Return on investment ROI in KY

1. Achieving a Return on Investment with
Worksite Wellness
Teresa Lovely CHES
Kentucky Cabinet for Health & Family Services
Kentucky Chamber of Commerce

2. Cabinet for Health and Family Services
It’s About Reducing Our Health Risks
Reducing health risks =
Lower health care costs

3. Cabinet for Health and Family Services
Cost of Single Risk Factor
-6%
6%
7%
9%
11%
11%
25%
26%
45%
75%
-20% 0% 20% 40% 60% 80%
Eating Habits
Alcohol
Cholesterol
Exercise
BP
Seat Belts
Obesity
Smoking
Stress
Depression
Percent Higher Annual Health Costs
HERO Study
Larry Chapman , Summex, slide,
October 1998 issue of the JOURNAL of OCCUPATIONAL and ENVIRONMENTAL MEDICINE,
(Goetzel, Anderson, Whitmer, et.al., JOEM, (40) (10). October 1998; 1-12).
http://www.the-hero.org/research.htm

4. Cabinet for Health and Family Services

5. Cabinet for Health and Family Services

6. Cabinet for Health and Family Services
Proof Positive
Multi-component Strong Very Strong
Medical Self Care Very Strong Very Strong
High risk intervention Very Strong Very Strong
Tobacco use Strong Moderate
Hypertension control Very Strong Strong
Program Type Alter Behavior Reduce Costs
(Proof Positive, L. Chapman, 1999)

7. Cabinet for Health and Family Services
Latest ROI Research
• City of N. Littlerock
– AAOHN J (2004)
– 29% reduction in W. C.
• City of Enschede
– OE Med (2004)
– 20.3% reduction in sick leave absenteeism
• General Motors
– JOEM (2002)
– C/B ratio 1:2.3 (STD & LTD)
• Chrysler
– JUOEH (2003)
– Participation showed “dose related response on medical costs
• GlaxoSmithKline
– JOEM (2003)
– C/B ratio 1:6.13

8. Cabinet for Health and Family Services
What determines ROI ?
• Starting point
• Level and nature of interventions
• Quality of incentives
• Use of high participation strategies
• Organization’s current culture
• Quality of implementation
• Quality of measurement methods
(Source: Chapman, Summex)

9. Cabinet for Health and Family Services
Strategies to Enhance ROI
• Individual interventions
• Looks at health and productivity measures
• Strong incentives
• Include spouses
• Annual HRA and follow-up
• Address mental health issues
• Link wellness to a consumer health plan
design
(Source: L. Chapman, Summex, WELCOA)

10. Cabinet for Health and Family Services
Keys to Achieving ROI
• High participation
• Greater intensity of interventions
• Works in any setting or size
• Annual Health risk assessment
• More comprehensive higher ROI
(L. Chapman, Summex, WELCOA)

11. Cabinet for Health and Family Services
Comprehensive Program Definition
Healthy People 2010
• Screening program.
• Health education for employees.
• Supportive social and physical environments.
• Integration of the program into the organization’s
structure.
• Linkage to related programs such as EAP.
Partnership for Prevention (national membership organization) adds:
• Follow up interventions in place to support behavior
change.
• Evaluation and improvement process to enhance
program’s effectiveness

12. Cabinet for Health and Family Services
Organizational Keys to Achieving ROI
• Management vision and support
• Senior level “wellness champion”
• Vision passed down through all levels
• Grassroots” wellness champion”
• Health connected to what the organization does – goals
• Organization mission and wellness program mission should
overlap
(Goetzel, WELCOA, Results Oriented, 2002)

13. Cabinet for Health and Family Services
A Higher Return on Investment
• Design and implementation will determine
success and impact in reducing health-related
costs. ROI
• Results oriented NOT activity oriented
• Must impact the utilization of health care
• Participation is key.
Source: Larry Chapman, Summex, WELCOA

14. Cabinet for Health and Family Services
Achieving High Participation
• Use incentives (even small ones)
• Program fits needs
• Promote! Promote! Promote!
• Be visible
• Make it fun and innovative
• Remember the personal touch and
make it convenient

15. Cabinet for Health and Family Services
Kentucky Company Example
• Every year team
sets goals
• 50% of team must
participate
• All teams that
achieve 100% as a
team gets award
• $50 Individual
award
Name_____________________________Unit________Team_______
Rules:
1. 50% of the work team must be included in order to qualify as a wellness team.
2. Members of the team will be able to make up points for other members, but anyone
that is not 00% as an individual will not receive the team award.
3. Blood Test and HRA booklet are mandatory for every participant.
4. Maximum points an individual can achieve is 5,000. The minimum is 2,500.
Points Goal
500_____Cholesterol in range
750_____Complete Medical Physical
750_____Consultation –(includes BP, Body Comp., and W/H in wellness office)
250_____Blood Pressure in range(< 140/90)
250_____Body Composition in range(according to Wellness Office)
250_____Waist and Hip Measurement in range (according to Wellness Office)
750_____Fitness Test (includes aerobic test, flexibility, grip strength, push-ups, and
crunches)
250 _____Aerobic Exercise in range (tested in Wellness Office)
250_____Strengthening Exercise in range(tested in Wellness Office)
500_____No Tobacco Use
500_____No or Low Alcohol Use
Spouse Participation
Rule: Must have Bloodwork turned in to Wellness Office and fill out HRA booklet to
participate.
250_____HRA Booklet
250_____Bloodwork
250_____Blood Pressure in Range (< 140/90)
250_____No Tobacco Use
Total _____Total Amount of Points Signed up for
I plan on completeing these health goals by 12/31/03.
Signature________________________________________________Date__________
Team Wellness Goals

16. Cabinet for Health and Family Services
Example Kentucky Company
10
98 56
147
609
680
798 803 853
-50
50
150
250
350
450
550
650
750
850
950
'97 '98 '99 '00 '01 '02 '03 '04 '05
Individuals
Team Health Goals Met

17. Cabinet for Health and Family Services
Example Kentucky Company
49
79 85 83
93 99.6 99 97
0
10
20
30
40
50
60
70
80
90
100
'97 '98 '99 '00 '01 '02 '03 '04
% Completed
Health Risk Assessment Participation

18. Cabinet for Health and Family Services
 Strategic and comprehensive process to address risks
 Address needs and wants of participants
 Convenient and uses the personal touch
Worksite Wellness gets the most results when …..…

19. Cabinet for Health and Family Services
Get Healthy Kentucky
•
gethealthyky.gov

20. Cabinet for Health and Family Services
CDC Worksite Program Tools
• Stairwell
• Garden Market
• Cost calculators
• Toolkits
• Quick resources
• Credible useful resource links
http://www.cdc.gov/nccdphp/dnpa/hwi/index.htm
A “one-stop shopping” location for program resources.

21. Cabinet for Health and Family Services
Wellness Councils of America
• Free Resources
– Special reports
– Interviews
– Presentations
– Case Studies
– ROI information
– Surveys and Samples
– Incentive programs

22. Cabinet for Health and Family Services
Partnership for a Fit Kentucky
• www.fitky.org
• Worksite wellness toolkit
• Strategies that work
• Regional coalitions
• Worksite wellness coalitions
Links

23. Cabinet for Health and Family Services
QUESTIONS?