OEA Choice Trust School Employee Wellness Conference, March 24, 2015
Collaborating for synergy – Partnering for Total Worker Health™
Presenters • Laura Pavlat, Payroll and Benefit Manager,
Springfield Schools #19
• Charis Allenbaugh, MS, Health Promotion and Wellness Manager, PacificSource Health Plans
• Bryan Burnette, Sr. Safety Management Consultant, SAIF Corporation
• Deborah Fell-Carlson, RN, MSPH, COHN-S, FAAOHN, Policyholder Safety and Wellness Adviser, SAIF Corporation
©SAIF CORPORATION | 2014 2
Objectives • After this session, you should be able to:
• Define Total Worker Health
• Describe how one organization partnered with their health plan and workers compensation carrier simultaneously to operationalize the Total Worker Health concept
• List two opportunities to integrate health promotion, safety, and well-being
©SAIF CORPORATION | 2014
Why are we here? • Injuries are costly
regardless of where they occur – 5th leading cause of death.
• Chronic conditions impact frequency and severity.
• Lifestyle and job risks are interdependent.
• Chronic conditions include: • Pain
• Cancer
• Diabetes
• Dementia
• Arthritis
• Cardiovascular disease
• Obesity
4
Examples of interdependency • Sensory deficits, diabetes
• Ergonomics, stress
• Risky activities
• Obesity
• Presenteeism
5
What influences presenteeism? • Workplace factors
• Workplace climate
• Work-life conflict
• Shift work, sleep debt
• Task design
• Work environment
• Work stressors
• Sedentary work
• Personal factors
• Fatigue and sleep issues
• Pain
• Personal stressors
• Chronic conditions
• Inactivity
• Obesity
• Substance abuse
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What is Total Worker Health? • A growing body of science supports workplace interventions
that integrate health protection and health promotion programs.
• Total Worker Health™ is a comprehensive organizational strategy that integrates occupational safety and health protection with health promotion to prevent worker illness and injury and advance well being.
• The 24/7 approach addresses injury prevention in the health promotion program and health promotion in the safety program; it integrates the effort across the company.
©SAIF CORPORATION | 2014 7
Prevention for presenteeism is similar to chronic disease prevention...
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Eat healthy foods
Move intentionally
Get good sleep
Stay hydrated
Manage stress
Avoid tobacco
Four cornerstones
Management systems
Culture of health and
safety
Personal responsibility Environment
Edington, Burton. A Practical Approach to Occupational and Environmental Medicine 140-152. 2003.
Workers’ Comp 9%
Absenteeism 6%
Health Care 25%
Presenteeism 60%
The cost of doing nothing
So where do we start?
The Fundamentals Engagement of Key Stakeholders
Environmental/Cultural Assessment
Health Risk Identification
Program Design and Implementation
Integration with Health Plan Design
Continuous Evaluation and Reporting
Our story: Springfield Schools
https://www.youtube.com/watch?v=jQ8DOP3Dpf4
Traditionally, workplace safety and work place wellness programs have been
compartmentalized
Our story: Springfield School District • Steps for our successful wellness and safety
programs
• Garner leadership support
• Committee approach
• Collaboration with health insurance Carrier, Parks and Recreation, OEA Choice Wellness Grant Program, workers’ compensation carrier
© SAIF CORPORATION | June 22, 2015 Page 14
Challenges and opportunities
Wellness initiatives • Year One
• Know Your Health Numbers
• Group activities
• Weight Watchers@Work
• Year Two
• Partnership with local parks and recreation
• Zumba and Yoga
• Continue Weight Watchers
© SAIF CORPORATION | June 22, 2015 Page 16
Wellness initiatives • Year Three
• Added Healthy Schools Challenge (partnership with PacificSource)
• Promoted school gardens
• Began Wellness Committee on Healthy Snack Guidelines
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Safety program • Used consulting and other resources available
through workers’ compensation carrier
• Empowered safety committee
• Analyzed injury data (safety committee)
• Developed active Return to Work Program
© SAIF CORPORATION | June 22, 2015 Page 19
How do you have an effective and engaged safety committee?
Visible change... For both wellness and safety
© SAIF CORPORATION | June 22, 2015 Page 21
Visible change... For both wellness and safety
© SAIF CORPORATION | June 22, 2015 Page 22
Visible change... For both wellness and safety
© SAIF CORPORATION | June 22, 2015 Page 23
Visible change... For both wellness and safety
© SAIF CORPORATION | June 22, 2015 Page 24
Policy year Experience
Rating Modifier
2005/06 1.20 2006/07 1.24 2007/08 1.08 2008/09 1.24 2009/10 1.22 2010/11 1.07 2011/12 1.00 2012/13 0.98 2013/14 0.96 2014/15 0.90
© SAIF CORPORATION | June 22, 2015
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
2014/15
Series1 1.20 1.24 1.08 1.24 1.22 1.07 1.00 0.98 0.96 0.90
0.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
MO
D Fa
ctor
Workers' Comp Mod
Workers’ compensation measures
Medical rate increase history
Plan Year Increase Medical Trend*
2009 1.00% 10.90% 2010 12.01% 11.04% 2011 8.47% 11.00% 2012 1.49% 8.25% 2013 8.11% 9.00% 2014 2.25% 9.50%
Average 5.56% 9.95%
Page 26
* PacificSource Trend Factor
How did we get here? • SAIF understood impact of wellness on injury
prevention
• PacificSource understood impact of stress and fatigue on health plan utilization
© SAIF CORPORATION | June 22, 2015 Page 27
Agreed to explore collaborative consulting
Health Plan Data Episode Group
Number of
Episodes
Encounter for Preventive Health Services 263 Other Arthropathies, Bone and Joint Disorders 63 Sinusitis 52 Other Spinal and Back Disorders, Low Back 51 Oth Inflam and Infect of Skin and Subcutaneous Tissue 48 Rhino, Adeno, and Corona Virus Infections 47 Essential Hypertension, Chronic Maintenance 42 Other Spinal and Back Disorders, Cervical 36 Depression 33 Other Ear, Nose, and Throat Disorders 32 Diabetes Mellitus Type 2 & Unspec Type Maintenance 29 Osteoarthritis, Except Spine 24 Bursitis 18 Injury: Spine and Spinal Cord, Low Back 18 Injury: Spine and Spinal Cord, Cervical 18
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Page 29
We came together to find the low hanging fruit
Data from both health plan and workers’ compensation suggests value in creating health awareness around
healthy backs and ergonomics
©SAIF CORPORATION | 2014 34
Strategies • Four key individuals attended train-the-trainer
session on Safety in Motion™ (SAIF)
• Safety committee trained first for awareness and practice
• Strategic prioritization of attendee groups based on claims data and exposures
Transportation Maintenance
Nutrition services Custodial
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Personalized training
Stressed Better
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Personalized training
Stressed Better
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Personalized training
Stressed Better
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Strategies – complementary poster campaign
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Worked together for consistent messaging
Next steps • Continue strategic prioritization of employee
groups for training
• Special services
• Educational assistants
• Teachers
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Evaluation - short term check-in • How many participated?
• What are they saying?
• What behaviors have changed?
• Overall staff awareness
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Employee comments
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Down the road • Evaluate data
• August, 2015 - first six months post-implementation
• Annually
• Continued collaboration
©SAIF CORPORATION | 2014 43
Where do you see Total Worker Health opportunities in your organization?
Opportunities • Changing safety perceptions by providing
wellness incentive for home safety behavior
• Opening all meetings with safety and wellness conversation
• Replacing employer-funded coffee with employer-funded healthy food
• Changing workflow to improve communication and planning and, as a result, reduce stress
© SAIF CORPORATION | June 22, 2015 Page 45
Opportunities • Physical fitness challenge linked to workstation
self-assessment (office workers)
• Sit-to-stand workstations to reduce sitting time
• Walking meetings
• Providing healthy meals during high-stress operations
• Flexible schedules, increased decision-making
© SAIF CORPORATION | June 22, 2015 Page 46
http://www.ohsu.edu/xd/research/centers-institutes/croet/oregon-healthy-workforce-center/index.cfm
A challenge to you....
Questions? • Laura Pavlat, Payroll and Benefit Manager, Springfield Schools
#19, [email protected]
• Charis Allenbaugh, MS, Health Promotion and Wellness Manager, PacificSource Health Plans, [email protected]
• Bryan Burnette, Sr. Safety Management Consultant, SAIF Corporation, [email protected]
• Deborah Fell-Carlson, RN, MSPH, COHN-S, FAAOHN, Policyholder Safety and Wellness Adviser, SAIF Corporation, [email protected]
©SAIF CORPORATION | 2014 49
© SAIF CORPORATION | June 22, 2015