1. Corporate Wellness
Kathy Green, MS, RN-BC, RPP, RPE
Corporate Wellness Coach
Integrative Health Coach
Holistic Health Advisor
2. Why Employee Wellness
• The Affordable Care Act
• Decrease in Presenteeism
• Health Promotion - Disease Prevention – Disease Management
• Improved Return on Investment Significant $$$ Savings
• Reduced absenteeism
• Improved Employee Morale and Quality of Life
• It’s the Right Thing to Do!
3. The Affordable Care Act: Workplace Wellness
• Worksite wellness programs will become part
of a national public health strategy to address
the increase in chronic diseases, which are
predicted to cost the U.S. health care system
an estimated $4.2 trillion annually by 2023
• Anderko L, Roffenbender JS, Goetzel RZ, Millard F, Wildenhaus K, et al. Promoting Prevention Through the Affordable
Care Act: Workplace Wellness. Prev Chronic Dis 2012;9:120092
4. The Affordable Care Act: Workplace Wellness
• Declining workforce health contributes to an
increase in health-related expenses, both in
direct medical payments and indirect costs
resulting from absenteeism and presenteeism
• Anderko L, Roffenbender JS, Goetzel RZ, Millard F, Wildenhaus K, et al. Promoting Prevention Through the Affordable Care Act:
Workplace Wellness. Prev Chronic Dis 2012;9:120092
5. Workplace Trends Changing
• Focus is on building a “Culture of Health”
• Increased Organizational support for healthy lifestyle
• Seeing more evidence-based health promotion interventions
to encourage positive health behaviors
• Aging of the workforce
• Increase in depression, anxiety, diabetes – The WHO
estimates depression will be the most prominent disability in
the next decade
• Increase in employees with multiple chronic diseases
6. Wellness Programs Are Cost Beneficial
• Wellness programs save companies money in health-care
expenditures and produce a positive return on investment (ROI).
Behavior change impacts the bottom line.
• Baicker et al calculated an average return of $3.27 in medical
costs for every dollar spent on worksite wellness program
• Baicker, (2010) for every wellness dollar spent it reduces
absenteeism by $2.73
• Brave Well Report
• Anderko L, Roffenbender JS, Goetzel RZ, Millard F, Wildenhaus K, et al. Promoting Prevention Through the Affordable Care Act: Workplace Wellness. Prev Chronic Dis
2012;9:120092
• What’s the Hard Return on Wellness Programs, Baun, W. http://www.slidshare.net/hpcareernet/
7. High Risk Employee Health Issues
• Obesity
• Heart Disease
• Cancer Care
• Mental Health
• Stress
• Smoking
• Chronic Pain
• Pharmaceuticals
8. Costs Associated with Obesity
• Adult Obesity in the U.S. cost $210 billion annually (2008) or 21% of
total healthcare spending Non-medical cost associated with obesity $450
billion annually (2012)
• By 2030 U.S. healthcare cost will increase by $48- $66 billion
• Evidence suggest by 2040 half the adult population may be obese
• Businesses are suffering due to obesity-related job absenteeism ($4.3
billion annually).
• Medical care costs according to Trogdon (2009) reported that workplace
obesity interventions resulted in a reduction of $90.00 for every 5% of
body weight
• Matrix Global Advisors, Campaign to End Obesity – The Long-Term Returns of Obesity Prevention Policies by Alex Brill, April 2013
• http://www.healthycommunitieshealthyfuture.org/learn-the-facts/economic-costs-of-obesity/
• What’s the Hard Return on Wellness Programs, Baun, W. http://www.slidshare.net/hpcareernet/
9. Obesity Related Diseases Matter
• Joint problems
• Type II Diabetes
• Depression
• Increase development of various types of cancer
• High blood pressure, heart disease, and high cholesterol lead to
chronic disease and eventually death
11. Importance of Heart Health
• In 2013 the AHA reported heart disease as the leading cause of
women’s death
• CVD major complication of diabetes – 65% of people with
diabetes die from heart disease and stroke
• 386,000 Americans died of heart disease in 2009 - that is
one in six deaths in this country
• In 2010, coronary artery disease cost the US more than $100
billion
12. Emotional Heart – Seat of the Soul
• Physical – Hereditary features
and lifestyle choices
• Psychological – With held or
internalized emotions
• Mental Stressors – Includes
societal pressures, personal
pressure, and environment
• Leads to Emotional Heart
Attack
Broken Heart Syndrome
Your Vibrant Heart: Restoring Health, Strength, and Spirit from the
Body's Core by Cynthia Thaik, MD (Harvard Trained Cardiologist)
Low
Vibratory
Energy
Highest
Frequency
High
Vibratory
Energy
Anger Love Happiness
Hatred Gratitude Joy
Resentment Harmony Kindness
Current Cost of a Non-complicated
Open Heart Surgery is $125,00.00
(WELCOA; VIMO.COM)
13. Chronic Disease Kills
• People who smoke have double the risk for CVD and death
when also diabetic.
• Lung cancer is the leading cause of cancer deaths
• Obesity contributes to many different types of cancer
• Cancer kills over ½ million people and costs over $200 billion
annually in the U.S.
14. Health Care Cost
Associated with
Smoking
More than $289 billion a year, plus
$133 billion in direct medical care
for adults and more than $156
billion in lost productivity
The estimated total cost of cancer
care in the United States in 2020
is expected to be $158 billion -
$207 billion.
These figures do not include other types of
costs, such as lost productivity, which add
to the overall financial burden of cancer.
(National Cancer Institute at the NIH)
Cancer is a costly illness!
CDC SAMMEC, MMWR 2008;57(45):1226–1228..
15. Cost Associated with Chronic Pain
• 100 million U.S. Adults have Chronic Pain problems
• Pain affects quality of life, causes disturbed sleep, anxiety, depression,
obesity, mobility issues
• Chronic Pain treatment and lost productivity cost businesses $635 billion
annually
• Pharmaceutical Issues- Costs – Drug addictions
• Guidelines for back pain issued by the American College of Physicians and
the American Pain Society states that Nondrug Approaches should be
considered in patients who do not improve with self-care
• National Center for Complementary Alternative Medicine – NIH, Get the Facts Chronic Pain
16. Pharmaceutical Issues Chronic Pain
• Drug Addictions to Narcotics rampant across America
• Unintentional accidental death due to opiates drug overdose has
reached epidemic proportions in the state of Ohio – that is
440% increase from 1999 – 2011
• Nearly 5 (4.8) Ohioans die every day. That is one Ohio resident
death every 5 hours
• The rates of death per capita by overdose are the most
pronounced in the Southern parts of the state
17. Why Focus on Mental Health Issues?
Depression and stress are the major sources of lost Productivity in the Workplace
18. Adverse Affects of Stress
• Stress is the number one problem associated with all visits
to a physician according to the Stress Institute (75-95%)
• Stress and Anxiety can lead to excessive alcohol consumption
is the third leading preventable cause of death in the U.S.,
behind diet and physical activity and tobacco (CDC)
• Alcoholism contributes to 54 different diseases and injuries
including cancer of the mouth, throat, esophagus, liver,
colon, breast, liver diseases, and other cardiovascular,
neurological, psychiatric and GI problems
19. Stress Epidemic
• A telephone survey of 1,019 employed adults found that
83% of Americans are stressed by at least one thing at work,
a sharp increase of 10 percentage points when compared
with 2012 (73%).
• The survey was conducted to coincide with April's Stress
Awareness Month – Work Stress Survey, conducted by
Harris Interactive for 3 consecutive years
20. Work Survey Results
• Paychecks were a top stressor with 14% of adults ranking low
wages as the most stressful aspect of work.
• Low pay shared the top spot with unreasonable workload,
jumping to 14% from 9% in 2012.
• Annoying coworkers and commuting tied at 11%
• Working in a job that is not a chosen career (8%)
• Poor work-life balance (7%),
• Lack of opportunity for advancement (6%) and
• Fear of being fired or laid off (4%).
21. Balanced Lifestyle Is Key
Feeding the Body – the Mind – the Sprit
• Getting enough rest
• Getting enough exercise
• Eating healthy meals
• Social wellness – relationships
• Spiritual wellness
• Job satisfaction – occupational wellness
22. Benefits of Physical
Fitness
Helps maintain healthy
weight
Helps to process stress
hormones
Tones the muscles of the
body
Strengthens the muscles
Boost energy level
Promotes better sleep
Puts spark back in sex
Exercise is FUN!
23. Benefits of Mindfulness Meditation
• Invoke Healing
• Management Stress
• Calm Your Mind
• Relax Your Body
• Increase Your Awareness Level
• Live In the Present
• Learning from the inside out
• Experience of the Senses
• Develop Your Intuition
24. Why Attend A Mindfulness Meditation Program
• What can I learn about myself?
• Listen to my body talk and identify what that means
• Learn to pay attention to my thoughts, emotions, intentions
• Taking responsibility for choices
• Develop a willingness to change perspectives
• Strengthen ones motivation to be fully present with your self and others
• Arouse commitment, courage, compassion, for self and others
• Create authentic power
25. Consciousness Healing And Bioenergychart composed by Dr. Daniel Benor (2004) pg. 381
CAM Therapies compared to Conventional Medicine
Diagnosis
Diagnosis may be unnecessary. Diagnosis required.
Diagnosis by intuitive perceptions that supplement history and
observations.
Diagnosis by history, physical examination, and laboratory
examinations.
Syndromes—patters of symptoms that involve body, emotions, mind,
spirit.
Symptoms—primarily physical; emotions, mind, spirit are
considered secondary.
Diagnoses may vary between diagnosticians. Diagnoses should be consistent between diagnosticians.
Treatments
Wholistic approach includes body, emotions, mind, relationships and
spirit.
Discrete elements of therapies are introduced, focus is mostly on the
body.
Treatments may be specific or non-specific, may involve bio-energies,
and may be focused by actions or by the mind of the therapist.
Treatments are discrete and specific within physical parameters.
They are considered “objective,” i.e. independent of the person
giving them.
Interventions to uncover underlying causes of problems, restore
harmony.
Treatments to repair malfunctioning or damaged organism.
Respond (responsible participant) takes active role in self-healing as
possible.
Therapist diagnoses, prescribes and/or administers treatments.
26. Consciousness Healing And Bioenergy
chart composed by Dr. Daniel Benor (2004) pg. 381
CAM Therapies compared to Conventional Medicine
Theory
Symptoms and diseases are indications of disharmonies in body,
emotions, mind, relationships, and spirit.
Symptoms and disease are evidence of malfunctions of the physical
body
Spiritual aspects may be viewed as the most important elements of
health.
Physical aspects are the most important; spiritual issues are relegated
to clergy.
Mind and body are unitary parts of one entity and constantly interact
directly with one another.
Mind and body are separate; only words, symbols, and sensory
exchanges are vehicles for their interactions.
Healing action effective from any distance. Action is local, distance diminished force.
All of time is present in the now, and treatment may be directed to
“anywhen.”
Time is linear, with past, present, and future; treatments are given in
the present.
Physical death is a transition to spiritual dimensions. Physical death terminates existence.
Death is a natural part of existence, and healing into death is a good
healing.
Death is to be avoided and fought against at all costs.
Explanations are “both/and” Explanations are in “either/or”
Research
Individual case reports and qualitative studies preferred, RCTs (with
compromises in usual CAM practices).
RCTs are the gold standard; qualitative studies and observation
based on individual cases are inferior.
27.
28. Benefits of Partnering with a
Corporate Wellness Coach
Holistic Health Advisor
Registered Polarity Practitioner, RPE
MS, RN-BC
Lifestyle Interventions with an Emphasis on Wellness
Health Promotion Disease Prevention Education
29. Benefits of Working With a Coach
• Supports individuals through their own self discovery process
• Empowers individuals to move forward when they are feeling
stuck
• Exploration of personal passions, prioritizes talents, and
spirituality
• Guides individuals to clarify, identify, and achieve realistic goals
• Supports individuals to become more of who they would like to be
• Facilitates an individual to maximize their own self satisfaction
30. Benefits of Working With a Coach
• Empowers individuals to transform their life and enjoy it
more
• Helps an individual to identify strategies for addressing self-
limiting behaviors
• Helps one stay on track
• Personalized individual, in person, by phone, or Group
Coaching
• Consulting
31. Dimensions of Wellness
All 6 concepts are components of created programs
1.) Physical
2.) Emotional
3.) Spiritual
4.) Social
5.) Occupational
6.) Environmental
Bill Hettler - 6 Dimensions of Wellness
32. Holistic Interventions 4 Domains
Biological Based
Practice
Energy Medicine Manipulative
& Body-based
Practices
Mind-body
Medicine
Herbs Energy Fields
Therapeutic touch
Chiropractic
Acupuncture
Psycho-
Neuroimmunology
Special Diets
CHIP Program
Mindful Eating
Magnetic Fields
Polarity Therapy
Massage
Polarity Therapy
Biofeedback
Hypnosis
Guided Imagery
Vitamins and
Supplements
Biofield
Qi Gong or Tai Chi
Energetic Exercise
Osteopathic Prayer, Meditation,
Mental Healing, Art,
Dance, Music, Yoga,
Exercise
33. On Site Integration Non-invasive Therapies
Accessibility & Convenience Matters
Biological Based Therapies - Herbs, Supplements, Detox,
CHIP Program, Mindfulness Eating
Energy Therapies – Reike, Polarity Therapy, Healing Touch,
Craniosacral therapy, Foot Reflexology, Aromatherapies
Manipulation and Body Based Therapies - Massage,
Registered Board Certified Polarity Practitioners
Laser Light Therapy
Stress Management Assessment
35. How Can I Partner With You To
Lower Costs?
• Provide Holistic Education Programs
to your employees in Health
Promotion and Disease Prevention
• Provide Disease Management
• Provide employees with individual
or group coaching in person or by
phone
• Assessment of Plant Environment
• Health risk assessments – Generate
customized employee health
programs - Data analysis
Mindfulness
Meditation
Program
Smoking
Cessation
Programs
Stress
Management
Programs
Nutrition
Education
Complementary
Integrative Pain
Management
Healthy Lifestyle
Training
Programs
36. All programs are organized to fit your business
environment and program goals!
Program marketing is concentrated on
strategies “targeted” on specific employee
groups for certain program interventions
Wellness is a lifelong journey!
Successful programs are focused on behavior
change and building a culture of health.
Let us partner to build this culture together!!