What Works in Workplace Wellness

What Works in Workplace Wellness

HRCC April 8, 2014

Presented by Seth Nickinson

ideas@project-­‐act.com  

²  Leadership: Core Team(s) plus Empowering Grassroots Ideas

²  Partnerships: Leverage HR Benefits and Natural Allies

²  Priorities: Select a Few Flagships and Do Them Well

²  Ease of Entry: Mix Broad (Population-Wide) and Deep (Limited Reach) Activities

²  Perennial Favorites: Subsidized Activity Classes, Group & Individual Challenges, Healthy Snacks

Today’s Journey

1.  The Case for Wellness 2.  Characteristics of Success 3.  Project ACT Design 4.  Experiences 5.  Results 6.  Moving Forward

Today’s Journey

1.  The Case for Wellness 2.  Characteristics of Success 3.  Project ACT Design 4.  Experiences 5.  Results 6.  Moving Forward

Prevention Through Lifestyle

0%  

10%  

20%  

30%  

40%  

50%  

60%  

70%  

80%  

90%  

100%  

Heart Disease! Cancer! Stroke ! Diabetes!

Percent  of  Each  Disease  A1ributable  to  Lifestyle  Behaviors  

Sources:  Stampfer  2000;  Parkin  2010;    Chiuve  2008;  Mozaffarian  2009  

Dollars and Cents: The High Costs of Preventable Disease

$22  billion  Annual  cost  in  California  from  medical  and  lost  producLvity  due  to  preventable  chronic  disease  

$1400  Extra  cost  annually  direct  to  an  employer  of  an  obese  employee  compared  to  a  healthy  weight  worker  

10  workdays  missed  by  a  typical  

employee  with  one  of  10  key  chronic  condiLons  

6:1 Potential ROI on Workplace Wellness

When done in a comprehensive manner:

$3.27 drop in medical costs

$2.73 less absenteeism days

$6.00 ÷ $1.00 invested Source:  Baicker,  Katherine,  David  Cutler,  and  Zirui  Song.  2010.    Workplace  wellness  programs  can  generate  savings.  Health  Affairs  29(2):  304-­‐311.  

"At Work, But Out Of It”

Sources:  Kaiser  Permanente  ;  Goetzel  et  al  (2004).  

Presenteeism:  Losses  in  producLvity  due  to  health  condiLons  

ProducLvity  losses  outweigh  medical  costs  at  least  2:1  

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Why Invest in Wellness?

Health  Care  Costs  (95%)  Absenteeism  Presenteeism  

Morale  (77%)  ProducLvity  (64%)    

Talent  A`racLon  (67%)  

RetenLon  (75%)  ReputaLon  Leadership  

Development  

Today’s Journey

1.  The Case for Wellness 2.  Characteristics of Success 3.  Project ACT Design 4.  Experiences 5.  Results 6.  Moving Forward

Success Factors (RAND 2013)

EffecLve  CommunicaLons  

Easy  Engagement  for  All  Employees  

Leadership  at  All  Levels  

Leverage  Resources  

ConLnuous  EvaluaLon  

Dual Emphasis

Individuals  

Screen  &  Intervene  

Disease  Management  

PopulaLon  

Lifestyle  Behavior  Change  

ProducLvity  

 Target        Ac0ons      Principal  ROI    

Today’s Journey

1.  The Case for Wellness 2.  Characteristics of Success 3.  Project ACT Design 4.  First Person Accounts

Chumash and SMBSD

5.  Results 6.  Moving Forward

3 Pronged Approach

Individual    Choices  

Policies  Environment  

PromoLon  &    CommunicaLon  

Integrated View

(Infra)Structure q  $5000 each "q Regular Champion calls / meetings"q Brand Identity"q Website"q Best Practices and Tips "q Baseline and Post-Surveys"q  250 consultant hours each"

Website Resources

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ü  Hundreds  of  Tips  ü  ArLcles  in  6  “AcLvate”  Areas  ü  Photos  &  ideas  from  3  org.’s  ü  NaLonal  wellness  resources  

Today’s Journey

1.  The Case for Wellness 2.  Characteristics of Success 3.  Project ACT Design 4.  Experiences 5.  Results 6.  Moving Forward

Santa Maria-Bonita Schools

Context: PT and FT employees across 20+ sites; no wellness in recent years

Tactics: principal buy-in; managed by HR with widespread site Champions; incentive goodies; high-profile Challenge

21

Chumash

Context: Multiple shifts; active but unhealthy environment; Employee Dining Room; established Wellness Committee

Tactics: upbeat branding; partnerships; focus on families

22

Public Health Department

Context: Three main sites; organizational transition; primary care vs. administrative

Tactics: workday integration; grassroots initiatives; on-site classes; morale-boosting events

23

Activities We Have Known and Loved

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ü Movement Challenges ü Fruity Fridays ü Spa Water Infusions ü Onsite Zumba and Yoga ü Moving Meetings ü Food Day

ü Family Picnics

ü Team Stretches ü Weight Loss Challenges ü Healthier Celebrations ü Charity Walks ü Recipe Contests ü Biometric screenings

Today’s Journey

1.  The Case for Wellness 2.  Characteristics of Success 3.  Project ACT Design 4.  Experiences 5.  Results 6.  Moving Forward

What to Measure?

ParLcipaLon   SaLsfacLon   PercepLons  

Behavior  AdopLon   Biometrics   Health  Care  

Costs  

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of all responding employees have adopted a healthy practice in the last

few months. (Project Goal: 50%)

65%  

65% have a new healthy practice Of those…

9%  

13%  

15%  

17%  

31%  

43%  

48%  

50%  

51%  

52%  

52%  

0%   10%   20%   30%   40%   50%   60%  

Other  

Reducing  Lme  in  front  of  a  screen  

MeditaLon,  deep  breathing,  other  stress  relief  

Taking  more  breaks  where  I  get  up  and  move  

Drinking  fewer  sugary  drinks  

EaLng  smaller  porLons  

EaLng  less  fast  food  

EaLng  more  fruits  and  vegetables  

Geing  more  physical  acLvity  

Drinking  more  water  

EaLng  less  junk  food  

What  Type  of  Healthy  PracBce  Did  You  Start  or  Increase?  

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People are Increasingly Participating in Workplace Activities

37.0%  

57.6%  

18.8%  

70.2%  

22.9%  

73.6%  

0.0%  

20.0%  

40.0%  

60.0%  

80.0%  

Pre   Post   Pre   Post   Pre   Post  

Chumash   SMBSD   PHD  

Percen

t  ParBcipaB

ng  

Do  you  or  have  you  parBcipated  in  any  of  the  wellness  acBviBes  at  work?  

Kudos •  “Don't be discouraged. A change like this will take time.

Keep providing opportunities and make it a priority.” - SMBSD

•  “Yoga classes are absolutely WONDERFUL and so is the instructor!!!” –PHD

•  “Nice, funny alert emails sent from the Committee!” –Chumash

•  “Project ACT provides a neutral place for admin and contracted workers to meet in the middle and really show the district cares and invests in its employees wellness.” - SMBSD

Highlights: Eating and Activity Outcomes

Question Results “In recent months, how have your eating patterns changed?”

43% report eating healthier

“How many glasses of water do you drink per day?”

10% increase across population (max: + 0.8 glass daily at PHD)

“In recent months, how has your physical activity pattern changed?”

33% of people are getting more physical activity

Areas with No Significant Changes Reported

•  No change in daily sweetened beverage consumption

•  No change in knowledge of how to get physical activity or eat healthier

•  No change in ranking of healthfulness of typical eating pattern

•  No change in number of moving breaks taken per week

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33

of respondents have shared healthy practices outside of work with kids as

a result of Project ACT (Project Goal: 35%)

44%  

Participants are Engaging Others

34%  36%  

24%  21%  

47%  41%  

35%  

25%  

54%  46%  

42%  34%  

Partner  Kids  Friends  Other  Family  Target  of  Sharing  

Have  you  shared  healthy  pracBces  outside  of  work  with  family  or  friends  as  a  result  of  ACT  wellness  efforts  at  [your  workplace]?  

Percent  responding  affirmaBvely  

Chumash  

SMBSD  

PHD  

Improved Awareness of Efforts to be a Well Workplace

35

0.0%  

10.0%  

20.0%  

30.0%  

40.0%  

50.0%  

60.0%  

70.0%  

80.0%  

90.0%  

Chumash  30.3%  

SMBSD  86.3%   PHD  

74.6%  

Compared  to  9  months  ago,  how  aware  are  you  that  your  employer  is  working  to  increase  employee  wellness?  [Answer:  "More  Aware")  

Improved Sense of Being in a Well Workplace

5.62   5.76  

4.55  

6.64  

5.3  

7.14  

Pre   Post   Pre   Post   Pre   Post  

Chumash   SMBSD   PHD  

On  a  scale  of  1-­‐10,  how  would  you  rate  [your  employer]  as  a  place  that  promotes  employee  wellness?  

85%+ of Employees Are Eager To Have Project ACT Continue

28.0%  

6.5%  65.5%  

SMBSD  

Yes,  Would  be  Nice  to  Have   No,  Not  Important  to  Me  Yes,  Definitely  ConLnue  

40.9%  

15.2%  

43.9%  

Chumash  

32.3%  

11.3%  

56.5%  

PHD  

Quotes: the Ripple Effect •  “Students saw teachers working out and asked about the

healthy food we were bringing to school. We shared with them about what teachers are doing to become more healthy.” – SMBSD teacher

•  “Started my kids and partner on more veggies at meals. Putting more lettuce in the kids' sandwiches.” –PHD employee

•  Told my mother, significant other, and close friends about energy drinks, eating healthier, and exercising at least 30 minutes a day. Exercise must be cardio if you actually want results. – Chumash employee

•  “My stepdaughter and neighbor we are walking every other day for one hour” – SMBSD employee

85% of Employees Are Eager To Have Project ACT Continue

28.0%  

6.5%  65.5%  

SMBSD  

Yes,  Would  be  Nice  to  Have   No,  Not  Important  to  Me  Yes,  Definitely  ConLnue  

40.9%  

15.2%  

43.9%  

Chumash  

32.3%  

11.3%  

56.5%  

PHD  

Today’s Journey

1.  The Case for Wellness 2.  Characteristics of Success 3.  Project ACT Design 4.  First Person Accounts

Chumash and SMBSD

5.  Results 6.  Moving Forward

Lessons: Best Practices

Establish Leadership Team(s) & Empower the Grassroots

Leverage HR Benefits and Natural Internal Partnerships

Select a Few Flagships and Do Them Well

Mix Broad (Population-Wide) and Deep (Limited Reach) Activities

Perennial Favorites: Subsidized Activity Classes, Group & Individual Challenges, and Healthy Snacks

Evolving ü  “Get discounts on local gyms for employees.” –

Chumash

ü  “Encourage supervisors and directors to demonstrate and facilitate participation in activities such as walking groups.” -PHD

ü  “Exercise classes after 5 for those of us who can't leave work before then.” – SMBSD

ü  “Less unhealthy foods brought in by staff; less potlucks that promote sweets.” -PHD

What Was Difficult?

1. Leadership commitment in trying times

2. Penetration of any single communications medium

3. Reaching outlier teams

How to Get Started 1.  Form a team

–  Leadership – Grassroots Champions

2.  Survey 3.  Identify 2-3 initial activities 4.  Promote with Positivity 5.  Create a Challenge 6.  Utilize project-act.com

How to Get Started II

ü Choose Your Own ACT ü Post it in your workspace ü Submit online at project-act.com

ü Hold a “Moving Meeting”

Lead  by  Example    

Connect "Seth Nickinson (Project Lead)"[email protected]"""Margaret Ontiveros (SMBSD)"[email protected] "