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Fit For Work a comprehensive approach to wellness at

Goldcorp’s Wharf Mine #rocksolidatwork

What happens when you take 180 gold miners

who live in South Dakota are predominately male (83%)

work 12 hour rotating shifts are mostly over age 41 (61%)

perform repetitive tasks have multiple health risks (45%)

are at risk for MSD’s (100%) #rocksolidatwork

and design a comprehensive approach to wellness by integrating traditional occupational safety and health protection efforts

with health promotion

#rocksolidatwork

Wharf W.E.L.L. 3 year Outcomes

Slower Health Spending

Reduction in employee health risks

A strong return on investment

Reduced presenteeism, increased productivity

#rocksolidatwork

23% reduction compared to increases of 15% (region), 17% (size), 29% (industry). Note: Health benefit cost growth has slowed since the inception of the Affordable Care Act (ACA) in 2010 to between 5.0% and 6.9% (Mercer’s National Survey of Employer-Sponsored Health Plans).

Wharf W.E.L.L. 2010-2014 Health Benefits Utilization Trend

#rocksolidatwork

2010-­‐2011   2011-­‐2012   2012-­‐2013   2013-­‐2014  

Total  PEPY  Medical  Cost  Trends  claims,  premiums,  Rx  

Wharf  

Region  

Industry  

W.E.L.L. Program Begins 08/2011

Wharf W.E.L.L. 2011-2013 Musculoskeletal Claims Cost Trend

Note: workforce has increased from 150-180 employees, while costs have decreased. #rocksolidatwork

5%  0%  

79%  

34%  

0%  

10%  

20%  

30%  

40%  

50%  

60%  

70%  

80%  

90%  

2011   2013  

% of Total Workman's Comp Loss Falls and Overexertion

Falls   OverexerDon   Linear  (Falls)  

2011   2013  

Total Workman’s Comp Loss All Claims

88%

Wharf W.E.L.L. 2013-2014 Lifestyle Claims Costs

-100.00%

-100.00%

-100.00%

-99.41%

-99.24%

-49.45%

-91.22%

-99.65%

-36.16%

-83.19%

-72.15%

-88.54%

-89.11%

-84.83%

-99.86%

-9.04%

31.74%

-120.00% -100.00% -80.00% -60.00% -40.00% -20.00% 0.00% 20.00% 40.00%

ENT

Immunologic

Vascular

Gastrointestinal

Cardiovascular

Miscellaneous

Hepatobiliary

Breast

Multisystem

Endocrine

Respiratory

Musculoskeletal

CNS

Dermatological

Male Genital

Gynecological

Psychiatric

Variance Compared to Truven Health Analytics Inc. Database

#rocksolidatwork

Wharf W.E.L.L. 2011-2014 Lifestyle Claims Costs Trend

#rocksolidatwork

53%

80%

99%

16%

0%

20%

40%

60%

80%

100%

120%

Reductions in Other Lifestyle Claims

17%

23%

0%

5%

10%

15%

20%

25%

2011-2012 2012-2013

Reductions in Musculoskeletal Claims

Wharf W.E.L.L. 2010-2013 Changes in Employee Health Risks

43%

36%

18%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

2009 2011 2013

% of High Risk Employees 5+ risks

31%

42%

49%

0%

10%

20%

30%

40%

50%

60%

2009 2011 2013

% of Low Risk Employees 0-2 risks

University of Michigan Health Risk Assessment administered 2009, 2011, 2013. Improvements in the health risk profile of a population can lead to reductions in health costs (Edington et al., 2001, Goetzel et al., 1999). #rocksolidatwork

1.  SPS-6 measures a worker's perception of his or her ability to overcome the distraction of current physical and/or

psychological problems in order to handle job stress, complete tasks, achieve goals and maintain sufficient focus and energy levels.

2.  Presenteeism costs can be calculated by extrapolating estimates of productivity loss/gain (the SPS-6 Score) multiplied by # of employees and average annual employee compensation.

Wharf W.E.L.L. 2011-2012 Presenteeism/Productivity: SPS-6

PRESENTEEISM  

PRODUCTIVITY   LOW  

PRESENTEEISM  

BELOW  AVERAGE   AVERAGE   ABOVE  AVERAGE  

   HIGH  PRESENTEEISM  

  6-­‐10   11-­‐15   16-­‐20   21-­‐25   26-­‐30  

YOUR  EMPLOYEES  

2011       20.80      

YOUR  EMPLOYEES  

2012         21.85    

#rocksolidatwork

Wharf W.E.L.L. 3 year Outcomes

Slower Health Spending

Reduction in employee health risks

Reduced presenteeism, increased productivity

#rocksolidatwork

A strong return on investment $3.41 (Health Care Costs)

How did we do it

#rocksolidatwork

First consider this…

Designing and implementing a total worker health strategy may well be the most challenging change initiative your organization

has ever undertaken… #rocksolidatwork

Why Programs Don’t Deliver

#rocksolidatwork

•  Not approached like other strategic business decisions.

•  Not continuously

managed.

#rocksolidatwork

Thorough Assessment

•  HRA

•  Biometrics

•  Culture

•  Productivity

•  Participation

•  Claims Analysis

•  Wellness Needs, Barriers and Interests

How did we do it Traditional Health Promotion Best Practices

#rocksolidatwork

Thorough Strategic Planning •  Senior Leaders

•  Front Line Leaders

•  Wellness Team

•  Safety Team

•  Employee Focus Groups

•  Operations Plan

•  Appropriate Interventions/Incentives

•  Continuous Marketing & Communications Plan

•  Rigorous & Continuous Evaluation

How did we do it Traditional Health Promotion Best Practices

#rocksolidatwork

Creating A Supportive Environment and Healthy Culture

How did we do it

An innovative next practice which is designed to: ü  reduce musculoskeletal pain and injury

ü  promote safety

ü  encourage active living, healthy eating & resiliency

Rock Solid@WorkTM™

#rocksolidatwork

Daily Exercise 7-10 minutes, start of

shift

Peer Led Group supported

Daily Safety & Health Challenges

Daily Safety & Health Education Discussions during exercise “shares”.

Weekly Health Education in safety meetings “shares”.

Rock Solid@Work™

An innovative next practice which is designed to reduce musculoskeletal pain and injury, while promoting safety, active living, healthy eating and resiliency.

#rocksolidatwork

Daily Exercise 7-10 minutes, start of

shift

Rock Solid@Work™

An innovative next practice which is designed to reduce musculoskeletal pain and injury, while promoting safety, active living, healthy eating and resiliency.

#rocksolidatwork

Customized to counter the demands of work and “professional sitting”

ü  Baseline and periodic FMS

ü  Periodized annually

ü  Mobility

ü  Stability

ü  Endurance

ü  Maintenance

Daily Exercise 7-10 minutes, start of

shift

Peer Led Group supported

Rock Solid@Work™

An innovative next practice which is designed to reduce musculoskeletal pain and injury, while promoting safety, active living, healthy eating and resiliency.

#rocksolidatwork

Leaders trained quarterly

ü  Exercise instructions

ü  Group facilitation skills

ü  Leadership skills

ü  Exercise physiology

ü  Kinesiology, anatomy

ü  Health, wellness

ü  Safety

Daily Exercise 7-10 minutes, start of

shift

Peer Led Group supported

Daily Safety & Health Education Discussions during exercise “shares”. ü  Safety share – short duration ü Health topic – short duration

Weekly Health Education in safety meetings “shares”. ü Wellness Share – longer

duration ü  Specific curriculum

Rock Solid@Work™

An innovative next practice which is designed to reduce musculoskeletal pain and injury, while promoting safety, active living, healthy eating and resiliency.

#rocksolidatwork

Daily Exercise 7-10 minutes, start of

shift

Peer Led Group supported

Daily Safety & Health Challenges ü  end of session challenge of

the day

Daily Safety & Health Education Discussions during exercise “shares”.

Weekly Health Education in safety meetings “shares”.

Rock Solid@Work™

An innovative next practice which is designed to reduce musculoskeletal pain and injury, while promoting safety, active living, healthy eating and resiliency.

#rocksolidatwork

Rock Solid@Work™ 2011-2012 Pain

Employees participating in Rock Solid@Work™ an average of 15 days per month, for 9 months (1/2012-9/2012), reduced overall bodily pain by 41%, 39% in the low back, and 65% in the wrist -measured on a standard self-reported verbal numeric pain scale.

#rocksolidatwork

Rock Solid@Work™ 2011-2012 Movement Competency

A total improvement of 56% in movement competency as measured on the FMS, reduced the risk of injury. Reflected in reductions in health benefits utilization and comp loss.

#rocksolidatwork

Slower Health Spending

Reduction in employee health risks

Reduced presenteeism – increased productivity

A strong return on investment $3.41 (Health Care Costs)

Reduced pain & injury, increased movement competency,

healthier lifestyles

Wharf W.E.L.L. 3 year Outcomes + Rock Solid@Work™

#rocksolidatwork

#rocksolidatwork

Road Blocks - Solutions

Road Block Solution

Individuals not wanting to participate. Answering WIIFM: what’s in it for me. Seeing other’s success.

Adequate time to conduct RS sessions. Set timeframe, limit on duration allows for “small bites”.

Varying comfort and fitness levels. Offering modifications, alternatives.

Space to conduct exercise sessions. Exercise selection, participant placement, teams.

What’s next

#rocksolidatwork

Thank You For Your Time And Attention

Learn more: www.rocksolidatwork.com www.wharfwellness.com

#rocksolidatwork

Contact: Colleen Broersma, [email protected], www.321-health.com

Kenan Sarratt, [email protected]

#rocksolidatwork