the-Art Training Methods • Multi-media Instruction • Observation • Role-play • Brainstorming • Demonstration
  35. 35. Copyright 2014 UPMC Health Plan. All rights reserved. MyHealth Coach Training Curriculum • 15 modules • 20 modules • 24 modules • 8 modules Health Coaching Operations Core Health Coaching On-site Health Coaching Delivery Skills
  36. 36. Copyright 2014 UPMC Health Plan. All rights reserved. Detailed Coaching Guides
  37. 37. Copyright 2014 UPMC Health Plan. All rights reserved. QAR and Skills Building Sessions • Self-referred, supervisor-referred, & random QARs • Individual and group supervision/feedback sessions • Focus: continuous clinical quality improvement  Dissemination of innovative & effective coaching skills/approaches  Problem-solve coaching challenges
  38. 38. Copyright 2014 UPMC Health Plan. All rights reserved. Quality Assurance Review
  39. 39. Copyright 2014 UPMC Health Plan. All rights reserved. Certification Criteria Certified Level Advanced Level Mastery Level Core Training Complete 101 Training Complete Program Training Listen to one complete call series Complete 101 Training Complete Program Training Listen to one complete call series Complete 101 Training Complete Program Training Listen to one complete call series Knowledge-based Exam Score ≥ 80% on any administration ≥ 80% on any administration ≥ 90% on 1st administration OR ≥ 80% on Knowledge Exam + ≥ 2.0 on the Health Coach Scenario Essay Exam (on a 3 pt. scale) Total # of Coaching Sessions Completed (per program) 1 25 50 Average QAR Score (on a 3 point scale) 2.0 (on a single QAR) 2.1 (on 10 consecutive QAR’s) 2.25 (on 10 consecutive QAR’s) Present Case Review (Baseline-30 Day F/U) N/A N/A 2.3 on a 3 pt. scale
  40. 40. Copyright 2014 UPMC Health Plan. All rights reserved. Recognition/Career Path Development Name Weight Management __/__/__ Tobacco Cessation __/__/__ Physical Activity __/__/__ Stress Management __/__/__ Nutrition Basics __/__/__
  41. 41. Copyright 2014 UPMC Health Plan. All rights reserved. Best In Class
  42. 42. Copyright 2014 UPMC Health Plan. All rights reserved. Engaging employees in health coaching is an industry- wide challenge.
  43. 43. Supercharging Engagement with On-site Coaching
  44. 44. Copyright 2014 UPMC Health Plan. All rights reserved. Supercharging Engagement • Demystify health coaching • Promote your wellness Model • Crosswalk to services • Sustainable culture of health • Improve health and productivity • Incentive education
  45. 45. Copyright 2014 UPMC Health Plan. All rights reserved. Who is an on-site health coach? Certified Expert • Listen to you • Motivate you • Guide you • Connect to resources • Hold you accountable
  46. 46. Copyright 2014 UPMC Health Plan. All rights reserved. On-site Coaching Opportunities • Personal Health Review • Online tutorial • Coach on Call • Non-invasive Biometrics • Fitness Testing • Cyber Coaching
  47. 47. Copyright 2014 UPMC Health Plan. All rights reserved. On-site Coaching as a Wellness Practice On-site Coach Wellness Program
  48. 48. Copyright 2014 UPMC Health Plan. All rights reserved. Our Approach Discover and Assess Design Implement and Communicate Evaluate and Refine
  49. 49. Copyright 2014 UPMC Health Plan. All rights reserved. For wellness programs to have a substantial impact on employee health and behaviors, wellness must be imbedded into the culture.
  50. 50. Copyright 2014 UPMC Health Plan. All rights reserved. Formula for Success Culture of Health Incentive Design Infrastructure On-site Coach
  51. 51. Copyright 2014 UPMC Health Plan. All rights reserved. Two Case Studies of Employer Groups Case 1: 24 Months: On-site Coaching (2,630 employees) • 4% of unique employees to 55% of employees Case 2: 12 Months: On-site Coaching (150 employees) • 5% of unique employees to 46% of employees Employee Engagement in Lifestyle Health Coaching
  52. 52. Copyright 2014 UPMC Health Plan. All rights reserved. 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% Telephonic Coach Only Clinic Only On-site Coach & Clinic PercentofDistinctEmployees On-site Model Lifestyle Management Participation Baseline Year Year 1 On-site Model Year 2 On-site Model Total Health Management Synergy
  53. 53. Copyright 2014 UPMC Health Plan. All rights reserved. • 97% agree their coach was friendly, approachable, professional and knowledgeable • 98% agree that they were satisfied with program materials • 100% agree that by participating in health coaching their health has or will change for the better On-site Coaching Satisfaction
  54. 54. Copyright 2014 UPMC Health Plan. All rights reserved. Online Health Tools HRA Biometric Screenings/ Assessments Health Coaching Worksite Health Programs Dedicated Account ManagementProgram Support Structure Analytics & Reporting Wellness Committees Communications & Collateral Incentives Building a Foundation to Manage Health
  55. 55. Copyright 2013 UPMC Health Plan. All rights reserved. Population Health Strategy
  56. 56. Questions?
  57. 57. Copyright 2014 UPMC Health Plan. All rights reserved. Contact Information Timothy R. Cline Phone: 412-454-8545 Email: Clinetr@upmc.edu Amanda Budzowski Phone: 412-454-8369 Email: Budzowskiar@upmc.edu
  58. 58. Copyright 2014 UPMC Health Plan. All rights reserved. 1. Danaei, G, et al (2009), “The preventable causes of death in the United States: comparative risk assessment of dietary, lifestyle, and metabolic risk factors,” PLoS Meidicine, Vol 6 No 4, e1000058. 2. Healthcare Intelligence Network (2013). 2013 healthcare benchmarks : Health Coaching. www.him.com 3. Mattke, S., & et.al (2012). Workplace wellness programs study: final report. RAND Corporation. http://www.rand.org/pubs/periodicals/health- quarterly/issues/v3/n2/07.html References

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