Transcript Find a Doctor - Performance Excellence Network

Personalize. Empower. Improve.
Creating a Culture of Well-Being:
Using Physical Activity and Leadership as a
Spearhead for Healthier Employees
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?
2
Overview of Medica
Medica, the common name for Medica Holding Company, is a nonprofit, 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
3
“Traditional” Wellness at Medica
Health Action Incentives
Ergonomics - Sit-to-Stand for All Permanent Workstations
Health and Wellness Coaching
Group Fitness/Fitness Center
Weight Management
Employee Assistance Program
Nurse Line
Education/Seminars
On-site Flu Shots and Health Screenings
Virtual Care
Medication Therapy Management
Tobacco Cessation
Activity Clubs
Healthy Pregnancy Program
Diabetes Prevention and Control Programs
Care Management
4
Personalize. Empower. Improve
Getting Results
12% increase: participants reporting good physical health*
10% decrease: pain that interferes with normal activity*
12% decrease: participants reporting “high” stress levels*
$19-$22/month savings per participant after 2 years**
5
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
6
Wellness to Wellbeing
 Groups
 High Touch
 Sustainable
 Skill Focused
 Practice Based
7
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
8
Culture of Health and Performance
Health + Leadership = High 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
9
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
10
Sustainable Behavior Change is Driven from
Intrinsic Motivation
Short-term reward
Avoid punishment
Outcomes: health,
quality of life, etc.
Extrinsic
Motivation
Negative psychology
Unlikely to be sustained
Teixeira, P et al. 2012, Int J Behav Nutr Phys Act 9:78
Ryan & Deci. 2000, American Psychologist, 55:68
Pure enjoyment of
the activity itself
Intrinsic
Motivation
Positive for wellbeing
Sustainable behavior
• Autonomy
• Competence
• Relatedness
11
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
88% of the population thought
they were in good-excellent
health. <15% actually were.
12
Social Connection
“…like schools of fish changing
direction in unison, we are
unconsciously led by the
people around us.”
• 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%
• 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
13
Domains of Human Experience:
A Holistic Approach to health
Ability to take
Action
I
E
Purpose
B
14
Using Physical Activity as a Spearhead
for a culture of Health
15
“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, 2000
Booth F. et al. Eur J Appl Physiol, 2008
16
%of U.S. Population at Risk
Physical activity presents the largest
opportunity to prevent chronic disease
Risk Ratio
2.1
2.4
2.5
1.9
17
change
Individuals who participate in fitness
programs are more productive, creative, and
less stressed.
less
stressed
errors on
absenteeism tasks
productivity
job
grievances
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
18
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
Harkness et al, Rheumatology, 2005
CDC, Vital Health Stats, 2006
19
Musculoskeletal conditions make up
the majority of missed days from work
53%
http://www.boneandjointburden.org/pdfs/BMUS_chpt1_overview.pdf
20
Progressive and Sequential Programming
that supports a variety of fitness needs
Power
Max
Strength
Hypertrophy
Strength
Endurance
Stabilization
Corrective Phase
Model Adapted from NASM: Essentials of Personal Fitness Training 3rd Ed, 2008.
21
Putting it all together: A Peer-Led fitness
model to support Health and Performance
22
Creating a culture of Health
Leadership Training
 Awareness
 Intrinsic motivation
 Choice
Peer-fitness program
 Social support / connection
 Self-efficacy
 Progressive / sequential
23
Change over 12-months
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
24
Shifting the culture: What’s possible
low
baseline
12 months
healthy
7%
32%
39%
7%
51%
high
49%
61%
44%
24 months
8%
32%
68%
60%
25
Functional movement improved
26
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
27
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.”
28
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.”
29
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.”
30
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.
31
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.
32
Contact Us
www.medica.com
Rob Brown
Employee Well-Being Manager
[email protected]
www.activ8-u.com
Moira Petit, PhD
Partner
[email protected]
33