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Dr. Steven Aldana CEO WellSteps
Culture Clash How We Win the Battle for Better Health PART IV How to Create a New Culture By Creating Islands of Health Dr. Steven Aldana CEO WellSteps
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Four Part Agenda Part I. What’s the Problem Part II. How Our Culture Has Changed Part III. Culture is the Cause: A New Culture is the Solution Part IV. How to Create a New Culture By Creating Islands of Health
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Review of Part III Just like nutrition our ancient bodies cannot adapt to sedentary living We have many examples of people who have healthy cultures for themselves Healthy behavior is the key, the research proves it People need three things to succeed: Find a reason to change Learn new skills Get help from others
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How Do They Do It?
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Islands of Health
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Employers can create islands of health as well as anyone
Employers can create islands of health as well as anyone. They can create policies, environments, strategies, icentives and tools. No one is going to help create this new culture. Few are interested in changing the status quo. We are alone … so to speak.
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Islands of Health
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How to Create an Island of Health
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= X Reach Impact Effective Wellness Programs Policy Skills Motivation
Awareness Reach Impact
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Awareness and Education
Motivation Skills and Tools Policy and Environment
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Awareness and Education
Culture Change for Individuals Awareness and Education Motivation Skills and Tools Policy and Environment
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Culture Change for Individuals
Find a reason to change Learn new skills Get help from others
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Awareness and Education
How Wellness Professionals Change Culture Awareness and Education Motivation Skills and Tools Policy and Environment Impact 40% 25% 30% 5%
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1. Awareness and Educate (Why and What)
Create individual awareness Create community and organizational awareness and support Create buzz Brand Your Wellness Effort
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Biometric screening HRA Webinars Flyers, posters notifications Television/video programs Books Payroll stuffers Internet sites Magazines Lunch and learns Special speakers Newsletters
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Three Steps to Communicate (marketing)
1. Create compelling copy (written words) 2. Offer something of value 3. Include a call to action (what you want the person to do)
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1. Creating good copy What are your employee’s problems?
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Creating Solutions to Problems
What are your employee’s problems? Poor Health Weight gain High Health risks, etc Maybe they don’t have a problem
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Employee Engagement Employees who don’t care
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Creating Solutions to Problems
What are your employee’s problems? Poor Health Weight gain High Health risks, etc Maybe they don’t have a problem High health care costs? Reduced productivity?
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It’s not what you want, it’s what your employees want
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Think Like an Employee
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2. Offer Something of Value (solutions to their problems)
What is your value proposition? Better health, lower weight, tastier food, fewer medications, less stress, etc Financial incentive Happiness Hope
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Collateral (marketing) Materials
Message should resonate with employees Communicate in multiple ways and multiple times , printed materials, newsletters, website, posters, table top tents, meeting announcements, staff meetings SPOUSES
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3. Include a Call to Action
Register today Sign up now Join Us Get screened Take the HRA Walk at lunch
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Simpler is Better
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96.4% Engagement
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861 hospital employees High health risks Mostly female High stress environment WellSteps turnkey client
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Subject Line: WellSteps: Improve Your Health and Win Great Prizes
Dear Bob, Get better health and lower weight when you participate. It’s time to report on your wellness points. Just Click here. Karen, Your WellSteps Guide
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Do you need Branding?
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Wellness Brands Live Well Healthy Lifestyles Well for Life
Health Works
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Feel good. Be healthy. Live well.
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Simple?
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Three Steps to Communicate (marketing)
1. Create compelling copy (written words) 2. Offer something of value 3. Include a call to action (what you want the person to do)
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2. Motivate Before/after stories in newsletters
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Motivate Incentives Carrots vs Sticks
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Motivate Incentives Outcome based-wellness programs
Extrinsic and intrinsic Short term incentives Outcome based-wellness programs Benefits based incentives Carrots and sticks combined Effective communications
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3. Skills and Tools (How do I do this?)
Demonstrations Lunch and learns Classes Healthy recipes Show me how to do this
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4. Policy and Support Physical Environment Policy Social support
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Supportive Environments
Physical environments Healthy food in cafeteria Farmer’s market Stress free work environment Opportunities to be physically active Walking paths Bike paths Recess and PE at schools
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Smoke free air to breath at home
Safe place to exercise Convenient access to healthy, inexpensive foods
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Broad Based Policies Medical coverage for preventive services
Wellness based benefits design No smoking policies Flex time Time to be healthy Organizational support for healthy behaviors
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Social Support Health role models (champions)
Spouses and significant others Peer support Supportive friends Church, community support
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Outcomes-based Incentives
Benefits based incentive programs Require leadership buy-in Include sticks and carrots Produce high participation rates Are extrinsic motivators, we need intrinsic
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Worksite Culture Change Essential Ingredients:
Wellness committee meets and functions Onsite coordinators respond in a timely manner to wellness coordinator requests Senior level executives participate Benefits-based incentive structure in place
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= X Reach Impact Effective Wellness Programs Policy Skills Motivation
When programs follow this recipe and are successful in changing cultures, results happen: Awareness Reach Impact
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Lifestyle Change
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Fruit and Vegetable Servings
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Whole Grain Servings
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Percent of Calories from Fat
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Grams of Saturated Fat
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Grams of Sodium
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Total Calories
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BMI
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Systolic Blood Pressure Reductions mm/Hg
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Diastolic Blood Pressure Reductions mm/Hg
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Total Cholesterol Reductions mg/dl
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Glucose Reductions mg/dl
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Woodard & Curran One Year Results
Engineering company 350 employees, 12 different locations WellSteps Turnkey Solution for past 2 years 84% participation J Occup Environ Med Sep;53(9):
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Days of Smoking per week
(decrease of 40%)
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Days of Absenteeism per Year
(Decrease of 6%)
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Percentage of Time Productive
(Increase of 1.4%)
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Emergency Room Visits per Year
(Decrease of 33%)
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Health Care Visits per Year
(Decrease of 5%)
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Two Year Results Population Health Management ( In press)
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Days of Exercise per Week (increase of 23%)
Population Health Management ( In press)
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Minutes of Exercise per Week (increase of 53%)
Population Health Management ( In press)
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Fruit Servings per Day (increase of 15%)
Population Health Management ( In press)
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Vegetable Servings per Day (increase of 9%)
Population Health Management ( In press)
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5 Small Business Pooled Study
Year 1 % Baseline % Exercise (3+ days per week) 52.8 Exercise (90+ minutes per week) 47.8 Whole grain servings (5+ per week) 49.4 Vegetable servings (2+ per day) 67.5 Fruit servings (2+ per day) 45.0 Nights of restful sleep (4+ per week) 48.1 71.9 69.6 59.2 76.7 76.1 70.8 J Occup Environ Med. 2012 Oct 4
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Rural Wisconsin Health Cooperative (RWHC)
One year results with WellSteps 60 Employees 94% participation Significant changes in behavior and productivity J Occup Environ Med (in press)
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Days of Exercise per Week
J Occup Environ Med (in press)
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Fruit Servings per Day J Occup Environ Med (in press)
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Vegetable Servings per Day
J Occup Environ Med (in press)
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Days of Absenteeism per Year
J Occup Environ Med (in press)
96
Percentage of Time Productive
J Occup Environ Med (in press)
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Individual islands begin to connect with each other and we start to create networks.
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What Else Can We Do? Linkedin: Wellness is a Business Strategy
Attend your state and national conferences Get involved with advocacy groups Faith-based efforts Purchase healthy options
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Percent of Americans Who Are Obese
Estimated
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Percent of Americans Who Are Obese
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Summary Our poor health is a side effect of our Western culture
Our culture will NOT change on it’s own The ONLY solution is to create our own culture of health: an Island of Health at home and work Eventually these islands will connect, then, and only then will the larger culture change
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