Transcript Slide 1

Realizing the Promise and Competitive
Advantage of a Thriving and
Sustainable Workplace and Workforce
Strategies for 2013 and Beyond
The University of
Michigan
Edington Associates
Dee W. Edington
October 10, 2012
Health Promotion – The value of
meeting patients where they are
The University of
Michigan
Edington Associates
Dee W. Edington
October 10, 2012
Leadership Buffalo 2012
dedicated to improving the health of people
in western new york
Mission
Dedicated to improving the health of people in
Western New York
Goals
• Empower all in the WNY community to take responsibility for and act
on their own wellness
• Facilitate the development of a community-wide standard for the
promotion of wellness
• Work with physicians and provider organizations to enhance access to
care and improve quality of care
• Initiate dialog with government leadership to promote policy change
Board of Directors
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Kevin Donovan
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Northeast District Energy Corporation
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Donald Boswell
WNED-TV Channel 17
Karen Blount, RN, PNP
BlueCross BlueShield of WNY
Michael Cropp, MD
Independent Health
Michael Edbauer, DO
Catholic Medical Partners
Stephen Edges, MD, FACS
Roswell Park Cancer Institute
John Fudyma, MD
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State University of New York at Buffalo
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George Gellman
The Benchmark Group
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Pastor Richard Hague, Jr
Mount Erie Baptist Church
Maureen Hurley
Rich Products
Maureen Millane, PhD
Daemen College
Debra Quinn
Consumer
Patrick Reen
Consumer
Thomas Rosenthal, MD
State University of New York at Buffalo
Dan Scully
Buffalo Medical Group, PC
Arthur Wingerter
Univera Healthcare
Three Core Disciplines
Care
Transformation
• Improve the quality of care
• Improve access to care
• Focus on areas with low socio-economic status
Community
Health Planning
• Help Communities to understand areas where they
need improvement.
• Provide facilitation services, data support, and
assistance with resources.
• Promote policy change
Health
Engagement
• Create programs that empower patients to become
active partners in their care, and take responsibility
for and act on their own wellness.
Targeted Interventions For
Every Aspect of Health
Physical
Environment
(10%)
• Western New
York
Community
Health
Planning
Institute
Social and
Economic
Factors (40%)
• Western New
York Health
Equity
Coalition
• Community
Medicaid
Collaborative
Clinical Care
(20%)
• PCMH
Adoption
• Care
Transitions of
Western New
York
• Prostate
Cancer
Quality
Initiative
Health
Behaviors (30%)
• Ounce of
Prevention
• Living
Healthy
• Diabetes
Prevention
Program
Does low health status present a
threat to your organization or
community?
Does high health status present a
competitive advantage for your
organization/community?
Business/Community Problem
Currently, most costs associated with
workplace, workforce and community
performance are growing at an
unsustainable rate and a threat to the
organization/community
How are we going to be successful in
this increasingly competitive world
without a healthy and high performing
workplace, workforce and communities?
How can we turn costs into an
investment?
What if you worked for the best
company you could imagine: an
organization that was a high
performing and an employer of
choice.
What words would you use to
describe the workplace and
the workforce?
VISION for 2013 and Beyond
Who is your target audience and
what to they look like?
Estimated Health Risks
Health Risk Measure
Body Weight
Stress
Safety Belt Usage
Physical Activity
Blood Pressure
Life Satisfaction
Smoking
Perception of Health
Illness Days
Existing Medical Problem
Cholesterol
Alcohol
Zero Risk
High Risk
41.8%
31.8%
28.6%
23.3%
22.8%
22.4%
14.4%
13.7%
10.9%
9.2%
8.3%
2.9%
14.0%
OVERALL RISK LEVELS
Low Risk =
0-2 risks
Medium Risk =
3-4 risks
High Risk =
5 or more
From the UM-HMRC
Medical Economics Report
Estimates based on the age-gender
distribution of a specific corporate
employee population
Estimated Health Problems
Self -Reported
Allergies
Back Pain
Cholesterol
Heart Burn/Acid Reflux
Blood Pressure
Arthritis
Depression
Migraine Headaches
Asthma
Chronic Pain
Diabetes
Heart Problems
Osteoporosis
Bronchitis/Emphysema
Cancer
Past Stroke
Zero Medical Conditions
Health Problems
33.2%
26.9%
16.2%
15.2%
14.5%
14.5%
10.7%
9.4%
7.0%
6.4%
3.8%
3.3%
1.8%
1.7%
1.3%
0.7%
31.9%
From the UM-HMRC
Medical Economics
Report
Estimates based on the
age-gender distribution
of a specific corporate
employee population
Risk Transitions (Natural Flow)
2,373 (50.6%)
Time 1 – Time 2
Medium Risk
(3 - 4 risks)
4,546
(42.6%)
1,961
(18.4%)
1640
(35.0%)
10,670 (24.6%)
4,691 (10.8%)
High Risk
(>4 risks)
5,226 (12.1%)
678
(14.4%)
892
(3.2%)
11,495 (26.5%)
5,309
(19.0%)
4,163
(39.0%)
27,951 (64.5%)
Average of three
years between
measures
Modified from Edington, AJHP. 15(5):341-349, 2001
26,591 (61.4%)
21,750 (77.8%)
Low Risk
(0 - 2 risks)
Cost Transitions
(Natural Flow)
Time 1 – Time 2
127,644 (35.8%)
37,701 (55.7%)
67,680 (19.0%)
26,288
(20.6%)
Medium Cost
($1000-$4999)
75,500
(59.1%)
High Cost
($5000+)
73,427 (20.6%)
9,438
(5.9%)
23,043 (34.0%)
130,785 (36.7%)
32,242 (20.0%)
6,936
(10.2%)
25,856 (20.3%)
160,951 (45.2%)
152,063 (42.7%)
N=356,275 Non-Medicare Trad/PPO
Modified from Edington, AJHP. 15(5):341-349, 2001
Low Cost
(<$1000)
119,271 (74.1%)
Costs are Associated with
Risks and Age
Annual Medical
Costs
$11,965
$11,909
$10,785
$7,991
$12,000
$8,927
$5,710
$5,114
$7,989
$9,000
$6,625
$6,636
$4,620
$6,000
$5,212
$3,353
$3,800
$2,565
$2,944
$1,414
$3,000
$1,776
$8,110
$5,756
$3,734
$4,613
$2,740
$2,193
$0
19-34
35-44
45-54
55-64
Age Range
Edington. AJHP. 15(5):341-349, 2001
65-74
75+
High
Med Risk
Non-Participant
Low
The Economics of the Total Threat to
Organizations and Communities
relative to High or Low Health Status
Low or
No Risks
Health
Risks
Disease
increase
increase
decrease
Total Threat
Medical/Hospital
Drug
Absence
Disability
Worker’s Comp
Effective on Job
Recruitment
Retention
Morale
Where does the Threat turn into
a competitive advantage?
Medical and Wellness Strategies
in 2012 and Before
Wait for Disease or Health Risks
and then Treat
In Quality terms this strategy
translates into “wait for defects
and then fix the defects”
The world we have made as a result of the
level of thinking we have done thus far
creates problems we cannot solve
at the same level of thinking
at which we created them.
- Albert Einstein
Where do we need to go in 2013
and beyond?
TO A NEW LEVEL OF THINKING…
(Deming, Drucker, Blanchard…)
Vision for Zero
Trends
“…organizations
ensure a
sustainable and
thriving workplace
and workforce…”
Zero Trends was
written to be a
transformational
approach
Based upon over 800
Publications and
Presentations
Strategies for 2013 and Beyond
Integrate the Whole Person into
the Environment and Culture
(Follow the lead of Safety and Quality)
(…in Quality terms this strategy
translates into “fix the systems
that lead to the defects”)
(Deming, Drucker, Blanchard)
Characteristic of a Champion Company
and Community
Strategic Vision
Systematic Strategy
Systemic Solutions
Sustainable Policies
VISION: “…organizations ensure a
sustainable and thriving workplace and
workforce”
Thriving and Sustainable Workplace and
Workforce for 2013 and Beyond: Strategic
Create a Thriving
and Healthy
WorkForce
Create a
Supportive
Environment
and Culture
Create the
Vision and
Strategy
Champion
Company
Move Healthy WellBeing into the Culture
Senior Leadership
Operations Leadership
Self-Leadership
Recognize Positive Acts
Quality Assurance
1981, 1995, 2000, 2006, 2008, 2011 Dee W. Edington
Gains in
Organizational
Objectives
Health Status
Economics
Absence
Worker’s Comp.
Presenteeism
Financial Metrics
Engaged Workers
Recruitment
Retention
Happiness
Company Visibility
Social Responsibility
Five Fundamental Next Practice Pillars
Strategic, Systematic, Systemic and Sustainable
Communication,
Engagement &Culture
Communication
and
Enrollment
Engagement
and
Culture
Programs Along the Health
Continuum
Prevention
and
Wellness
Pillar 1:
Senior
Leadership
Pillar 2:
Operations
Leadership
Strong Vision
Committed
Leadership
Courage
Build Culture of
Wellness
Build the Brand
Train all Levels
Case
Management
Disease
Management
Pillar 3:
SelfLeadership
Create Winners
One step at a time
Don’t get worse
Build Self-Efficacy
Build Self-Leaders
Program Impact
Self-leaders
Health Status
Economics
Performance
Champion Company
Pillar 4:
Reward
Actions
Pillar 5:
Quality
Assurance
Reward Positive Continuous
Improvement
Actions
Feedback
Reinforce Every
Sustainable
Touch Point
Lifestyle Scale for Individuals and
Populations: Self-Leaders
High-Level
Wellness, Energy
and Vitality
Feeling
OK
Chronic
Signs &
Symptoms
Edington. Corporate Fitness and Recreation. 2:44, 1983, Modified 2009
Premature
Sickness, Death &
Disability
Living and Thriving Assessment
Supportive
Community
Supportive
Self-Leader
21st Century
Living and Thriving
Assessment
Supportive
Family and
Friends
Supportive
Workplace
Determinates of Living and Thriving
Self-Leadership and High Performance
•Purpose-Values-Mission-Vision
• Environment
and culture
•Personal
Control
•Resilience
• Consumerism
• Engagement
•Optimism
Self-leadership
•Knowledge
•Health Literacy
•Negotiation Skills
•Selfesteem
•Vitality/energy/ • Social
Vigor
Support
–Colleagues
–Community
–Family
•Low-Risk Health Status
•Confidence
/ Selfefficacy
Other possible characteristics: Change, Integrity, Trust,
Thrive, Enthusiasm, Ethical, Spiritual, Creative, Flexible,
©2010: Edington Associates
Implementation
CEO
Enterprise Strategy
GAP
Analysis
Metrics
Environmental Audit
Vision
Perception of Culture
Training Courses
Senior Leaders
Human Resource
All Managers
Wellness Champions
All Employees
Resilience
Concepts of Change
Decision Making
Self-Leadership
Commitment
Wellness Programs
Focus Groups
Reward Positive Actions
Steering
Team
Attention to Gaps
ES and Outcome Integrated Database
Corporate Positioning System
Corporate Positioning System
•Where do you want to go?
•Are we there yet ?
•Where are you today?
•How do you get there ?
•Roadblocks, Detours ?
•Are you on track?
Online platform with
views for all stakeholders
in the organization
• Senior Leaders
• Operations Leaders
• Managers
• All Employees
(Vision Objectives)
(Success Metrics)
(Gap Analysis)
(Training, Modules, Wellness)
(Ongoing Evaluation)
(Real Time Tracking)
Summary
Summary advice for
Organizations and Communities
Don’t get worse
Help the healthy people stay
healthy
What’s Your Vision? Create a Strategy
Senior
Leadership
Champion
Vision
from
Leaders
Comprehensive
Speech
from
Leader
Traditional
Operational
Leadership
Healthy
System &
Culture
SelfLeadership
Everyone
a SelfLeader
Reward
Positive
Actions
Quality
Assurance
Reward
Sustained
Results
Progress
in All
Areas
Reduction
in Risks
Reduce
Health
Risks
Reward
Achievement
Change in
Risk &
Sick Costs
Inform
Leader
Programs
Targeting
Risks
Health
Risk
Awareness
Reward
Enrollment
Change in
Risks
Status Quo
Status Quo
Status Quo
Status Quo
Status Quo
Do Nothing
© 2011 Edington Associates, LLC
What’s the Point
Thank you for your attention
Please contact us if you have any questions
Phone: (734) 998-8326
Email: [email protected]
Website: www.edingtonassociates.com
Edington Associates LLC
North Campus Research Center
1600 Huron Parkway ,
Ann Arbor MI 48109
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