personalize. empower. improve. creating a culture of well-being: using physical activity and...
TRANSCRIPT
Personalize. Empower. Improve.
Creating a Culture of Well-Being: Using Physical Activity and Leadership as a Spearhead for Healthier Employees
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Discussion – 5 minutes
What does health / wellbeing mean to you?
Are you as healthy as you would like to be? If not, what gets in the way?
Do people in your organization support your health? If so, how? If not, how might it feel if they did?
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Overview of Medica
Medica, the common name for Medica Holding Company, is a non-profit, taxable corporation that includes four health insurance businesses, a health management company, a charitable grant-making foundation, and a research institute.
• Medica Health Plans • Medica Health Plans of Wisconsin • Medica Insurance Company• Medica Self-Insured• Medica Health Management, LLC• Medica Foundation• The Medica Research Institute
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Health Action IncentivesErgonomics - Sit-to-Stand for All Permanent Workstations
Health and Wellness CoachingGroup Fitness/Fitness CenterWeight ManagementEmployee Assistance ProgramNurse LineEducation/SeminarsOn-site Flu Shots and Health ScreeningsVirtual CareMedication Therapy Management Tobacco CessationActivity ClubsHealthy Pregnancy ProgramDiabetes Prevention and Control ProgramsCare Management
“Traditional” Wellness at Medica
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Personalize. Empower. ImproveGetting Results
12% increase: participants reporting good physical health*12% increase: participants reporting good physical health*10% decrease: pain that interferes with normal activity*10% decrease: pain that interferes with normal activity*12% decrease: participants reporting “high” stress levels*12% decrease: participants reporting “high” stress levels*
$19-$22/month savings per participant after 2 years**$19-$22/month savings per participant after 2 years**
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Wellness to Wellbeing
Caring at our core: employees, members & community
Desire to do more Address the entire employee experience A whole person approach An aligned business strategy Enhance and shift thinking
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Wellness to Wellbeing
Groups High Touch Sustainable Skill Focused Practice Based
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Activ8 Partnership
Activ8 model addresses multiple dimensions of wellbeing – whole person
Peer-to-peer fitness provides a way for people to connect to the learning
Visibly impacts culture Health and high performance as a bona fide
business strategy
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Culture of Health and Performance
“We have to create a culture of health… We have to get to the point where
people start valuing the energy and vitality that health brings, instead of
only thinking they are healthy because they don’t have diabetes”
-Dee Edington, PhD – Zero Trends
Health + Leadership = High Performance
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Our approach to Health and Performance
• Framework for high performance• Find purpose• Build communities• Create practices to take effective action
• Physical activity as a foundation for health
• Putting it all together: Peer fitness model
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Sustainable Behavior Change is Driven from Intrinsic Motivation
Pure enjoyment of the activity itself
Short-term rewardAvoid punishment
Positive for wellbeingSustainable behavior
Negative psychologyUnlikely to be sustained
Teixeira, P et al. 2012, Int J Behav Nutr Phys Act 9:78Ryan & Deci. 2000, American Psychologist, 55:68
Outcomes: health, quality of life, etc.
• Autonomy• Competenc
e• Relatedness
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88% of the population thought they were in good-excellent health. <15% actually were.
Awareness leads to more Choice
Awareness
What impact do my choices have on me and those I care about?
Allow people to find their own relevance
Choose To vs. Have To
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Social Connection“…like schools of fish
changing direction in unison, we are unconsciously led by
the people around us.”
• Smoking cessation by a coworker decreases the chance of smoking by 34%.
Christakis NA, Fowler JH. N Engl J Med. 2007. 26;357(4):370
• If one spouse becomes obese, the likelihood that the other spouse becomes obese increases by 37%.
• If a friend who lives within a mile of you becomes happy, it increases the probability that you will become happy by 25%
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Ability to take Action
Domains of Human Experience: A Holistic Approach to health
I
BBEEPurpos
ePurpos
e
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Using Physical Activity as a Spearhead for a culture of Health
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“no single intervention has greater promise than physical activity to reduce the risk of virtually all chronic diseases
simultaneously” — F. Booth, 2000
Booth F. et al. J Appl Physiol, 2000Booth F. et al. Eur J Appl Physiol, 2008
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Physical activity presents the largest opportunity to prevent chronic
disease%
of U
.S. P
opu
latio
n a
t Ris
k
Risk Ratio 2.1 2.4 2.5 1.9
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Loehr & Schwartz “The Power of Full Engagement”, NY, 2003.; Ackerman et. al Am J Prev Med 2003.; Ratey, J. “Spark: The Revolutionary New Science of Exercise and the Brain” 2008
chan
ge
errors on tasksabsenteeism job
grievances
less stressed
productivity
Individuals who participate in fitness programs are more productive,
creative, and less stressed.
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Need to consider prevalence of musculoskeletal conditions in program design
• Musculoskeletal pain is increasing– 1 in 5 adults has diagnosed arthritis– Low back pain – 80% of all adults– Musculoskeletal symptoms #2 reason for Dr.’s
visits in 2003
• 50-90% of people get injured in the first 6 weeks of a new exercise program designed for injury prevention
CDC, Vital Health Stats, 2006
Harkness et al, Rheumatology, 2005
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Musculoskeletal conditions make up the majority of missed days from work
53%
http://www.boneandjointburden.org/pdfs/BMUS_chpt1_overview.pdf
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Progressive and Sequential Programming that supports a variety of fitness needs
Model Adapted from NASM: Essentials of Personal Fitness Training 3rd Ed, 2008.
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Putting it all together: A Peer-Led fitness model to support Health and Performance
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Creating a culture of Health
Leadership Training Awareness Intrinsic motivation Choice
Peer-fitness program Social support / connection Self-efficacy Progressive / sequential
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The combination of leadership and peer-fitness led to significant positive changes in body composition
*Population data averaged from a number of sources e.g. Sternfeld et al. Am J Epidemiol, 2004; Sowers et al. Ann Human Biol, 1996; Williams PT. Am J Clin Nutr, 1997
Change o
ver
12-m
onth
s
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Shifting the culture: What’s possible
39%51%
68%
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Functional movement improved
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Qualitative outcomes
• 25% of attendees had never participated in a group fitness program
• 92% of survey respondents agreed or strongly agreed “I have noticed positive changes in how I feel since starting the class”
• 98% of respondents rated their experience in MedicaFit as good or excellent
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What Participants Are Saying
“The relationships we’ve developed through the MedicaFit program have helped us work more effectively and be more productive in our work.”
“I’ve heard that over and over again that it’s just really neat that the organization is making the investment in this and also that people are making the investment in other people...this provides a level of caring, partnership, and cooperation that I think will extend beyond just the MedicaFit process.”
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What Participants Are Saying
“I have lymphodema in my legs, and this exercise has really reduced the swelling. I see and feel changes that other programs NEVER showed and so quickly!”
“I have rheumatoid arthritis and I’ve never found an exercise class I could do before. I’ve desperately needed to do something, and this has been perfect for me. I feel better now and have more energy during the day. This has been so good for me.”
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What Participants Are Saying
“I really like that everyone in my row is doing the classes together. When one of us gets up to go, I think I better get up and go too.”
“I have people coming in to workout at 7:00am on their day off….it’s just amazing”
“It's casual, it's fun, and very individualized, so no matter what your fitness level, you can participate. I find that no matter who's next to me in class, we can moan and groan and joke around, along with the instructors.”
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Summary
Participants self-report a positive impact of the program on their wellbeing and quality of life:
less lower back pain greater enjoyment and less pain in daily activities more energy throughout the day improved overall mood
Leadership + Fitness showed significant positive changes in health outcomes.
The peer model engaged employees who might otherwise not participate in fitness.
Employees report greater connection to each other and the organization.
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Lessons Learned
Significant change can start with the individual and expand through shared experiences.A handful of dedicated people can make a difference.An integrated model of leadership and health creates more significant outcomes.Peer fitness creates unique personal connections that translate to workplace results.Some of the key program benefits we identified in qualitative interviews can be challenging to measure in a quantitative way.
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www.medica.comRob Brown
Employee Well-Being [email protected]
www.activ8-u.comMoira Petit, PhD
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