The Cianbro Story


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The Cianbro Story

  1. 1. 10/25/2012WELLNESS AT CIANBROREVEALING THE SECRET SAUCE Occupational Medical Consulting, LLC 1
  2. 2. 10/25/2012Demographics• Ranked 88 on the Engineering News Record’s list of the Top 100 US Contractors• Cianbro is 100% employee-owned, open shop, team oriented company of approximately 2,000 team members (4,000 including Starcon)• Male dominated, blue collar workforce who work long 8-12 hour days and commute 1-4 hours a day• Strong safety culture focused on eliminating at-risk behavior.In the beginning…What can we influence to change? Changebehavior over time through the WellnessProgram. – Apply the same approach used with safety – Change at-risk behavior – Educate and lead by example – Create a total wellness environment 2
  3. 3. 10/25/2012 Change the Mindset• The Old - Construction workers get hurt and people just get sick.• The New - Preventive maintenance - works on our equipment and must be applied to our people! Uniting safety and health 3
  4. 4. 10/25/2012Creating a healthy and safeenvironment• SHARE committees• Tobacco-free environment• Aligning benefit programs to support the behaviors we encourage• Daily stretching• Health and safety stand and delivers• Healthy vending and healthy food and beverages at company meals• Wellness Champions and exercise routes on jobsites• Wellness scorecards for jobs to rate how “well” their jobsite isPromoting health andmedical self managementPrevention and self management• Preventive care covered at 100%• Providing a consumer driven medical plan with an HSA• Health Advocate service that aids with healthcare and insurance issues• Employee Assistance Program• 24 Hour Nurse Health Line to triage health concerns 4
  5. 5. 10/25/2012Promoting health andmedical self managementEducation• Wellness Matters newsletter• Lunch and Learns• Safety and Health Focus• Intranet with benefit and wellness information and links to vendor websites• Audio health information library through our medical carrier• Quality Counts Program promoting Centers of ExcellenceMaintaining good healthand eliminating at-riskcontrollable healthbehaviors• Senior Manger’s Wellness Challenge• Healthy LifeStyle Program – Quit Tobacco Today Program – Condition Management Program 5
  6. 6. 10/25/2012Healthy LifeStyle Program• Participation is voluntary• Focus is on major preventable health risk behaviors• Administered by Dr. Catlett and the health educators at Occupational Medical Consulting LLC (OMC)• Guides participants toward optimal health using motivational interviewing techniques• Onsite, face-to-face appointments for team members• Spouse locations for face-to-face appointments• Incentives for participationParticipating Credit• Complete a health risk appraisal (HRA)• Identify and commit to eliminate controllable at-risk behaviors.• Set health related goals and objectives.• Schedule and keep face-to-face follow-up appointments. 6
  7. 7. 10/25/2012 Healthy Living Reward Be at or below 3 out of 4 health risks: • Body mass index (BMI) less than 27.5 • Total cholesterol less than or equal to 200 and HDL greater than 40 • Blood pressure less than 140 over 90 • Tobacco free for 12 months or moreHealthy Living Reward 7
  8. 8. 10/25/2012Help Quit Tobacco Today Program• Tobacco-free as of January 1, 2003• Education and tobacco cessation assistance for team members and spouses• Free nicotine replacement therapy• January 1, 2010 – tobacco-free workplace includes prohibiting possessionCondition Management Program• Secondary prevention to help individuals with an already diagnosed illness manage it the best way possible.• Participants in HLP that have one of the following chronic conditions: – Diabetes – Heart disease – Metabolic syndrome – Chronic back pain• Under the guidance of the condition management nurse, participants work with their health coach to set goals that are right for them and their condition.• Future conditions that will be addressed under program: depression, obesity 8
  9. 9. 10/25/2012 Family Encounters • Children are being invited to take part in their parents encounter with a health coach. • Age specific topics and activities incorporated into encounter. • Goal is to help educate children on nutrition, exercise and other areas of wellness and influence them to make healthier choices.The Motivation?• Employee owned• Productivity improvement and decreased health care spending puts money directly in the owners pockets• “It’s the right thing to do!” - Pete Vigue, Chairman, President and CEO, The Cianbro Companies• Extend a chance to maintain quality of life to all TM’s and their families 9
  10. 10. 10/25/2012Let’s shift people from this… www.omcwellness.comTo this…improved quality of life 10
  11. 11. 10/25/2012 Medical/RX Costs F ig . 1 . T o p 1 0 m e d ic a l c o n d itio n s b y a n n u a l m e d ic a l a n d d ru g c o s t p e r 1 0 0 0 F T E s f o r a ll c o m p a n ie s . Full Cost ViewFig. 2. Top 10 medical conditions by annual medical, drug, and productivity cost per1000 FTEs for all companies. 11
  12. 12. 10/25/2012 Full Cost Of Employee Benefits (2002 Benefits Data) Note: “Absence” includes Presenteeism The Essentials• Management and cultural support• Employee/spouse engagement in a program that changes behavior 12
  13. 13. 10/25/2012Management & Cultural Support www.omcwellness.comThe Health & Productivity Connection What do you think? 13
  14. 14. 10/25/2012 Health & Productivity Connection• When I have to work for someone who does not value health, it presents an obstacle for my own health? Health & Productivity Connection• If I improve my health, it will motivate the people who work for me to be more healthy. 14
  15. 15. 10/25/2012 Health & Productivity Connection• When I have to work for someone who does not value safety, it presents an obstacle for my own safety. Health & Productivity Connection• If I improve my safe behavior, it will motivate those that work for me to work more safely. 15
  16. 16. 10/25/2012 Health & Productivity Connection• When I am in good physical and mental condition, I can work harder, longer and more safely. Cultural Support• Cianbro examples (Senior management wellness, vending, benefit alignment, company meals, tobacco policy and quit assistance, family/spouse inclusion, company leaders leading the activities)• Most important- wellness must leave the benefits section and become a company strategy- when health and safety are company strategy number ONE, your cultural evolution will sustain wellness indefinitely 16
  17. 17. 10/25/2012 ENGAGING PARTICIPANTS Effecting and Maintaining Behavior Change• Educate or Motivate?• Collaborate, not confront• Evoke, not educate• Autonomy, not authority 17
  18. 18. 10/25/2012 MOTIVATIONAL INTERVIEWING A different way to talk with a participant about smoking Barriers to Success• Too many programs, not enough outcomes• Wellness programs tailored to every “need”• Management support• Inability to commit to long term investment• Misaligned expectations• Significant sustainable population behavior change comes one person at a time 18
  19. 19. 10/25/2012 CAN IT WORK? www.omcwellness.comAffects on Health Risks 19
  20. 20. 10/25/2012Decreased Spending on HealthcareExpected vs Actual Costs 20
  21. 21. 10/25/2012 Difference in Diabetes Incidence (Co A vs Co B)90807060504030 Current20 Benchmark100 Per 1,000 Employees Diabetes - no Diabetes - wellness wellness program program Difference in Heart Incidence (Co A vs Co B) 30 25 20 15 Current 10 Benchmark 5 Per 1,000 Employees 0 Heart Disease Heart Disease - no wellness - wellness program program 21
  22. 22. 10/25/2012 Wellness and Productivity Connection Questions• Dr. Larry Catlett, CMO,Founder•• Email: 22