Overview of a workplace wellness pilot program in Santa Barbara County at three diverse employers. Discusses the case for workplace wellness, return on investment, program design, best practices, case examples, results, and recommendations.

1. Workplace Wellness for
Santa Barbara
"
SBHRA Luncheon
January 15, 2013

2. Summary!"!Project!ACT!Wellness!
! where a healthy workplace environment, targeted
communications, and individual and family practices meet
! derived from whole-person view of wellness
! Uses grassroots leadership to deliver “bang for the buck”
" Movement!Challenges!
" Fruity!Fridays!
" Spa!Water!Infusions!
" Onsite!Zumba!and!Yoga!!
" Moving!MeeDngs!
" Family!Picnics!
" Team!Stretches!
" Weight!Loss!Challenges!
" Healthier!CelebraDons!
" Charity!Walks!
" Recipe!Contests!
" Biometric!screenings!

3. Today’s Journey
"
1. The Case for Wellness
2. Characteristics of Success
3. Project ACT Design
4. First Person Accounts
Chumash and SMBSD
5. Results
6. Moving Forward

4. Today’s Journey
"
1. The Case for Wellness
2. Characteristics of Success
3. Project ACT Design
4. First Person Accounts
Chumash and SMBSD
5. Results
6. Moving Forward

5. Dollars and Cents:
The High Costs of Preventable Disease
"
$22#billion#
Annual!cost!in!California!from!medical!and!lost!
producDvity!due!to!preventable!chronic!disease!
$1400!
Extra!cost!annually!direct!to!
an!employer!of!an!obese!
employee!compared!to!a!
healthy!weight!worker!
10!workdays!
missed!by!a!typical!
employee!with!one!of!10!
key!chronic!condiDons!

6. "At Work, But Out Of It”
"
ProducDvity!losses!outweigh!medical!costs!at!least!2:1!
Presenteeism:*Losses!in!producDvity!
due!to!health!condiDons!
6
Sources:!Kaiser!Permanente!;!Goetzel!et!al!(2004).!

7. Prevention Through Lifestyle
"
100%!
90%!
Percent#of#Each#Disease#A5ributable#to#
Lifestyle#Behavioes#
80%!
70%!
60%!
50%!
40%!
30%!
20%!
10%!
0%!
Heart Disease"
Cancer"
Stroke "
Sources:!Stampfer!2000;!Parkin!2010;!!Chiuve!2008;!Mozaffarian!2009!
Diabetes"

8. Why Invest in Wellness?
"
Presenteeism!
Absenteeism!
Health!Care!
Costs!(95%)!
Talent!
AbracDon!
(67%)!
ProducDvity!
(64%)!!
Morale!(77%)!
Leadership!
Development!
ReputaDon!
RetenDon!
(75%)!

10. The “Halo Effect” of Wellness
"
Blood!pressure,!weight!
AppeDte!
Smoking!
Stress!&!anxiety!
FaDgue!and!drowsiness!
Unhealthy!snacks!
Prolonged!signg!
Engagement!
Mood,!calmness!
Fruit!and!veggie!intake!
Water!consumpDon!
Physical!acDvity!beyond!work!
Energy!and!alertness!
Sleep!quality!and!duraDon!
SupporDve!work!environment!
Source:!Kaiser!Permanente!
10!

11. Building a Positive Culture
"
in*a*survey*of*employees*at*1,308*businesses*
70%!
• Say!wellness!
programs!posiDvely!
influence!the!
culture!at!work!
58%!
• Report!a!posiDve!
influence!on!
colleagues,!friends,!
and!family!

12. 6:1 Potential ROI on
Workplace Wellness
"
When done in a comprehensive manner:
$3.27 drop in medical costs
$2.73 less absenteeism days
$6.00 ÷ $1.00 invested
Source:!Baicker,!Katherine,!David!Cutler,!and!Zirui!Song.!
2010.!!Workplace!wellness!programs!can!generate!savings.!
Health!Affairs!29(2):!304"311.!

13. Today’s Journey
"
1. The Case for Wellness
2. Characteristics of Success
3. Project ACT Design
4. First Person Accounts
Chumash and SMBSD
5. Results
6. Moving Forward

14. Success Factors (RAND 2013)
"
EffecDve!
CommunicaDons!
ConDnuous!
EvaluaDon!
Leverage!
Resources!
Easy!Engagement!
for!All!Employees!
Leadership!at!All!
Levels!

15. Dual Emphasis
"
*
Target*
*
*
*
Ac=ons*
*
*
*
Principal*
ROI**
Individuals!
PopulaDon!
Screen!&!
Intervene!
Lifestyle!Behavior!
Change!
Disease!
Management!
ProducDvity!

16. Today’s Journey
"
1. The Case for Wellness
2. Characteristics of Success
3. Project ACT Design
4. First Person Accounts
Chumash and SMBSD
5. Results
6. Moving Forward

18. Components of ACT Workplace
Wellness
"
PosiDve!
Environment!
Policies!
PromoDon!&!
CommunicaDon!
IncenDves!
Benefits!

20. (Infra)Structure
"
# $5000 each site"
# Regular Champion calls / meetings"
# Brand Identity"
# Website"
# Best Practices and Tips "
# Baseline and Post-Surveys"
# 250 consultant hours each"

21. Website Resources
"
" Hundreds!of!Tips!
" ArDcles!in!6!“AcDvate”!Areas!
" Photos!and!ideas!from!the!3!
sites!
" NaDonal!wellness!resources!
!
!
21!

22. Today’s Journey
"
1. The Case for Wellness
2. Characteristics of Success
3. Project ACT Design
4. First Person Accounts
Chumash and SMBSD
5. Results
6. Moving Forward

23. Chumash
"
Context: Multiple shifts; active but unhealthy
environment; Employee Dining Room; established
Wellness Committee
Tactics: upbeat branding; partnerships; focus on
families
Activities:
23!

24. Santa Maria-Bonita Schools
"
Context: PT and FT employees across 20+ sites;
no wellness in recent years
Tactics: principal buy-in; run by HR with
widespread site Champions; incentives
Activities:
24!

25. Public Health Department
"
Context: Three main sites; organizational
transitional primary care vs. administrative
Tactics: workday integration; grassroots initiative;
flagship events
Activities:
25!

26. Today’s Journey
"
1. The Case for Wellness
2. Characteristics of Success
3. Project ACT Design
4. First Person Accounts
Chumash and SMBSD
5. Results
6. Moving Forward

27. What to Measure?
"
ParDcipaDon!
SaDsfacDon!
PercepDons!
Behavior!
AdopDon!
Biometrics!
Health!Care!
Costs!

28. 65%!
of all responding employees have
adopted a healthy practice in the last
few months.
(Project Goal: 50%)
28!

29. 65% have a new healthy practice
Of those…
"
What#Type#of#Healthy#PracBce#Did#You#Start#or#Increase?#
52%!
52%!
52%!
51%!
49%!
43%!
EaDng!less!junk!food!
Drinking!more!water!
Gegng!more!physical!acDvity!
EaDng!more!fruits!and!vegetables!
EaDng!less!fast!food!
EaDng!smaller!porDons!
31%!
Drinking!fewer!sugary!drinks!
16%!
15%!
14%!
9%!
Taking!more!breaks!where!I!get!up!and!move!
MeditaDon,!deep!breathing,!other!stress!relief!
Reducing!Dme!in!front!of!a!screen!
Other!
0%!
10%!
20%!
30%!
40%!
50%!
60%!

30. People are Increasingly Participating
in Workplace Activities
"
Do#you#or#have#you#parBcipated#in#any#of#the#wellness#acBviBes#at#
work?#
Percent#ParBcipaBng#
80.0%!
60.0%!
40.0%!
57.7%!
20.0%!
73.6%!
70.2%!
37.0%!
22.9%!
18.8%!
0.0%!
Pre#
Post#
Chumash#
Pre#
Post#
SMBSD#
Pre#
Post#
PHD#

31. Highlights: Eating and Activity
Outcomes
"
QuesBon#
Results#
“In!recent!months,!how! 43%!report!eaDng!healthier!
have!your!eaBng#
pa5erns!changed?”!
“How!many!glasses!of!
water!do!you!drink!per!
day?”!
10%!increase!across!populaDon!
(max:!+!0.8!glass!daily!at!PHD)!
“In!recent!months,!how! 33%!of!people!are!gegng!more!
has!your!physical#
physical!acDvity!
acBvity#pa5ern!
changed?”!

32. Improved Awareness of
Efforts to be a Well Workplace
"
Compared#to#9#months#ago,#how#aware#are#you#that#your#employer#is#
working#to#increase#employee#wellness?#[Answer:#"More#Aware")#
SMBSD!
86.3%!
90.0%!
80.0%!
PHD!
74.6%!
70.0%!
60.0%!
50.0%!
40.0%!
Chumash!
32.1%!
30.0%!
20.0%!
10.0%!
0.0%!
32!

33. 44%!
of respondents have shared healthy
practices outside of work with kids as
a result of Project ACT
(Project Goal: 35%)
33!

34. Quotes: the Ripple Effect
"
• “Students saw teachers working out and asked about the
healthy food we were bringing to school. We shared with
them about what teachers are doing to become more healthy.”
– SMBSD teacher
• “Started my kids and partner on more veggies at meals.
Putting more lettuce in the kids' sandwiches.” –PHD employee
• Told my mother, significant other, and close friends about
energy drinks, eating healthier, and exercising at least 30
minutes a day. Exercise must be cardio if you actually want
results.
– Chumash employee
• “My stepdaughter and neighbor we are walking every
other day for one hour” – SMBSD employee

35. 85% of Employees Are Eager To
Have Project ACT Continue
"
Yes,!Would!be!Nice!to!Have!
No,!Not!Important!to!Me!
Yes,!Definitely!ConDnue!
SMBSD#
65.5%!
44.2%!
41.6%!
PHD#
28.0%!
Chumash#
6.5%!
32.3%!
56.5%!
14.3%!
11.3%!

36. Today’s Journey
"
1. The Case for Wellness
2. Characteristics of Success
3. Project ACT Design
4. First Person Accounts
Chumash and SMBSD
5. Results
6. Moving Forward

37. Steal These Ideas
ACT Lessons
"
Let!the!Grassroots!Lead;!Listen!to!Feedback!and!Ideas!
Leverage!Benefits!and!Internal!Resources!
Select!a!Few!Things!and!Do!Them!Well!
Mix!Broad!(PopulaDon"Wide)!and!Deep!Limited!Reach!AcDviDes!
Winners:!Classes,!Group!&!Individual!Challenges,!and!Healthy!Snacks!

38. What Was Most Challenging?
"
1.!Leadership!commitment!at!all!levels!in!trying!Dmes!
2.!PenetraDon!of!any!single!communicaDons!medium!
3.!Reaching!outlier!and!distributed!teams!

39. How to Get Started
"
# Form a team
# Leadership
# Grassroots Champions
# Identify 2-3 initial activities
# Promote with Positivity
# Have a Challenge
# Take Suggestions
# Utilize project-act.com

40. How to Get Started
Lead by Example
"
" Choose Your Own ACT
" Post it in your workspace
" Submit online at project-act.com
" Hold a “Moving Meeting”

41. Connect
"
Seth Nickinson (Project Consultant)"
seth@nickinson.com"
"
Jacqueline Mireles (Chumash)"
Jacqueline.mireles@sycerc.com"
"
Margaret Ontiveros (Santa Maria-Bonita School District)"
montiveros@smbsd.net "