CASE STUDIES SUCCESS STORIES FROM FITBIT GROUP HEALTH CUSTOMERS

Health Care Professionals Get Serious About Their Health

Indiana University Health is a not-for-profit academic medical health center, comprised of more than 20 hospitals and health centers statewide—making it Indiana’s most comprehensive healthcare system.

1

THEIR PROMOTION

Four months before kicking off their

new program, IU Health announced

that they would be investing in Fitbit

Group Health. To create buzz and promote

participation, the company used various

digital communication memos, including

email, e-newsletters, leader memos and

their own Intranet.

THEIR PROGRAMTo generate excitement, departments

across IU Health hosted parties to register

employees and order devices. After the

program kick-off, Healthy Results—their

employee wellness program—provided

ongoing support by regularly messaging

them through the Fitbit app. To keep

employees motivated, they also started

a three-month step challenge and offered

different prizes to participants.

THE STORY

IU Health has had a successful corporate wellness program for more than 10 years.

In 2013, they decided to take it to the next level by implementing technology that

would invigorate interest and increase engagement.

THEIR RESULTS

At the end of the program, IU Health

surveyed program participants about

their satisfaction with the program and

whether they would participate in the

future. The results were impressive—92%

said they would continue to use their

Fitbit device, and 96% said they would

participate again.

2

“As leaders in the US healthcare system, it’s our responsibility to model the health behaviors that we want to see reflected

in our patients...Our program with Fitbit Group Health has helped magnify our focus on a culture of wellness.”

JIM PARKER, PRESIDENT OF IU HEALTH PLANS

Indiana University Case Study | Fitbit Group Health

ABOUT IU HEALTH:

HEADQUARTERS: INDIANAPOLIS, IN

NUMBER OF EMPLOYEES: 30,000

LOCATIONS: 20+ LOCATIONS ACROSS INDIANA

Í

3

Í

*Well-Being Went Up:

*2014 post-challenge participant survey, n=499

The Wellness Effect on Employees:

DATA | The Wellness Effect

*Activity & Engagement Increased:

79% said they were interested in having more awareness of daily achievements

93% said they were going to continue using their Fitbit

84% said the challenge motivated them to be more active with their family & friends

99% said they see themselves moving more after the challenge ends

96% said they’ve already begun moving more

96% said they would participate again

Eating better

Moving more

Managing weight better

Coping well with stress

Key Health Metrics Improved:

40% of participants decreased their BMI

60% of participants with diabetes decreased their hemoglobin A1c

67% 67% 68% 63%

Fitbit’s mission is to help people lead healthier, more active lives by empowering them with data, inspiration, and guidance to reach their goals. And IU Health’s goal was to help their employees take charge of their own health, so they can better help their patients.

Indiana University Case Study | Fitbit Group Health

4

Meet Brett Broviak, “The Million Step Man,” who was challenged by his daughter to walk 1,000,000 steps in one month. And he succeeded in more ways than one.

FINAL STATS

10,000

1,036,747

45,000

34,000

8 mi

Broviak’s initial step goal with the IU Health Challenge.

Despite physical setbacks in July, Broviak stepped up to his daughter’s challenge and walked over a million steps in August.

On the first Sunday of June, Broviak walked 45,000 steps after a colleague set a record step count.

For the rest of June, Broviak’s average daily step count went up.

Every morning at 4am, Broviak walked 8 miles with his dog, Dexter.

FIRST STEPS

AGAINST THE ODDS

FINDING INSPIRATION

INSPIRATION | The Million Step Man

Í

• 10% of his bodyweight was reduced.

• He normalized his cholesterol numbers.

• His A1c number was lowered back to normal.

Indiana University Case Study | Fitbit Group Health

GUIDANCE | Tips & Takeaways

5

Offer Exciting Incentives: During IU Health’s step challenge, participants who averaged 10,000 steps across the course of a month or entire challenge were entered into prize drawings including gift cards, a trip to Chicago and a Caribbean vacation.

Use Benefits to Boost Participation: Employees who took at least 5,000 daily steps during the challenge were given incentive points toward future premium reductions as a part of IU Health’s benefits offering.

Understand Employee Goals: By surveying employees, IU Health found that while many were motivated by the prizes, the majority joined to gain more insight into their daily activity.

Encourage Engagement: IU Health sparked friendly competition and camaraderie by hosting sign-up events and Fitbit ordering parties. They also offered a friends & family discount on Fitbit trackers to extend the program to the community.

Work-In More Wellness: Encourage senior leaders to initiate walking meetings for some fresh air and an extra dose of steps. You can also enhance camaraderie and competition by using Fitbit’s chat feature, and keep other employees motivated by sharing success stories.

Company-Wide Inclusion: Of those who met a specific goal, select winners based on random drawings to encourage and sustain participation from all activity levels.

Í Visit www.fitbit.com/group-health to see how Fitbit Group Health can help you create successful programs and improve employee health at your own company. CS-003-E

Í

Indiana University Case Study | Fitbit Group Health

Focusing on physical activity is inclusive and empowering. Improving access and opportunity to be active feels like you’re being given somethingand moving more provides health benefits for everyone.

— Rozalynn Goodwin, VP of Engagement, South Carolina Hospital Association

““ ““How legislators got the SouthCarolina State House moving.

Flipping the conversation in the fight against obesity.

In November 2015, state legislators in a health policy

fellows program and health care professionals gathered

to discuss and discover new ways to combat obesity.

The conversation shifted to what legislators can do to

inspire citizens to get healthy.

The team of professionals also discussed a number of

effective programs including the gold standard within the

state: The South Carolina Hospital Association’s Working

Well initiative. This statewide, multi-sector workplace

wellness strategy assists organizations in creating a

culture of wellbeing.

SCHA goes beyond simply focusing on a healthy weight

and instead focuses on empowering people to make

healthier choices—to eat smart, move more, and work

toward achieving optimal health. It became clear that

for the state house, there were lessons to be learned

from Working Well.

The tweet that brought legislators to their feet.

After the conversation evolved into the importance of

getting people physically fit, SCHA’s VP of Engagement,

Rozalynn Goodwin connected with Representative Neal

Collins, who also happened to be a fitness enthusiast.

They knew there would be interest among the staff and

legislators to get healthy and participate in an activity

challenge—in particular with Fitbit—but they needed

more motivation to get started.

What began as a casual tweet informing the VP he was “in”

turned into a full-fledged recruitment plan that resulted in

Collins getting other house members and senators to join

the program. Soon, SCHA had the state house on board to

lead by example and create a healthier place to work, visit,

and govern.

About South Carolina State House

Rep. Neal Collins | @collins_neal

@RozalynnGoodwin@SCHospitals I’m in! Weigh-inthe first week of session? #AHealthierStateHouse

South Carolina Case Study | Fitbit Group Health

The tweet that started it all

Bringing Fitbit into the mix.

Once they had full commitment from legislators, SCHA

was able to begin the Fitbit corporate wellness challenge.

To best understand the health outcomes of the Fitbit

program, SCHA provided optional biometric screenings

before and after. By June, Month 5, it was found that

cases of overweight and obese participants decreased

by 18%. And average daily steps increased by 21% from

the first month to the final month.

While moving toward better health is an ongoing journey,

the state house could definitively say they were healthier

than a year ago. They’re even installing walking trail

markers on the state house grounds for everyone to

enjoy for years to come.

Rep. Collins’ role as a

wellness champion to

rally colleagues, maintain

engagement, encourage

friendly competition, and

lead by example proved

to be a key to success.

Rep. Collins walked the

walk by participating in

Fitbit challenges, inspiring colleagues to take the stairs

and walk the state house grounds, and even tweeting

out his own fitness achievement – losing nearly 20 lbs.

18%of participants lost significant weight and

were no longer considered overweight

or obese.

78%of participants with elevated total cholesterol

were able to reduce it.*

9,083 stepswere taken on average per day in the final

month of the program. The top team

averaged 10,907.

31 inchescumulative reduction in waist circumference,

which is associated with decreased risk of heart

disease and type 2 diabetes.**

South Carolina Case Study | Fitbit Group Health

* With elevated or high cholesterol, one may develop fatty deposits in one’s blood vessels. Eventually, this can decrease blood flow through the arteries. (Mayo Clinic, 2016.)

** With more fat around the waist rather than at the hips, one is at higher risk for heart disease and type 2 diabetes. (National Institutes of Health, 2016.)

Legislator Spotlight:Representative Neal Collins

Consider ease and scalability.

Although SCHA considered several health

improvement elements, including a cooking demo,

they instead offered weekly bootcamp and yoga

which only required an instructor and open space.

Encourage social media use.

Suggesting to employees that they post about

their healthy behaviors can help encourage others

and keep them accountable to their healthy habits.

Tips & TakeawaysGet ideas to get your company moving.

Think beyond just weight loss.

Focusing on health behaviors is empowering

and inclusive. Moving more improves health at

any weight. Taking the stairs or hosting walking

meetings can all add up.

Ensure healthy options are available. For office catering, start simple by ensuring there’s

at least one healthy item on the menu. Make sure

it’s delicious and prominently placed.

To learn more about how Fitbit Group Health can help you build successful programs and improve employee health, contact us at www.fitbit.com/group-health. CS-015-A

South Carolina Case Study | Fitbit Group Health

For over 70 years, Atlantic Packaging has led their industry in packaging equipment,

materials, engineering and technical resources. Despite large-scale growth in recent

years, the company has continued to keep culture and employee happiness at the

forefront of their priorities.

1

Atlantic Packaging Thinks Outside the Box With Wellness

THE START

Atlantic Packaging acted on their

corporate wellness interests by hiring a

full-time health coach and implementing

a Fitbit Group Health program. Fitbit’s

activity trackers became exciting

motivational tools, helping employees

make healthy lifestyle choices. Since

then, Atlantic Packaging has initiated

step competitions and weight-loss

challenges that are engaging, inclusive

and—most importantly—fun.

THE ROADBLOCK

Throughout the past year, Atlantic

Packaging has nearly doubled in size,

hiring additional truck drivers and

machinery workers who often don’t have

constant access to email. This caused a

communication challenge, as emails to

promote upcoming wellness initiatives

failed to reach a subset of employees.

THE STORY

Wellness isn’t just a section in Atlantic Packaging’s employee manual—it’s embedded in the company’s culture.

So when senior management decided to invest in a wellness program, their goal went beyond lowering healthcare

costs, and focused on helping their employees lead more fulfilling lives.

THE RESULT

Email blasts became just one way to

stay in the know. Printed materials, blog

posts, video messaging and live events

across all 12 offices became effective

ways to keep employees updated on

new wellness initiatives. In addition,

reporting real-time results during

challenges, documenting prize giveaways

and sharing employee success stories

through company videos have all helped

maintain excitement around wellness.

2

Í

ABOUT ATLANTIC PACKAGING

HEADQUARTERS: WILMINGTON, NC

NUMBER OF EMPLOYEES: 800

LOCATIONS: 12

Atlanta Packaging Case Study | Fitbit Group Health

Atlanta Packaging Case Study | Fitbit Group Health

“It was important for us to put together a wellness program that would actually benefit

the employees and encourage healthy lifestyles. We believed that if we kept our

employees’ well-being at the forefront, it would drive the program and ultimately have

long-term benefits. A healthier, happier workforce has always been the primary goal.”

WES CARTER, VICE PRESIDENT

3

Give Fit-Friendly Prizes: Dish out prizes that fuel wellness, such as running shoes or golf clubs, to provide more tools for healthy living.

Think Beyond Email: Try creating a wellness blog that highlights company accomplishments and individual success stories.

Shout-Out the Winners: Announce the wellness challenge winner in an email or video to give them company-wide recognition.

Join Forces With Managers: Regularly check in with department leaders to make sure they’re aware of wellness initiatives and sharing the news with employees.

TIPS & TAKEAWAYS

ÍTo learn more about how Fitbit Group Health can help you develop successful programs, create engaging

challenges and improve employee health, contact us at www.fitbit.com/group-health. CS-011-C

85%

50%

of people with high blood

pressure improved their readings

after the step challenge

of employees with high or critical

triglyceride levels improved their

numbers by the following year

A group of bus drivers revved uptheir fitness and improved their health. Here’s the story of how they did it.

Our wellness program has morphed from a feel-good idea to a critical component of our business strategy for improving health and controlling costs. We can’t afford to NOT have wellness at RTA.”

—Mark Donaghy, Chief Executive Officer

““

Stuck in a stereotype

When you’re a bus driver, sitting for 8 hours a day is

part of the job. Unfortunately, that’s a one-way ticket to

poor health. RTA employees are 52 years old on average,

and their lack of physical activity was contributing to

health issues company-wide. By 2012, RTA’s yearly spend

on healthcare exceeded $7 million. But because the

“overweight bus driver” was such an accepted stereotype,

employees weren’t motivated to make a change. They even

had an internal nickname for the 50 pounds employees

gained from sitting in a bus all day: the “RTA spread.”

HEADQUARTERS: DAYTON, OH

NUMBER OF EMPLOYEES: 650

LOCATIONS: 16

They had an internal nickname for the 50 pounds employees gained from sitting in a bus all day: the “RTA spread.”

A step in the right direction

The company made the decision to become self-insured in

2014, but they knew they needed to get employees moving

to continue to improve their health and manage company

costs. They had previously started a health coaching

program, but found it difficult to motivate employees.

RTA needed an additional solution that would motivate

employees to work toward health goals, and boost the

company’s bottom line, so they added a Fitbit component

to their corporate wellness program.

RTA takes a stand against sitting.

For the video of RTA’s session at the Fitbit Captivate Summit 2016,

email us at fitbitgrouphealth@fitbit.com.

RTA Case Study | Fitbit Group Health

Bringing motivation to work

In 2014, RTA launched a Fitbit pilot program to 100

employees. They began hosting free onsite activities like

yoga and fitness classes. Over time, these once-sedentary

bus drivers started moving a whole lot more—and losing

weight. The program was so successful that RTA expanded

it to the whole company.

Healthier lives, huge savings

As employees’ activity increased, their health outcomes

and screenings improved. The team’s glucose levels

went down by an average of 17 points, and so did LDL

cholesterol, by an average of 12 points. By the end of 2015,

RTA estimated a healthcare cost savings of about $2.3

million since having implemented their Fitbit corporate

wellness program. Plus, employees found ways to break

free from the driver’s seat by walking up and down the

bus aisle and around the parking lot. Today, the whole

company, including the CEO, is hooked on living healthier—

and they’ve got the numbers to prove it.

RTA Case Study | Fitbit Group Health

$2.3Mhealthcare cost savings*

17 pointsaverage drop in glucose levels**

12 pointsaverage drop in LDL cholesterol***

* Approximate healthcare cost savings by 2015, estimated by RTA.** Average decrease in glucose levels among pilot program participants in 2015. n = 100*** Average decrease in LDL cholesterol levels among pilot program participants in 2015. n = 100

2-time Recipient of the Healthy Ohio Healthy Worksite Gold Level Award in 2014 and 2015

Recipient of the Gold LevelFit-Friendly Worksite Awardin 2015

She bought a Burn Machine, a training tool for boxers

that mimics a conventional speed bag workout and helps

strengthen core muscles, shoulders and arms. RTA’s

wellness supervisor helped Allison set daily fitness goals,

determining that a 20-minute Burn Machine workout

equaled 700 steps on her Fitbit tracker. They set Allison’s

step goal to 700. After a few months, she lost 20 pounds—

and gained a world of confidence.

Tips & TakeawaysSee how you can apply what RTA learned to your own wellness strategy.

Use Storytelling Sharing success stories gave employees ideas for

staying active—like walking up and down the bus

aisle when parked.

Do a Test Run Start with a small pilot program, adjust as

needed, then expand to the entire company.

Compare ResultsOffer biometric screenings to help employees

better understand their health and prove the

program is working.

Personalize GoalsHelp employees set personal step goals that

they can gradually increase as step challenges

continue.

To learn more about how Fitbit Group Health can help you build successful programs and improve employee health, contact us at www.fitbit.com/group-health.

CS-013-B

The Fitbit makes me feel more accountable and gives me a goal to work towards so I don’t have to guess how much activity I have done for the day.”

Employee Spotlight:Allison L.

RTA Case Study | Fitbit Group Health

Allison has been with RTA for

9 years in the Human Resources

Department. She has spina bifida,

a birth defect where the spinal

cord doesn’t develop properly and

often leads to lower-limb paralysis.

Allison has had trouble quantifying

fitness goals her whole life. So when RTA’s wellness program

ramped up, she seized the opportunity to improve her health.

““

Emory University is a top research institution located in Atlanta, Georgia. The

University is internationally known for its graduate and professional development

programs, as well as its comprehensive healthcare system—the largest in Georgia.

1

Emory UniversityWellness Champions Inspire Employees to Move More

2

Emory University Case Study | Fitbit Group Health

THE START

In 2014, Emory University launched

their Fitbit Group Health pilot program

to 1,400 employees. After the 8-week

step challenge ended, they conducted

an in-depth survey to understand

employees’ change in physical activity,

their satisfaction with the program, and

suggestions for improving it. Results

were positive, so Emory expanded

their program the following year to

their entire employee population—

over 11,000 people.

THE ROADBLOCK

Because Emory University sprawls

across a large campus, it can be

hard for employees to interact with

people outside their departments.

When Emory opened their Fitbit

Group Health Program (the "Move

More Challenge") to a broader

population, they needed to make

sure participants felt a connection

to the program and a strong sense

of community, regardless of which

building they worked in.

THE STORY

After offering health risk assessments and biometric screenings to their employees, Emory University learned that

they were struggling with a common problem among large organizations—sedentary employees. From then on,

Emory leaders committed to encouraging and supporting their employees to live healthier and move more.

THE RESULT

Emory leveraged their network of

internal leaders, or wellness champions,

to ensure that all participants were

onboarded and that they understood

the program’s benefits. Emory's

wellness champions helped the "Move

More Challenge" succeed. 96% of

employees said the Fitbit Group Health

offering was a valued benefit, and 92%

said that Fitbit motivated them to be

more active.

Í

ABOUT EMORY UNIVERSITY

HEADQUARTERS: ATLANTA, GA

NUMBER OF EMPLOYEES: 11,000

LOCATIONS: 12

Emory University Case Study | Fitbit Group Health

3

To learn more about how Fitbit Group Health can help you develop successful programs, create engaging

challenges and improve employee health, contact us at www.fitbit.com/group-health. CS-012-B

“The challenge gave us an opportunity to talk to each other and hear how we’ve changed

through the process. It inspired me to keep going, and helped take the community that

already existed to another level.”

ERIKA JAMES, DEAN OF GOIZUETA BUSINESS SCHOOL

Start Small: To understand how to best structure your wellness program, pilot new initiatives to a smaller group before expanding to a larger population.

Let Employees Lead: Create a network of wellness champions who can represent their co-workers' needs and relay meaningful feedback.

Encourage Teamwork: Motivate employees to reach their activity goals together, like the “Emory Surgery Walking Nuts,” a group who breaks for walks twice a day.

Ask for Feedback: Send surveys to program participants to learn exactly what's working, and use that feedback to improve the program moving forward.

TIPS & TAKEAWAYS

96%of employees said the "Move More

Challenge" was a valued benefit

98%would recommend the program

to other employees

92%said that Fitbit motivated them

to be more active

97%said they would participate in

another program in the future

Í

9K9,076 average daily steps walked

by participants

Based on a 2015 survey of program participants.