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Transcript of Culture Clash How We Win the Battle for Better Health PART IV How to Create a New Culture By...
Culture ClashHow We Win the Battle for
Better Health
PART IVHow to Create a New Culture By
Creating Islands of Health
Dr. Steven AldanaCEO WellSteps
Four Part Agenda
Part I. What’s the ProblemPart II. How Our Culture Has ChangedPart III. Culture is the Cause: A New Culture is the SolutionPart IV. How to Create a New Culture By Creating Islands of
Health
Review of Part III
1. Just like nutrition our ancient bodies cannot adapt to sedentary living
2. We have many examples of people who have healthy cultures for themselves
3. Healthy behavior is the key, the research proves it4. People need three things to succeed:
1. Find a reason to change2. Learn new skills3. Get help from others
How Do They Do It?
Islands of Health
Islands of Health
How to Create an Island of Health
XAwareness
Motivation
Skills
Policy
=Effective WellnessPrograms
Reach Impact
Awareness and Education
Motivation
Skills and Tools
Policy and Environment
Awareness and Education
Motivation
Skills and Tools
Policy and Environment
Culture Change for Individuals
Culture Change for Individuals
• Find a reason to change• Learn new skills• Get help from others
Awareness and Education
Motivation
Skills and Tools
Policy and EnvironmentImpact
5%
30%
25%
40%
How Wellness Professionals Change Culture
1. Awareness and Educate (Why and What)
• Create individual awareness• Create community and organizational awareness
and support• Create buzz• Brand Your Wellness Effort
• Biometric screening• HRA• Webinars• Flyers, posters• Email notifications• Television/video programs• Books
• Payroll stuffers• Internet sites• Magazines• Lunch and learns• Special speakers• Newsletters
Three Steps to Communicate (marketing)
1. Create compelling copy (written words)2. Offer something of value3. Include a call to action (what you want the person to do)
1. Creating good copy
• What are your employee’s problems?
Creating Solutions to Problems
What are your employee’s problems?• Poor Health• Weight gain• High Health risks, etc• Maybe they don’t have a problem
Employee Engagement
Employees whodon’t care
Creating Solutions to Problems
What are your employee’s problems?• Poor Health• Weight gain• High Health risks, etc• Maybe they don’t have a problem• High health care costs?• Reduced productivity?
It’s not what you want, it’s what your employees want
Think Like an Employee
2. Offer Something of Value (solutions to their problems)
• What is your value proposition?• Better health, lower weight, tastier food, fewer
medications, less stress, etc• Financial incentive• Happiness• Hope
Collateral (marketing) Materials
• Message should resonate with employees• Communicate in multiple ways and multiple times• Email, printed materials, newsletters, website,
posters, table top tents, meeting announcements, staff meetings
• SPOUSES
3. Include a Call to Action
• Register today• Sign up now• Join Us• Get screened• Take the HRA• Walk at lunch
Simpler is Better
96.4% Engagement
• 861 hospital employees• High health risks• Mostly female• High stress environment• WellSteps turnkey client
Subject Line: WellSteps: Improve Your Health and Win Great Prizes
Dear Bob,Get better health and lower weight when you participate.It’s time to report on your wellness points. Just Click here.
Karen,Your WellSteps Guide
Do you need Branding?
Wellness Brands
• Live Well• Healthy Lifestyles• Well for Life• Health Works
Feel good. Be healthy. Live well.
Simple?
Three Steps to Communicate (marketing)
1. Create compelling copy (written words)2. Offer something of value3. Include a call to action (what you want the person to do)
2. Motivate
• Before/after stories in newsletters
Motivate
Incentives– Carrots vs Sticks
Motivate
• Incentives– Extrinsic and intrinsic– Short term incentives
• Outcome based-wellness programs– Benefits based incentives– Carrots and sticks combined
• Effective communications
3. Skills and Tools (How do I do this?)
• Demonstrations• Lunch and learns• Classes• Healthy recipes• Show me how to do this
www.wellsteps.com/appss
4. Policy and Support
• Physical Environment• Policy• Social support
Supportive Environments
• Physical environments– Healthy food in cafeteria– Farmer’s market– Stress free work environment– Opportunities to be physically active
• Walking paths• Bike paths• Recess and PE at schools
– Smoke free air to breath at home– Safe place to exercise– Convenient access to healthy, inexpensive foods
• Broad Based Policies– Medical coverage for preventive services– Wellness based benefits design– No smoking policies– Flex time– Time to be healthy– Organizational support for healthy behaviors
• Social Support– Health role models (champions)– Spouses and significant others– Peer support– Supportive friends– Church, community support
Outcomes-based Incentives
• Benefits based incentive programs– Require leadership buy-in– Include sticks and carrots– Produce high participation rates– Are extrinsic motivators, we need intrinsic
Worksite Culture Change Essential Ingredients:
• Wellness committee meets and functions• Onsite coordinators respond in a timely manner to
wellness coordinator requests• Senior level executives participate• Benefits-based incentive structure in place
XAwareness
Motivation
Skills
Policy
=Effective WellnessPrograms
Reach Impact
Lifestyle Change
Fruit and Vegetable Servings
4.5
5
5.5
6
6.5
7
7.5
Baseline 6 weeks 6 months
Whole Grain Servings
4
4.5
5
5.5
6
6.5
Baseline 6 weeks 6 months
Percent of Calories from Fat
25
27
29
31
33
35
37
Baseline 6 weeks 6 months
Grams of Saturated Fat
12
14
16
18
20
22
24
26
28
Baseline 6 weeks 6 months
Grams of Sodium
2000
2100
2200
2300
2400
2500
2600
2700
2800
2900
3000
Baseline 6 weeks 6 months
Total Calories
1500
1600
1700
1800
1900
2000
2100
Baseline 6 weeks 6 months
BMI
-1.3
-1.6-1.6
-1.4
-1.2
-1
-0.8
-0.6
-0.4
-0.2
0
over weight obese
Systolic Blood Pressure Reductions mm/Hg
-3.6
-12.9
-28.8-30
-25
-20
-15
-10
-5
0
ideal high dangerous
Diastolic Blood Pressure Reductions mm/Hg
-3.5
-10.4
-14-14
-12
-10
-8
-6
-4
-2
0
ideal high dangerous
Total Cholesterol Reductions mg/dl
-15.8
-28.8
-47.3
-50-45-40-35-30-25-20-15-10
-50
normal boderlinehigh
high risk
Glucose Reductions mg/dl
0.3
-9
-46
-50-45-40-35-30-25-20-15-10
-505
normal I FG diabetes
Woodard & CurranOne Year Results
• Engineering company• 350 employees, 12 different locations• WellSteps Turnkey Solution for past 2 years• 84% participation
J Occup Environ Med. 2011 Sep;53(9):1008-12.
0.23
0.14
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
0.45
0.5
Baseline 1 year
Days of Smoking per week(decrease of 40%)
1.55
1.45
1.25
1.3
1.35
1.4
1.45
1.5
1.55
Baseline 1 year
Days of Absenteeism per Year(Decrease of 6%)
83.7
84.9
80
80.5
81
81.5
82
82.5
83
83.5
84
84.5
85
Baseline 1 year
Percentage of Time Productive(Increase of 1.4%)
0.18
0.12
0.1
0.11
0.12
0.13
0.14
0.15
0.16
0.17
0.18
0.19
0.2
Baseline 1 year
Emergency Room Visits per Year(Decrease of 33%)
2.69
2.56
2.5
2.55
2.6
2.65
2.7
2.75
2.8
2.85
2.9
2.95
3
Baseline 1 year
Health Care Visits per Year(Decrease of 5%)
Two Year Results
Population Health Management. 2012 ( In press)
2.5
3.2 3.2
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4
Baseline 1 year 2 year
Days of Exercise per Week (increase of 23%)
Population Health Management. 2012 ( In press)
120
198 193
100
110
120
130
140
150
160
170
180
190
200
Baseline 1 year 2 years
Minutes of Exercise per Week (increase of 53%)
Population Health Management. 2012 ( In press)
1.62
22.1
1.5
1.6
1.7
1.8
1.9
2
2.1
2.2
2.3
2.4
2.5
Baseline 1 year 2 year
Fruit Servings per Day(increase of 15%)
Population Health Management. 2012 ( In press)
2.05
2.4
2.5
2.0
2.1
2.1
2.2
2.2
2.3
2.3
2.4
2.4
2.5
2.5
Baseline 1 year 2 year
Vegetable Servings per Day(increase of 9%)
Population Health Management. 2012 ( In press)
5 Small Business Pooled Study
Baseline %
Exercise (3+ days per week) 52.8
Exercise (90+ minutes per week) 47.8
Whole grain servings (5+ per week) 49.4
Vegetable servings (2+ per day) 67.5
Fruit servings (2+ per day) 45.0
Nights of restful sleep (4+ per week) 48.1
J Occup Environ Med. 2012 Oct 4
71.9
69.6
59.2
76.7
76.1
70.8
Year 1 %
Rural Wisconsin Health Cooperative (RWHC)
• One year results with WellSteps• 60 Employees• 94% participation• Significant changes in behavior and productivity
J Occup Environ Med. 2012 (in press)
2.89
3.5
2.5
2.6
2.7
2.8
2.9
3
3.1
3.2
3.3
3.4
3.5
Baseline 1 year
Day
s of
Exe
rcis
e pe
r w
eek
Days of Exercise per Week
J Occup Environ Med. 2012 (in press)
1.43
2.1
1
1.2
1.4
1.6
1.8
2
2.2
Baseline 1 year
Fruit Servings per Day
J Occup Environ Med. 2012 (in press)
2.89
3.5
2.5
2.6
2.7
2.8
2.9
3
3.1
3.2
3.3
3.4
3.5
Baseline 1 year
Vegetable Servings per Day
J Occup Environ Med. 2012 (in press)
1.34
1.1
0.5
0.6
0.7
0.8
0.9
1
1.1
1.2
1.3
1.4
Baseline 1 year
Days of Absenteeism per Year
J Occup Environ Med. 2012 (in press)
84
86.2
75
77
79
81
83
85
87
Baseline 1 year
Percentage of Time Productive
J Occup Environ Med. 2012 (in press)
What Else Can We Do?
• Linkedin: Wellness is a Business Strategy• Attend your state and national conferences• Get involved with advocacy groups• Faith-based efforts• Purchase healthy options
Percent of Americans Who Are Obese
Estimated
Percent of Americans Who Are Obese
• Our poor health is a side effect of our Western culture• Our culture will NOT change on it’s own• The ONLY solution is to create our own culture of health:
an Island of Health at home and work• Eventually these islands will connect, then, and only then
will the larger culture change
Summary