Discover how to build a program that will instill a culture of wellness in your organization, starting from the day new truck drivers or employees are hired by making sure they are truly fit for duty.
3. • Wellness by the numbers
• Why this is such a wicked problem
• Examples from the field
• Ideas to kickstart or boost your program
• The intersection of wellness and work comp
• Q & A
AGENDA
5. 75%
OF ALL
HEALTH CARE COSTS
ARE PREVENTABLE
Heart Disease
Cancer
Stroke
Chronic Obstructive Pulmonary Disease
Diabetes
Sleep Apnea
High Blood Pressure
what a waist!
7. • Do you currently have a wellness program?
– Yes, and it’s going great.
– Yes, but there’s room for significant improvement.
– Not at this time
– Not sure
POLLING QUESTION
12. 13
long road aheadLife expectancy for
drivers is 16 years
shorter
80% of carriers report
health care changes
will adversely affect
their ability to hire
Obese drivers have 2X
the crash rate per mile
compared to healthy
drivers.
We have an aging
driver force - average
driver age is 52.
20. DON’T TRY TO DO IT ALONE –
BUILD “GRASSROOTS” SUPPORT
• Driver focus group
• Survey [SurveyMonkey, eSurveyPro, Pop Survey]
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21. DON’T TRY TO DO IT ALONE –
BUILD “GRASSROOTS” SUPPORT
• No wellness committee? Make this the cause of your safety
committee
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2
22. KNOW YOUR AUDIENCE, AND GIVE THEM
TOOLS TO GET PHYSICALLY ACTIVE
23
3
• Walking program? Not so much.
• Easy-to-do exercise routines and stretching tips
• Onsite wellness equipment, marked walking path, bikes to
get around
• Free gym membership
• Emphasize that working out can just be a few minutes
during breaks – every bit counts!
23. KNOW YOUR AUDIENCE, AND GIVE THEM
TOOLS TO GET PHYSICALLY ACTIVE
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3
Hire a health and wellness coordinator [options for small and
large companies]
24. KNOW YOUR AUDIENCE, AND GIVE
THEM TOOLS TO GET ACTIVE
Fit System and Fit Stepper
25
3
Fitness equipment that works in a truck: kettlebells, hand
weights, stretching bands…
26. KNOW YOUR AUDIENCE, AND GIVE
THEM TOOLS TO GET ACTIVE
27
3
Wellness innovator: Melton Truck Lines
27. KNOW YOUR AUDIENCE, AND GIVE
THEM TOOLS TO GET ACTIVE
28
3
Telemedicine Success Story
– Driver with 160/110 blood pressure,
putting him at risk losing his CDL
– Used remote device to measure
– Received real time med and lifestyle
guidance on the road
– Now at 120/80 and still trucking!
28. FOCUS ON HEALTHY
EATING TOO
• Fresh fruit and healthy snacks
• Investment in refrigerators and invertors for trucks
• Nutrition counseling
• Crock pots in trucks – surprisingly successful
• Grocery guides, simple meal plans, and recipes
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4
30. BUILD AWARENESS BY
“KNOWING YOUR NUMBERS”
• Health risk assessments &
biometric screenings
• Help drivers understand their
health risks
• Options to make it easy:
– Mail-in kit
– Partner with a vendor that has
multiple locations
– Onsite screening (multiple
times/dates)
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5
31. BUILD AWARENESS BY
“KNOWING YOUR NUMBERS”
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5
• Program for drivers who fail their recertification
DOT exam
• One-on-one fitness training by a CDL Wellness
Coach
• Daily health screenings for blood pressure,
weight, blood sugar, and BMI
• Health education and nutritional classes
32. MAKE IT A TEAM
EFFORT
• Build a strong support system
• Wingman program
• Set company wide or department goals and challenges:
– Pounds lost company wide
– Recipe challenge
– Smoking cessation
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6
34. MAKE IT A TEAM
EFFORT
35
6
Terminal vs. terminal
Divisions or departments
Groups by driver manager
Groups by state
Randomly assign teams
35. GIVE THEM
OPTIONS
• Wellness is very personal – never one-size-fits-all
• Health and wellness fair
• Get their input and make sure your offerings align with what
they want to do
36
7
36. SWEETEN THE DEAL
FOR PARTICIPANTS
• Positive reinforcement, continued support and incentives
• Integrate your program with your other benefits – health
premiums, safety bonuses, etc.
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8
37. KEEP COMMUNICATION
GOING WHEN YOU DON’T SEE DRIVERS
• Multiple channels of communication
• Social media
• Mailers to the home – get the spouse involved!
• Success stories
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40. USE YOUR
RESOURCES
• Use resources that you have available [especially the free
ones!]
• WELCOA
• Insurance carrier
• Benefits advisor
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10
41. USE YOUR
RESOURCES10
Share mini wellness booklets
with 12 driver-friendly wellness
challenges and simple tips to
change behaviors.
Participants who share their
success on HNI's Facebook or
Twitter will be entered in a
drawing for a FitBit Flex!
Order complimentary copies at:
hni.com/well-driver-challenge
42. INTEGRATE THIS WITH YOUR
WORK COMP STRATEGY
• Obvious impact is to benefits costs… but HUGE potential to
impact work comp costs as well
• Drivers with a BMI >25 (overweight) are off work
13X longer for a work comp claim
• Avoid making wellness another “thing” – at the end of the
day, same goals as your safety program
43
11
44. • DOT examinations
• Post-offer physical examinations
– Extensive questionnaire
– MSK assessment
– Drug screen
– Medical surveillance
• Post accident physical therapy and
treatment
• Return to work
IS THIS DRIVER FIT FOR DUTY?
The cheapest
injuries are the
ones that don’t
happen….
“ “
45. • Are you currently conducting pre-employment physicals?
– For all positions
– For some positions
– Not at this time
– Not sure
POLLING QUESTION
46. • Snapshot view of the workers ability to perform the critical
physical demands of the position
• Highly individualized and specific to the job
• Used post-offer to make sure the person is fit for duty
• Useful in physical therapy treatment to identify crucial
physical task goals for case closure and return to work
BENEFITS OF AN ENHANCED PHYSICAL
47. • Employer prioritizes job positions
– History of injury?
– Identified as most physically demanding?
– History of high job turnover related to difficulty?
• Physical therapist reviews existing job
description
• Physical therapist documents physical
demands of job for ADA compliant job
description
• Job description reviewed by management and
union (if applicable)
BUILDING AN ENHANCED PHYSICAL TEST
48. • Physical therapist develops EPT protocol based upon
physical demands, documentation and client input
• Validity testing — client sends in an employee to go through
the EPT to validate the specifics of the protocol
• Revisions made as necessary
• EPT becomes part of the client’s Post Offer Physical process
• Placement recommendations based upon the candidates
successful completion of the EPT
BUILDING AN ENHANCED PHYSICAL TEST
49. Sedentary — Less than 10 pounds
Light — 10 pounds frequently;
20 pounds occasionally
Medium — 20 pounds frequently;
50 pounds occasionally
Heavy — 50+ pounds frequently
JOB CATEGORIES
50. • Role in physical therapy for injured employees
• Documentation of physical demands for treating physicians
– 3rd party objectivity of actual demands of job in injury process
• Role in fitness for duty evaluations
• Opportunity for education!
ADDITIONAL BENEFITS OF ENHANCED
PHYSICAL TESTING
51. • 24 year old male applicant paramedic
– Heavy duty job category
– Morbid obesity and knee surgery
– Enhanced physical testing for all applicants
– Struggled aerobically
– Lifting tolerance not demonstrated
– Clearing for position not approved
EXAMPLE: POST-OFFER EXAMINATION
52. • 54 year old female industrial cook
– Heavy duty job category
– Weakness in both arms
– MRI showed neck with central canal stenosis
– One level cervical spine fusion
– Symptoms resolved post-operative
– EPT with no limitations
– Clearance to return to work
EXAMPLE: RETURN TO WORK
53. OTHER OPPORTUNITIES TO LINK
SAFETY & WELLNESS
• Create stretching programs that align with ergonomic / work
comp risks
• Make a quick stretch part of your pre-trip inspection!
• Tie safety and wellness incentives and communications
together
• Implement training program on proper body mechanics such
as lifting
55. SMALL COMPANY (<50 EMPLOYEES)
• 45 employees
• Launched a incentive based program
• Employee can earn up to $250, or if spouse participates, up
to $500
• Rewards based on:
– Non-smoking - $75
– Preventive Care Appointment - $75
– Maintain current weight $100
56. MEDIUM COMPANY (>100 EMPLOYEES)
• Committed to making this a grassroots effort
• Incentives up to $500
• Annual wellness screenings
• Follow up coaching from a local health care clinic
• Referrals to 100% covered primary care resources
• Annual health fair and company picnic
• Share aggregate wellness results with the entire company.
57. LARGE COMPANY (>1000 EMPLOYEES)
• Discovered that 10% of employees represented 80% of the dollars spent
on health care, workers’ compensation, absence and disability benefits
($17,000/person, compared to <$500 for others)
• 1.4% were responsible for 40% of total benefit dollars.
• Analyzed employee health care data to spot problem areas
• Designed a program focused on:
– Managing obesity
– Blood pressure
– Diagnosing and treating sleep apnea
– Driver safety
– Lunch-and-learn educational programs
– Enhanced physical exam processes and tracking.
• Result: cost went from a 22% increase to a 1.3% decrease, and cite
wellness program as saving over $100 million in several years
59. THE GAME IS YOURS TO CHANGE…
• Start slow, start fast, but START!
• Opportunity to attract healthier drivers to your fleet
• Engage and retain drivers by showing that you care
• Drive down health and work comp costs
60. INVITE YOUR DRIVERS TO TAKE THE WELL
DRIVER CHALLENGE!
Share mini wellness booklets
with 12 driver-friendly wellness
challenges and simple tips to
change behaviors.
Participants who share their
success on HNI's Facebook or
Twitter will be entered in a
drawing for a FitBit Flex!
Order complimentary copies at:
hni.com/well-driver-challenge