-
Oregon Public Employee Benefits BoardHERO Scorecard
ResultsAugust 2019
Theresa Cross, MS RDNWellness Manager, OHA, Pubic Employees’
Benefit Board
Kay Zimmerli, CWPMSenior Workforce Health Consultant, Kaiser
Permanente
In collaboration with: Steven Noeldner, Ph.D., M.S.Senior
Consultant, Total Health Manager, Mercer
-
AGENDA
PEBB Wellness & HEM program evolution HERO Scorecard –
Purpose & Insights What drives health behavior PEBB HERO Survey
Results Trendline PEBB HERO Scorecard – Recommendations Culture of
Health Priorities & Next Steps
2 | © 2019 Kaiser Foundation Health Plan, Inc. All rights
reserved.August 16, 2019
UnhealthyBehaviors
HealthRisks
ChronicDisease
HealthCare
Costs
-
PEBB Wellness Programming Evolution PEBB continues to be at the
forefront of maximizing health for its 41,000 employees through its
patient-centered philosophy. PEBB's health
engagement strategy addresses key medical challenges:
weight–management, tobacco use, and chronic conditions/metabolic
risk factors. Assessments and engagement. Starting first with
employees, the program has expanded and evolved over time. Covered
family members
may now access resources and support (e.g., WW, tobacco
cessation, diabetes prevention). Analyzing results via a custom
employee survey report along with medical records data compiled by
Kaiser Permanente, and claims data
prepared by Mercer, the state initially showed improvements in
BP, cholesterol and weight loss, compared to baseline and Oregon
general population data. Recent trends have seen fluctuating
results and adjustments due to changes in testing methods.
Timeline– 2012: Health Engagement Model (HEM) launched. Composed
of a health assessment – including measuring waist
circumference
and participating in two health actions. Participants were also
expected to work with their medical providers to address their
individual risk factors. Those who elected not to participate, or
did not fulfill the requirements, paid a monthly premium
contribution surcharge. 71% HEM participation rate the first year.
(Completed baseline HERO Assessment v3)
– 2013: HEM requirements modified; removed reporting requirement
for health actions, added a more sophisticated medical plan design
and a contribution discount (reward) for participation. (Completed
HERO Assessment v3)
– 2014: PEBB added supports to address depression, alcohol and
substance abuse, and added an exercise and gym reimbursement to
sustain healthy behavior change.
– 2015: Governor’s Executive Order on State Agency Employee
Wellness drafted.– 2016: HEM program Spousal/Significant Other
participation sunsets due to changes in GINA guidelines. – 2017:
Governor’s Executive Order signed, developing a pathway to create
supportive workplace structures, policies, and system for
accountability and evaluation. State Wellness Manager appointed.
Wellness Coordinating Council formed.– 2018: Agencies complete
their first, two-year wellness strategic plans. HEM participation
reaches 81%.– 2019: New Employee Wellness Survey launches, an
evolution from a phone survey to a census recruitment of all state
agency
employees (18,886 respondents, analysis underway). (Completed
HERO Assessment v4.1)
3 | © 2019 Kaiser Foundation Health Plan, Inc. All rights
reserved.August 16, 2019
-
The HERO Health & Well-being Best Practices Scorecard in
Collaboration with Mercer©
Health Enhancement Research Organization (HERO): is a national
non-profit that conducts high-quality workforce health research,
focusing on the impact of workforce health on healthcare costs.
The HERO vision is to promote a culture of health and
performance through employer leadership.
The Purpose of the Scorecard is to: checklist of health and
well-being best practices
benchmarking against other organizations
evidence-based assessment of health management strategies
4 | © 2019 Kaiser Foundation Health Plan, Inc. All rights
reserved.August 16, 2019
-
DRIVERS OF HEALTH
What affects employee health
Environmental and social
factors
Medical care
Family history and genetics
Personal behaviors
What drives behavior change
Awareness and education Motivation
Skills and tools
Strategic workplace supportPolicy and environment
20%
30%
10%
40%
5 | © 2019 Kaiser Foundation Health Plan, Inc. All rights
reserved.August 16, 2019
Source: McGinnis et al, Health Affairs, 2002
-
Comparative Data/Section
6 | © 2019 Kaiser Foundation Health Plan, Inc. F All rights
reserved.August 16, 2019
0 5 10 15 20 25 30 35
Measurement & Evaluation
Participation Strategies
Program Integration
Programs
Organizational & Cultural Support
Strategic Planning
National Average Large Employers > 5,000 Government OR
PEBB
HERO ASSESSMENT version 4.1
SectionNationalAverage
Large Employers
>5000 EEGovt.
PEBB(Q2-2019)
1. Strategic Planning 10 12 9 92. Organizational & Cultural
Support 23 24 22 203. Programs 21 27 21 294. Program Integration 5
6 5 55. Participation Strategies 22 28 20 336. Measurement &
Evaluation 9 11 8 14Total Score 90 108 85 110
Benchmark report averages, Q2-2019 results
Points
Chart1
Measurement & EvaluationMeasurement &
EvaluationMeasurement & EvaluationMeasurement &
Evaluation
Participation StrategiesParticipation StrategiesParticipation
StrategiesParticipation Strategies
Program IntegrationProgram IntegrationProgram IntegrationProgram
Integration
ProgramsProgramsProgramsPrograms
Organizational & Cultural SupportOrganizational &
Cultural SupportOrganizational & Cultural SupportOrganizational
& Cultural Support
Strategic PlanningStrategic PlanningStrategic PlanningStrategic
Planning
OR PEBB
Government
Large Employers > 5,000
National Average
14
8
11
9
33
20
28
22
5
5
6
5
29
21
27
21
20
22
24
23
9
9
12
10
Sheet1
HERO ASSESSMENT version 3
SectionPEBB 2013PEBB 2012National 13National 12Max Points%
max
1. Strategic Planning751163.6%
2. Leadership Engagement15173345.5%
3. Program Level Mgmt17112277.3%
4. Programs40285671.4%
5. Engagement Methods43286764.2%
6. Measurement & Evaluation851172.7%
Total Score1309420065.0%
HERO ASSESSMENT version 4.1
SectionPEBB 2019National 2019Max Points% max
1. Strategic Planning9102045.0%
2. Organizational & Cultural Support20235040.0%
3. Programs29214072.5%
4. Program Integration551631.3%
5. Participation Strategies33225066.0%
6. Measurement & Evaluation1492458.3%
Total Score1109020055.0%
Version 3 vs Version 4; How it changed: Broadened the
“Leadership Support” section (renamed “Organizational Support”).
New questions on incentives and intrinsic reward strategies New
questions on engagement strategies, mobile apps and devices,
challenges, and socialnetworking strategies Updated questions on
program design, including more detailed questions on lifestyle
coaching New questions on program integration, including disability
programs Expanded “Outcomes” section
Sheet2
OR PEBBNational Average
Strategic Planning910
Organizational & Cultural Support2023
Programs2921
Program Integration55
Participation Strategies3322
Measurement & Evaluation149
Measurement & Evaluation149
Participation Strategies3322
Program Integration55
Programs2921
Organizational & Cultural Support2023
Strategic Planning910
Sheet3
National AverageGovernmentLarge Employers > 5,000OR PEBB
Measurement & Evaluation981114
Participation Strategies22202833
Program Integration5565
Programs21212729
Organizational & Cultural Support23222420
Strategic Planning109129
Sheet3
OR PEBB
Government
Large Employers > 5,000
Sheet4
OR PEBB
Government
Large Employers > 5,000
National Average
National Average
Government
Large Employers > 5,000
OR PEBB
Section 1: Strategic Planning0.45
Section 2: Organizational & Cultural Support0.4
Section 3: Programs0.725
Section 4: Program Integration0.3125
Section 5: Participation Strategies0.66
Section 6: Measurement & Evaluation0.58
-
HERO SCORECARD SURVEY RESULTS & RECOMMENDATIONS
Oregon Public Employee Benefit Board
7 | © 2019 Kaiser Foundation Health Plan, Inc. All rights
reserved.August 16, 2019
Stoplight guides
keep
it up
build
on th
is
need
s atte
ntion
-
RecommendationsKey Focus Areas
8 | © 2019 Kaiser Foundation Health Plan, Inc. All rights
reserved.August 16, 2019
keep
it up
Programs
Participation Strategies
build
on th
isMeasurement & Evaluation
Strategic Planning
need
s atte
ntion
Organizational & Cultural Support
Program Integration
Legend >60% 45-60%
-
Keep it Up – 72.5%Programs: assesses specific health management
programs offered through a health plan or specialty vendor, or via
internal resources.
Continue Doing:– Lifestyle management and behavior change
support programs
e.g. weight management, physical activity, social connections,
financial, stress, mental and emotional health
– Strengthen awareness and program promotions emphasis on
well-being
Consider Developing:– Create Biometric Know Your Numbers
(screening awareness) campaign.– Promote social connections
e.g. organized volunteer activities, peer challenges/support
9 | © 2019 Kaiser Foundation Health Plan, Inc. All rights
reserved.August 16, 2019
Keep
it u
p
-
Keep it Up – 66%Participation Strategies: strategies aimed at
encouraging members to participate and to become more engaged in
their well-being.
Continue Doing:– Evaluating/evolving HEM program– Maintain
reward/surcharge strategies
Consider Developing:– Branding wellness-related communications–
Targeted communications & action plans
board, union leaders, agency business managers, wellness
champions talking points for mid level managers and front line
staff
– Increase frequency of employee communications templated
communications for agencies
10 | © 2019 Kaiser Foundation Health Plan, Inc. All rights
reserved.August 16, 2019
Keep
it u
p
-
Build on This – 58.3%Measurement & Evaluation: methods for
assessing PEBB’s health and well-being programs.
Continue Doing:– Monitoring physical health risk data–
Monitoring healthcare utilization & cost data– Tracking program
participation data
Consider Developing:– Share results. Include performance data,
goals, and progress
i.e. PEBB board, PMAC, PEBB covered entities, business reps or
stewards– Develop reporting dashboard
Increase reporting frequency Expand access to reports (e.g.
Wellness Council, Entities, Employees)
– Evaluate opportunities to include spouses
11 | © 2019 Kaiser Foundation Health Plan, Inc. All rights
reserved.August 16, 2019
Build
on
this
-
Build on This – 45%Strategic Planning: process of defining
strategy or direction, and making decisions on allocating
resources.
Continue Doing:– Using HERO Scorecard results for strategic
planning.– Using medical & pharmacy data (disability data when
available).
Consider Developing:– Create formal PEBB strategic plan for your
health and well-being program.
Involve key stakeholders (planning and execution) Include
measurable objectives (short and long term) Develop tactical
roadmap
– Leverage PEBB annual survey/feedback– Connect agency-level
organizational goals – Integrate employee retention & absentee
data (DAS dashboard?).
12 | © 2019 Kaiser Foundation Health Plan, Inc. All rights
reserved.August 16, 2019
Build
on
this
-
Needs Attention – 40%Organizational & Cultural Support:
create a culture of health, including leadership support. “Culture”
= key values, assumptions, understandings, and norms.
Continue Doing:– Expand employee wellness champions and
ambassadors access to resources– Acknowledge & share best
practices
Consider Developing :– Strengthen leadership support and
participation
training opportunities Institute policies and practices
– Strengthen built environment resources & processes Stress
and emotional health Built environment Worksite food options
Integrate physical activity breaks
13 | © 2019 Kaiser Foundation Health Plan, Inc. All rights
reserved.August 16, 2019
Need
s at
tent
ion
-
Needs Attention – 31.3%
Program Integration: the degree to which PEBB’s health and
well-being programs are integrated with each other.
Continue Doing:– Including safety & injury-prevention
elements – Evaluating carrier and vendor hand off policies
(e.g. Diabetes Sustainable Relationships for Community
Health/SRCH project initiated).
Consider Developing :– Explore health outcomes and chronic
conditions processes (apply SRCH model?)– Referral process flows
and tracking – Integrate safety and disability data to better align
& integrate programs – Aspirational:
Create a consolidated wellness portal/platform
14 | © 2019 Kaiser Foundation Health Plan, Inc. All rights
reserved.August 16, 2019
Need
s at
tent
ion
-
“Daring leaders work to make sure people can be themselves and
feel a sense of belonging.”
Brené Brown, PhD MSWAuthor of Dare to Lead and Daring
Greatly
Creating a Culture of HealthPriority Action Steps for PEBB
Wellness: what’s on the horizon?
– Diabetes Prevention (SRCH project)
– Takeaways from HERO Assessment
– 2020 HEM renewal– Employee Wellness Survey– PMAC
well-being
explorations
Oregon Public Employee Benefits Board�HERO Scorecard
Results�August 2019AGENDAPEBB Wellness Programming EvolutionThe
HERO Health & Well-being Best Practices Scorecard in
Collaboration with Mercer©Slide Number 5Comparative
Data/SectionHERO SCORECARD SURVEY �RESULTS &
recommendationsRecommendations�Key Focus AreasKeep it Up –
72.5%�Programs: assesses specific health management programs
offered through a health plan or specialty vendor, or via internal
resources.�Keep it Up – 66%�Participation Strategies: strategies
aimed at encouraging members to participate and to become more
engaged in their well-being.�Build on This – 58.3%�Measurement
& Evaluation: methods for assessing PEBB’s health and
well-being programs.�Build on This – 45%�Strategic Planning:
process of defining strategy or direction, and making decisions on
allocating resources.Needs Attention – 40%�Organizational &
Cultural Support: create a culture of health, including leadership
support. “Culture” = key values, assumptions, understandings, and
norms.�Needs Attention – 31.3%��Program Integration: the degree to
which PEBB’s health and well-being programs are integrated with
each other.Creating a Culture of Health�Priority Action Steps for
PEBB