NorthWestern Energy's Award-Winning Wellness Program

Powered in EMPOWERED™ NorthWestern Energy Award-Winning Worksite Wellness Program

© 2013 Health Fitness Corporation

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Background and Demographics

• NorthWestern Energy partner with HealthFitness

• Core business: Regulation of electric and natural gas distribution, transmission, and energy supply

• Locations: Montana, South Dakota, and Nebraska

• Company Population:

~1500 employees, ~900 spouses = ~2400 eligible

72% male/28% female

Average age: 46 years old

45% exempt/55% non-exempt

98% Caucasian; 2% other


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Background

• Wellness committee

– Develop group/team

– Mission, vision, goals

– Begin meeting bi-monthly

• Steering committee

– RFP for wellness services

– Launch corporate-wide program January 2011

• Services for Years 1-3:

– Health Risk Assessment

– Health Screenings

– Health Advising

– EMPOWERED™ Coaching

– NutriSum

– Personalized Messaging

– eHealth web platform

– Onsite Manager


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Montana Worksite Health Promotion Coalition and Excellence Award

• Coalition since 2003

• Excellence awards since 2006

• Mission - a resource for Montana employers regarding the art and science of health promotion and wellness at work

• Vision - education, encourage, recognize, and create a standard of excellence by Worksite Health Promotion programs in Montana and we do that by:

• Conference

• Excellence Awards in Worksite Health Promotion

• Reliable resources via website


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Montana Worksite Health Promotion Coalition and Excellence Award

• NorthWestern Energy exceeded first-year participation projections in its wellness program and recently won the 2012 Excellence in Worksite Health Promotion Award—Gold Level from the Montana Worksite Health Promotion Coalition.

• In addition, program manager Tabatha Elsberry received the 2012 Jill Young Excellence Award for exemplifying worksite health promotion excellence in Montana.


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Excellence Awards Criteria

1. Management Commitment

2. Program Leadership

3. Strategic Plan and Mission Statement

4. Assessment Tools

5. Interventions

6. Tracking System

7. Measure Outcomes

8. Communicate Results

9. Internal Marketing


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1. Management Commitment

• Commitment from senior

management that

supports organizational

policies and dedicates

sufficient resources

• Corporate Policies,

Practices or Procedures

Bronze – 3

Silver – 6

Gold – 9

All Award levels:

Operating program for more than one year

CEO letter or other internal document demonstrating support

Company newsletter or marketing materials


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1. Management Commitment Policies, Practices, and Procedures

Smoke-free workplace

• Tobacco-free workplace

• Promotion of Quit Line

Alcohol/drug policy

Seatbelt policy

Safety Program

• Onsite Daycare facility

Healthy Food options

Wellness mission linked

CEO support – funding/budget

$250 Diabetic Education Benefit

Pre-employment Drug test

• “Well Days” offered/promoted

Productivity management

Insurance Coverage for preventive

Consumer Driven Health Plan

Pay bonuses, structure

• Stress reduction policies

Flex time to participate in wellness

Flexible schedules

• New employee Orientation

• Promote alternate transportation

• Breast-feeding policy

Medical Reimbursement

Dependent care Reimbursement

• Onsite bike racks


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2. Program Leadership

• Leadership from well-qualified health promotion or worksite wellness professionals in the program’s design, implementation and ongoing operations.

• Bronze - wellness champion, recommended committee

• Silver & Gold – health promotion professional/consultant and required committee with supporting documents


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3. Mission/Strategic Plan

• Strategic plan with specific goals, measurable objectives, and implementation timeline for the next 1-5 years and a clear statement of the Wellness program’s mission and purpose as well as target audience

Mission Statement for wellness program

Target Audience

Bronze – healthy

Silver – High Risk

Gold – High Risk (HRA)

Strategic

Bronze – 1-year

Silver – 3-year

Gold – 5-year


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4. Assessment Tools

• Process or tool for assessing organizational and individual needs, risks and costs to ensure appropriate interventions are offered to that employee population

• Assessment Tools:

– Employee Interest Survey

Health Screenings

HRA

Medical Claims

– Culture Assessment

Bronze – 1

Silver – 2 (min HRA)

Gold – 3 (min HRA)


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5. Interventions

• High quality and convenient programs (interventions) that motivate participants to achieve lasting behavioral changes

• ALL award levels – SIX from BASIC: Advertise community services

Educational/Information sessions

– Wellness Classes

Health Education Resources

– Product Sales/Give-a-ways

Fitness Activities

Annual Health Fair

Ergonomic Assessments

EAP

Relaxation/Massage

Healthy Eating Promotion

– Lending Library


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5. Interventions

• Moderate

SILVER – 4 GOLD – 5

Physician Referral program

Internal wellness website

Fitness facility/gym discounts

– Medical self-care

1-on-1 consults

– Diabetes Prevention Program (DPP)

Disease Prevention

Disease Management

Short-term Incentive

Personalized Health Messaging

• Comprehensive

GOLD – 2

EMPOWERED™ Health Coaching

Comprehensive Annual Incentive Program


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Energize Your Life Program EMPOWERED™ Coaching

• Eligible after screening and HRA complete

• Interactions with coach

– Portal Messaging

– Calls monthly

– Coach-On-Demand

– Print/online for goals

• Set goals – 15 standard, custom with coach

• Part of incentive program


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Energize Your Life Program EMPOWERED™ Coaching

• Enrolled and completed participants improved statistically significant in 4 areas: Depression, Activity, Seat Belts and Fruits/Veggies

• Additionally, smaller improvements were made in: Blood Pressure, Job Satisfaction, and Tobacco

• Enrolled but not completed group also made some improvements


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Energize Your Life Program Incentive Program

• Program Year 1 – participation-based program


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• Program Year 2+ –outcomes-based points program


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Deliverable Comments POINTS

Screenings * Onsite, Nurse, Remote, Alternate Means options 30-270

Health Assessment * Online and Paper (limited copies available) 30

Health Advising Telephonic only 25

Health Coaching Complete up to 4 goals for 50 points each 50-200

NutriSum Achieve minimum NutriReward Score of 45 100

CardioLog Earn one point daily for minimum 20 minutes 1-200

Active For Life Achieve 50-200 points by recording activities 50-200

BMI Improvement

Earn 50 points for each BMI point improved upon since

last year’s screening (not for BMI <17.5)

If participating for the first time, 2012 is baseline

50+

TOTAL POINTS Earn all remaining points toward incentive by

August 31, 2012 300


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6. Tracking System

• Efficient systems for tracking program operations, utilization and administration of wellness program

Bronze – 1

Silver – 2 (min HRA)

Gold – 3 (min HRA)

• Choose from list:

HRA

HRA Cohort (if >2 years)

Screening

Website

Classes

Programs


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7. Measure Outcomes

• Procedures and reporting mechanisms for evaluating or measuring program quality and outcomes

• Bronze –

Class/program evaluation

• Silver


Summary of class evals

HRA participation at 30%

• Gold


Summary of class evals

HRA participation at 40%

Cost/benefit analysis


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Energize Your Life Program Energize…MyPlate Program

• Measured results

– 28% response rate

– 1.57/day begin

– 4.40/day end

– Improved 2.83 servings/day

• Satisfaction (1 to 5)

– 4.17 Met Expectations

– 4.31 Recommend to others

– 4.29 Satisfied with program


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$1,000-$3,500 in Excess Claims for Each Additional Health Risk

$2,400

$4,000

$5,000

$6,500

$7,800

$9,000

$10,500

$11,900

$0$1,000$2,000$3,000$4,000$5,000$6,000$7,000$8,000$9,000$10,000$11,000$12,000

0 1 2 3 4 5 6 7+

Source: Dee Edington, Health Management Research Center


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Example: Cost/benefit documentation on Energize…MyPlateProgram

Annual cost of treating one excess risk per person

(conservative)

$1,000

Total costs or expenses of delivering MyPlate program $1,850

Number program participants X Annual Cost per person 129 participants x $1,000 =

$129,000

As a result of the program, number of participants

without condition

15 participants, or 11%

If 11% of 129 participants no longer have one risk factor,

then potential costs avoided of 11% of annual cost of

$193,500

$14,190

Formula Money Saved/Avoided ÷ Total Costs = ROI $14,190 ÷ $1,850 =7.60:1 ROI


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8. Communicate Results

• System and annual reporting for communicating the program results to employees, senior management, and other key stakeholders

• Annual Report

• ALL levels:

Accomplishments

Challenges

Next year’s goals

• Silver and Gold add:

Participant Utilization

Participant Satisfaction

HRA Aggregate

• Gold add:

Coaching Aggregate


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9. Internal Marketing

• Effective internal marketing to employees to achieve and maintain high participation and engagement

Bronze – 4

Silver – 5

Gold - 6

• Choose from:

Flyers/brochures

Newsletters

Emails/faxes

Internal wellness website

– Paycheck stuffers

Mass/personal invites

Home mailings

New Employee/Staff meetings

– Bulletin boards

– Table tents


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Questions?

• HealthFitness

• NorthWestern Energy

• Montana Health Promotion Coalition

• Excellence Awards

• Criteria for Gold Award Program

• Key programs

– Annual Health Fair

– Personalized Messaging

– EMPOWERED™ Coaching

– Incentive Program

– Energize…MyPlate Program

Tabatha Elsberry

Program Manager

Coalition Award Chair

Tabatha.elsberry@ northwestern.com

406.498.6993

40 E Broadway St Butte, MT 59701

NorthWestern Energy's Award-Winning Wellness Program

Health & Medicine

Transcript of NorthWestern Energy's Award-Winning Wellness Program