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What is a Comprehensive Workplace Health Management Program? with George Pfeiffer
1. + 0
DESIGNING A
COMPHREHENSIVE HEALTH
PROMOTION PROGRAMGEORGE J PFEIFFER, MSE, FAWHP
PRESIDENT, THE WORKCARE GROUP, INC.
georgeworkcare@earthlink.net
2. + 1Designing a Comprehensive Worksite Health
Promotion Program
Understand the value and need of having an integrated,
comprehensive approach to employee health promotion.
Identify common elements/practices for designing a
comprehensive worksite health promotion program.
Identify common practices using a national accreditation model.
LEARNING OBJECTIVES
3. + 2
Designing a Comprehensive Worksite Health
Promotion Program
Only 24% of large companies (>750) have a comprehensive
program as defined by the 2004 National Worksite Health
Promotion Survey:
• Health education
• Integration
• Linkage with other programs
• Supportive social and physical environment
• Worksite screening
DID YOU KNOW?
4. + 3
National Worksite Health Promotion Survey: 2004
Total Companies 6.9%
50-99 employees 4.6%
100-249 employees 6.0%
250-749 employees 11.3%
>750 employees 24.1%
Source: Linnan L, Bowling M, Childress J, Lindsay G, Blakey C, Pronk S, Wieker S, Royall P. Results of the 2004 national worksite health
promotion survey. American Journal of Public Health. 2008;98(8):1503-1509.9
Companies Implementing All Five Elements
5. + 4
National Worksite Health Promotion Survey: 2004
41.3% of all companies linked their health programming to related
programs.
29.9% offered supportive social and physical environments.
28.6% integrated their programming into the organizational
structure.
26.2% provided health education.
23.5% provided worksite screenings.
Source: Linnan L, Bowling M, Childress J, Lindsay G, Blakey C, Pronk S, Wieker S, Royall P. Results of the 2004 national worksite health
promotion survey. American Journal of Public Health. 2008;98(8):1503-1509.9
Companies Implementing
Specific Elements
6. + 5
Designing a Comprehensive Worksite Health
Promotion Program
An integrated, comprehensive model to employee health
management addresses an organization’s entire population:
• disregards risk status.
• facilitates positive risk migration (e.g., medium/high to low).
• represents a sustainable health management/well-being
strategy.
• encourages and facilitates a cross-functional approach to
program planning and management.
VALUE PROPOSITION
7. + 6
Designing a Comprehensive Worksite Health Promotion Program
*$6,000 per employee
Direct Medical Costs
Estimated Total Costs $18,000
PEPY
Sources: Loeppke, et.al., JOEM, 2003; 45:349-359 and Brady, et al, JOEM, 1997; 39:224-231
DIRECT COSTS RELATED TO INDIRECT COSTS
■ Estimated
$12,000 per
Employee
Medically Related
Productivity Costs
Presenteeism
Absenteeism
Short-term Disability
Long-term Disability
8. + 7
Designing a Comprehensive Worksite Health
Promotion Program
CHANGE OF COSTS RELATED TO CHANGE IN RISKS
9. + 8
Designing a Comprehensive Worksite Health
Promotion Program
Goals
Keep
employees
healthy
Avoid
migration
to higher
risk levels
Goals
Identify risk
factors early
Target risks with
appropriate
interventions
Goals
Provide
appropriate
treatment with
the greatest
benefit at the
least risk and
cost
Improve
treatment
compliance/
adherence
Goals
Assess
outcomes
Reassess total
health needs
Goals
Improve
decision-making
skills regarding
care options
Improve
provider/patient
communication
Pfeiffer, GJ. Stages of the continuum of care. WorkSET Program. 2008.
Goals
Keep employees
healthy
Avoid migration
to higher risk
levels
10. + 9Designing a Comprehensive Worksite Health
Promotion Program
Identifying strengths, weaknesses, and gaps along continuum
• Review existing program components against continuum.
• Identify what needs to be fixed.
• What needs to be added/eliminated?
• “Low hanging fruit”?
FIRST STEP: HOW BALANCED ARE YOUR
OFFERINGS?
11. + 10Designing a Comprehensive Worksite Health
Promotion Program
■ What needs to be done before implementing your new plan?
• Do you need more data?
• Do you need to change your goals/objectives?
• Do you need additional resources?
• Do you need to change your staffing/contracts?
FIRST STEP: HOW BALANCED ARE YOUR
OFFERINGS?
12. + 11
Designing a Comprehensive Worksite Health
Promotion Program
Goals
Keep
employees
healthy
Avoid
migration
to higher
risk levels
Goals
■ Identify risk
factors early
■ Target risks with
appropriate
interventions
Goals
■ Provide
appropriate
treatment with
the greatest
benefit at the
least risk and
cost
■ Improve
treatment
compliance/
adherence
Goals
■ Assess
outcomes
■ Reassess total
health needs
Goals
■ Improve
decision-making
skills regarding
care options
■ Improve
provider/patient
communication
Pfeiffer, GJ. Stages of the continuum of care. WorkSET Program. 2008.
Goals
■ Keep
employees
healthy
■ Avoid migration
to higher risk
levels
13. + 12
Designing a Comprehensive Worksite Health Promotion Program
Program/Practice Models
14. + 13
Designing a Comprehensive Worksite Health
Promotion Program
1. Align features and incentives with the organization’s core mission,
goals, operations, and administrative structures.
2. Operate at multiple levels.
3. Target the most important health care issues.
4. Tailor components to needs of individuals.
5. Achieve high rates of engagement and participation.
6. Achieve successful health outcomes.
7. Evaluate—scorecards and metrics.
Adapted from: Goetzel RZ, Shechter D, Ozminkowski RJ, et al. Promising practices in employer health and
productivity management efforts: findings from a benchmarking study. J Occup Environ Med. 2007;49:111–130.
“PROMISING PRACTICES”
15. +
Level 4 – Special Needs
Disease management, EAP, behavior
health, health concierge, prenatal
education, work hardening, ergonomics
Level 3 – Risk Reduction
Targeted interventions, health coaching,
risk specific online & print applications,
topic specific workshops/support groups
Level 2 – Risk Avoidance/Well-being
Screenings, HRA’s, health coaching,
benefit education, online resources,
benefit education, self-care
Level 1 – Organizational Readiness and
Engagement
Business alignment, total leadership
support, benefit design, policies,
environmental supports, incentives
Pfeiffer, GJ. Worksite Health International. 2011
Special
Needs
Risk
Reduction
Risk Avoidance/
Well-being
Organizational Readiness &
Support
34. + 33
Designing a Comprehensive Worksite Health
Promotion Program
We address our entire population.
We address all levels of risk.
We address the “total worker.”
We have a “total leadership” model.
We work cross-functionally.
Our program is aligned with our business:
mission, goals, and objectives.
CHECKLIST
35. + 34
Designing a Comprehensive Worksite Health
Promotion Program
We attempt to integrate our services and
data rather than segmenting our services.
We align policies, benefits, and
environmental supports.
We continually communicate.
We try to identify and reduce barriers to
participation and engagement.
We provide meaningful data to our key
stakeholders.
CHECKLIST