Workplace Health and Productivity Management

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Workplace Health and Productivity
Management Connecting Strategy and Program
Delivery
Denise Balch, President Connex Health
Consulting Connecting Health
to the Bottom Line
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Overview

• The Development of Workplace Health
• The Rationale
• Developing a Strategy
• The Process
• Programming examples
• Measurement

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The Development of Workplace Health

• Hard Deliverables
• - On corporate agendas
• - Leadership buy-in
• Healthier employees make a healthier bottom line
• Evidence based
• Proactive approach
• Disease and lifestyle
• Outcomes measurement

• Soft Deliverables
• - Lunch n Learns
• Lifestyle programs
• No measurement

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• The Rationale for a Healthy Workplace
• Philosophy of a Positive Workplace
• Health and Organizational Culture
• Healthy and satisfied employees
• are more productive while at work
• and have less absenteeism than employees who
• are unfit and dissatisfied due to family, work or
  work
• life balance issues.

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Why Target Health in the Workplace?
Because We Can!

• The working population is aging
• We eat too much and too high fat
• We are more obese and less active than ever
  before
• The cost of managing ill health is rising
• We need to retain our current workforce for
  longer
• there are not enough new workers to support us.

Boom Bust Echo!
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What is Workplace Health and Wellness?

• A process that identifies and delivers solutions
  in the workplace to address employee and
  organizational health issues that can negatively
  impact employee health and productivity.

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• Developing a Strategy
• Benchmarking

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National Quality Institute A Benchmark

• National not-for-profit agency that annually
• recognizes
• Business Excellence
• Healthy Workplace
• Provides a roadmap for healthy workplace
• Also provides training and support
• Certification Certified Excellence Professional

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National Quality Institute Healthy Workplace
Award Winners

• IBM
• NCR (2002)
• Dofasco Inc. (2002)
• Statistics Canada (2003)
• Daimler Chrysler-CAW (2004)

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• The Process

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The Workplace Health Process Summarized
NQI www.nqi.ca (guiding and recognizing Healthy
workplace achievement)
Base Line Review Progressive Excellence
Program Levels 1-4

• Level 1 Organizational Commitment-demonstrated
  through written policies and procedures, and
  wellness committee
• Level 2 Planning identifying needs and
  preferences through assessment tools
• Level 3 Implementation programming and short
  term measurement
• Level 4 Sustainability long term measurement
  and benchmarking.

Commitment
Level 1
Level 2
Planning
Level 3
Implementation
Level 4
Sustainability
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Planning Tools and Measures
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Program planning and delivery must be based on
research and evidence

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Health Evidence

• Software based
• Confidential (uses aggregate data only)
• Analyze drug, healthcare, disability and WSIB
  data
• Determines the burden of illness for all
  employees by disease category
• Can also be used as Evidence to build the case.

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• Health Evidence
• Burden of Illness

Mental Disorders across cost elements.
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• Health Risk Assessment
• On-line/hard copy
• Individual feedback
• Determines aggregate health risks for all
  employees
• Personal lifestyle/health habits/family history
• Programming interest
• Stages of change

• Recent Developments
• Organizational health indicators
• Productivity

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• Prepare for Programming
• Buy-in at all levels of organization
  orientation sessions
• Health and Wellness Committee
• Select
• Train
• Assign responsibilities
• Create a plan
• Identify a budget
• Approval
• Create a fuss the launch

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Preparing for Programming

• Key Lessons
• Corporate buy-in is critical
• People dont change overnight
• Its a long term commitment
• One person cant do it all team effort
• Walk before you can run
• Promote, promote, promote
• Deliver on site or on company time
• Measure everything to create sustainable long
  term strategy

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• Programming Examples

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NQI Healthy Workplace Award
One of Canadas largest steel producers, serving
customers throughout North America with high
quality flat rolled and tubular steels and laser
welded blanks.
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NQI Healthy Workplace Award Winners 2002
Dofasco Programs
Off-site rec. complex Pre shift
walk/stretch On-site fitness facilities Lunch
time aerobics Shift work education Health and
safety fair Chol/BP Screenings Glucose
Screenings Stress management Weight
Watchers Smoking Cessation And
more
Tailored programming Available to all
employees/all shifts Broad-based Multi-focused,
integrated program
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Dofasco Lifestyle Program

• Productivity Sales
• Shipped 4.3m tons of steel in 2001, 4.8m in 2002
• Sold 2.9b in 2001, 3.5b in 2002

• Reductions in lost-time injuries and absences
• 85 of lost-time injuries are due to home-like
  injuries, not work
• resulting in decreased payments to WSIB
• Lost hours per 100 hours worked 2002 0.6
  1994 1.4
• Individual unhealthy habits
• Decrease number of smokers by 5
• Decrease those with a BMI gt 25 by 5
• Non-occ injuries per 200 000 hrs worked 2000
  1.5 1991 5

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Disease Programming Examples

• Asthma education/screening
• Cardiovascular education/screening
• ADHD Asthma productivity survey
• Diabetes education/screening

Lifestyle Programming Examples

• Fitness testing (benchmark)
• Fitness clubs
• Shift work training
• Walking route

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Connex Asthma Initiative 2001

• Facts
• Affects over 2 million Canadians
• 57 are not in control
• Higher unscheduled doctor visits, emergency
  visits and hospitalization
• Higher rates of absenteeism

Sponsor GSK

• Results
• 53 previous diagnosis
• 83 control issues
• 77 referred to Physicians
• 33 referred to Community
• Asthma Care Centre for counselling

• ROI
• Decrease absenteeism
• Increase productivity
• Decrease drug waste

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Connex Cardiovascular Initiative 2002

• Facts
• 40 of all Canadian deaths
• 4 out of 10 people suffer from undiagnosed
  hypertension
• Leading cost driver of drug/disability
• 16 of those diagnosed are under control

Sponsor Pfizer

• Results
• 33 referral rate
• Call-backs Outcomes
• 77 visited Physician
• 58 prescribed medication/lifestyle changes
• 91 made lifestyle changes whether or not they
  visited their Physician

• ROI
• Prevention
• Early detection
• Absenteeism avoidance
• Increase productivity
• Decrease drug waste

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Connex ADHD Asthma Initiative 2003
Sponsor JOI

• Facts
• ADHD 4-12 prevalence
• Asthma control disease
• High rates of non compliance
• Workplace and societal issues when not
  controlled
• Symptom recurrence within hours if dosing missed
  (ADHD)

• Results
• 65 of those with ADHD patients in family
  reported missing time from work (12 asthma)
• 35 missed 1-5 hours for ADHD (12 asthma)
• 72 reported productivity at work declined as a
  direct result of ADHD
• 68 reported not pursuing opportunities at work
  due to ADHD effects
• 66 reported non compliance at least once in a
  two week period, similar figures for asthma

• ROI
• Calculated annual savings potential per employee
  for one person with ADHD
• including drug costs 4,352.84 (compliant
  patient,effective drug,symptom control)

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Connex Diabetes Initiative 2004
Facts

• Incidence 6
• Diagnosed are generally poorly managed
• Serious co-morbidities
• Large undiagnosed population
• Rising incidence

Partnership Project GSK Bayer
GM/CAW Wellness GreenShield

• ROI Objectives
• Prevention
• Early detection
• Increased compliance and decrease drug waste
• Absenteeism avoidance
• Increase productivity

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Program Elements

• Education and promotion
• Screening clinics and referrals
• Follow up and measurement over 12 months
• 3 call-backs (phone or on-line via email)
• Communications (Plant News Letters, Intranet
  emails, Posters)
• Measurement and reporting

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Clinic Results

• No prior diagnosis 228 (89)
• 55 (140) reported not having their blood sugar
  tested with the past 3 years
• 53 (120) 3 risk factors
• Body Mass Index and Waist Circumference
• 81 had a BMI gt25
• 49 of total had an unhealthy WC

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• Clinic Results
• Previously Diagnosed 28 (11)
• 64 answered yes to at least one of the
  questionnaire items taken from the 30 Second
  Diabetes Test
• Of those who knew their most recent A1C result,
  none were in the healthy range
• Body Mass Index and Waist Circumference
• 93 had a BMI gt25
• 64 had an unhealthy WC

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Clinic Results

• Referral
• 58 (22) referred to Physician due to
• Glucose screening results (20/9 of those with no
  diagnosis)
• A1C test results (9/32 of those diagnosed)
• Risk factors (29/13 of those with no diagnosis)
• Participant Satisfaction
• 100 participant satisfaction based on feedback
  survey results
• Would refer co workers to clinics

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Recommendations

• - Re-screen clinic attendees in 12 months
• Implement targeted programs - reduce
  risk/improve management
• A diagnosis of diabetes and referred
• Not diagnosed but referred Plus
• Modifiable risk factors
• Encourage wider attendance by holding further
  clinics
• Conduct company wide health risk assessment

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Measurement

• Measure everything
• Survey and re survey
• Collect data
• With written consent
• Over time

Ultimately ROI  

• TERTIARY
• Improved disease
• management
• Illness avoidance
• Improved Culture
• Employee Satisfaction
•  

• SECONDARY - CHANGES
• Attitudes, beliefs and knowledge.
• Job performance, behaviours or actions
• Lifestyle(long-term ? illness)
• Decrease in Risk Factors

• PRIMARY
• Participation
• Cost
• Employee
• satisfaction  

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Strategy to Delivery
Overall Outcome measurement
Programming delivery and measurement
Assess employee and organizational issues
Adopt a healthy workplace strategy