Worksite Wellness Summit May 14, 2009 Motivating Employees to a Healthier Lifestyle by Supporting a Culture of Health and Fitness at the Workplace Michael.

Worksite Wellness Summit May 14 2009

Motivating Employees to a Healthier Lifestyle by

Supporting a Culture of Health and Fitness at the Workplace

Michael Motta President

Plus One Health Management Inc

New York NY

bull Founded in 1986 in NYCbull Total of 95 Facilities bull Over 1500 Dedicated Employees bull Custom Corporate Wellness

Centers bull Wellness and Nutrition Servicesbull Health Promotion and Wellness

Technologybull Design amp Development Capabilitiesbull Integrated Therapeutic Services

Plus One Health Management Inc

Plus One Perspective

Objectives

bull Is there economic benefit

bull A healthy ldquofitness as wellnessrdquo culture is best achieved in action (ldquoact as ifrdquo)

bull Change and live

bull Creating the active environment

bull Linking mission to values

Comparison of Medical Costs According to Health Risk Levels (1)

$484

$465

$426

$483

$479

$627

$642

$652

$710

$870

$0 $200 $400 $600 $800 $1000

Cholesterol

Body Weight

Stress

Systolic BP

Physical Activity

Low Risk

High Risk

1 Pelletier K A review and analysis of the health care and cost-effectiveness outcome studies of comprehensive health promotion and disease prevention programs at the worksite 1995-1998 Update American Journal of Health Promotion 199913333-345

Is There an Economic Benefit

Is there an Economic Benefit

bull OBJECTIVE Describe the relationship among modifiable health behaviors and short-term medical costs using a prospective study linking cross-sectional survey data that assessed modifiable risk behaviors with insurance claims

bull SUBJECTS A stratified random sample of 7983 members Eighteen months of medical costs were analyzed Independent variables included self-reported health behaviors of smoking heavy drinking nutrition and physical activity

bull RESULTS Physical inactivity and smoking were significant predictors of higher medical costs Each day a member did not exercise there was a 29 difference in cost Compared with never smokers current smokers had 16 higher costs

bull CONCLUSION Physical inactivity and smoking were associated with higher short-term medical costs among health plan members

2 Bland PC An L Foldes SS Garrett N Alesci NL Modifiable health behaviors and short-term medical costs among health plan members Am J Health Promotion 2009 Mar-Apr23(4)265-73

Is there an Economic Benefit

bull OBJECTIVE To evaluate the effectiveness of a lifestyle intervention (LI) in reducing work loss and disability days using a one-year randomized controlled trial

bull SUBJECTS health plan members (n = 147) with type 2 diabetes and obesity Members were randomized to modest-cost (LI) or usual care (UC)

bull RESULTS LI reduced the risk of workdays lost by 643 (P ltor= 0001) compared to UC (annual accumulation UC 349 days vs LI 092 days P = 001) LI decreased the risk of disability days by 872 (P = 00003) compared to UC (annual accumulation UC 53 days vs LI 094 days P ltor= 0001) Similar trends were observed among the subset of people with depression

bull CONCLUSION LIs reduce work loss and disability days associated with diabetes and obesity

3 Wolf AM Siadaty MS Crowther JQ Nadler JL Wagner DL Cavalieri SL Elward KS Bovbjerg VE Impact of lifestyle intervention on lost productivity and disability improving control with activity and nutrition J Occup Environ Med 2009 Feb51(2)139-145

Is there an Economic Benefit

bull end of the first follow-up year yielded an average savings of at least 999 euros ($140596 US) due to a reduction in productivity loss

bull participants who averaged at least two health club visits per week over 2 years incurred at least $1252 less in health care costs in year 2 than did those who visited on average less than once per week

4 Hlobil H Uegaki K Staal JB de Bruyne MC Smid T van Mechelen W KLM Health Services Postbus 7700 (SPLAG) 1117 ZL Luchthaven Schiphol The Netherlands Eur Spine J 2007 Jul16(7)919-24

5 Nguyen HQ Ackermann RT Maciejewski M Berke E Patrick M Williams B LoGerfo JP Managed-Medicare health club benefit and reduced health care costs among older adults Prev Chronic Dis 2008 Jan5(1)A14 Epub 2007 Dec 15

bull A healthy ldquofitness as wellnessrdquo culture is best achieved in action (ldquoact as ifrdquo)

bull Relate getting the participant to believe and expect positive change

bull Repeat enabling environmental habits

bull Reframe instilling a renewed sense of purpose

6 Deutschman A Change or Die The Three Keys to Change at Work and in Life Harper Collins New York NY 2007

Change and Live

bull A clinicianclient relationship is formed

bull The clinician inspires hope

bull The clinician creates a team of experts who share the common goal get the client healthy

bull The foundations of hopendash Smart start (in the box)ndash HRA (outside the box)

Relate

Relate

bull For physical activity and wellness this is the most important key to change

bull A ldquoDordquo function

bull Create active connectionsndash The personal trainer example (in the box)ndash The Team walking example (outside the

box)

Repeat

bull Put it in the clientrsquos dialect

bull Program for success

bull Feel the joy

bull Help the client look forwardndash ldquoHey Janerdquo customer service (in the box)ndash Desk stop outreach (outside the box)

Reframe

bull Regardless of where culture is key

bull Culture = the beliefs and behaviors characteristic of a particular group

bull Culture is a collaboration between the client(s) and the clinician

The Team Effort Assumptions

bull Who you are - beliefs

bull Interview compatibility

bull On-boarding

bull Communication

bull ldquoMake yourself a nice place to workrdquondash Makendash Nice ndash Work

The Active Mission

bull How you act - behaviors

bull Simplify

bull Recognize

bull Reward Professional of the Month

bull ldquoRadiate positive energyrdquondash Community outreachndash Game facendash Overcoming adversity

Values

Mike MottaPresident

Plus One Health Management Inc75 Maiden Lane

Suite 801New York NY 10038

(646) 312-6200mikemottaplusonecom

wwwplusonecom

Thanks