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Elizabeth Glenn-Bottari MA, RN, CRRN Maracie Wilson MSN, RN, PHN, CES

Creating a Vision & Culture

of Workplace Health- It starts at the top!

St. JOSEPH HEALTH SYSTEM

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“We will transition our 

business model to a balance 

of great hospitals and great 

community care… and we will 

embrace both an illness and 

wellness model.”Deborah Proctor, 

President and CEO

Transformational Statement

PopulationHealthiest Communities,

Access to care and safe environments

GroupPopulation Health Management - Worksite

Health Promotion - Disease Mgmt.

IndividualWellness & Integrated Medical

Fitness, Virtual Medicine

Wellness and Health Improvement Focus

Circles of Influence

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Current State

Healthcare systems are facing a crisis of escalating benefit costs for employee

healthcare. Projected trends predict that this expense will exceed the net operating income in the near future. This wholly avoidable crisis

jeopardizes the Sisters of St. Joseph’s mission to provide care to all people.

~Watson and Wyatt, 2009

The answer? Population Health Management

Population Health Management Strategy

Health Management Disease Management

Acute illness Management

Among national employers, only 5 cents on the dollar is spent towards prevention. The other 95 cents is spent on treatment. (CMS, 2008)

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Worksite Health Promotion Development Timeline

2006 – CEO issues transformational statement with vision to focus on wellness as a mission and business strategy

2008 – Formation of a division dedicated to fulfilling the transformational statement of developing the wellness model

2008 – Executive Wellness pilot program 2010 – Worksite health promotion pilot model launched at one

campus. Consortium partnership with Dr. Dee Edington 2011 –Executive Leadership support to implement system-wide

model to actualize zero trends goal 2015 – Projected date to reach inflation-adjusted zero trends in

employee healthcare benefit costs 2020 – $310 million dollar cumulative cost avoidance for

employee-only savings. Double opportunity if covered dependants are added into the benefit.

Champion from the top

CEO vision and leadership Integration of vision and goals into

organizational mission Senior leadership communication and

modeling – walk the talk Performance integrated into organizational

goals and executive compensation structure Develop workforce as stakeholders – Regular

performance updates delivered by the CEO

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• Leadership Commitment & Vision• Innovative Services with High

Engagement• Measure, Track, and Report

Worksite Health

Promotion

Worksite Health Promotion ‐ As an internal cost avoidance strategy…

inspired by Dr. Edington’s model for enhancing employee health management. The overarching goals are to help SJHS and other employers optimize the well being, health, and performance of their workforce while reducing the avoidable healthcare utilization to flatten the upward trend of healthcare benefit expenses. 

•Overall Return on the Mission ‐ Supporting a healthy and productive workforce is paramount to achieving the healing mission of SJHS. 

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Senior Leadership

Create the vision

Commit to a healthy culture and connect the vision to the business strategy while engaging all leadership

levels.

Operations Leadership

Align workplace

with the vision

Brand the wellness

strategies and drive

engagement. Integrate

policies into health culture.

Self Leadership

Create winners

Winners provide

modeling for others and

give improvement

and maintenance

feedback.

Reward Behavior

Reinforce the culture of

health

Reward champions

with incentives for

healthy choices.

Reinforce at every touch

point.

Quality Assurance

Allow outcomes to

drive the strategy

Make a sustainable culture by integrating resources,

while measuring the process

and outcomes.

Five Fundamental Pillars

Sacred Encounters

Perfect Care

Healthiest Communities

www.sjhschoosewell.org

Corporate Consortium Partnership,healthcare cost analysis, decision support services

Activity promotion program, pedometers and challenges, incentive management

Biometric screening onsite and at community lab locationsS

trat

egic

Par

tner

ship

s

Comprehensive employee wellness and health improvement services

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Health Coaching

Health Risk Assessments

Activity Tracking

Health Education

Personalized wellness and risk factor reports sent out to participants

Unlimited contacts with

personal health coaches

Web based health resource portal

Resources: Pedometer with social networking support and challenges

Biometric Screening

Disease Management

Worksite Health Promotion

The Wellness Culture Campaign

Social Networking

Meaningful Incentives

Carrot: $200 HRA: $25 incentive 

Biometric Testing: $50 

Fitness Activity Program: $125

Stick: $650 $25 per pay‐period discount on 

health plan premium contributions

TOTAL = $850 annual benefit

Meaningful Incentives

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Letters and speeches from the CEO Performance trackers for management Executive Leadership Participation Fitness challenges led by the CEO Supervisor communication to staff Ongoing leadership endorsement

Leadership Roles to Drive Success

Continuous courageous leadership to stay on course

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The key to top productivity is optimized health.

Creating a Workplace Culture of Well Being

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Stress is Quickly Becoming the #1 Health RiskHow do we address this in the workplace and

minimize stressors?

Creating Less Stressful Work Environments

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Evaluation MeasuresEvaluation Measures

Healthcare cost trends Heath risk prevalence Participation and engagement Operational performance Participant Satisfaction

Worksite Health Promotion as a serious economic strategy

$310 Million Cumulative cost

avoidance

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Indirect Benefits of Employee Wellness

Improved productivity and morale:Increased patient satisfaction

Healthy employees make fewer errors: Quality of care and clinical outcomes improved

Health as a quality multiplier: increased community confidence and brand loyalty.

Magnetic Culture: Attract and retain talented personnel while drawing patients.

(Kara Weaver, Bon Secours: 2004-2009)

Benefits of OptimumHealth and Well Being

Vitality

Creativity

Longevity

Happiness

Enthusiasm

Less Stress

Productivity

Better Sleep

More Energy

Quality of Life

Weight Management

Improved Relationships

Combats Chronic Illness

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Wellness and Health Improvement Division

Leading the way towards healthiest communities

Questions?

Contact Information:

Elizabeth Glenn-Bottari MA, RN, CRRNVice President / COO Integrated Health St. Joseph Health SystemElizabeth.Glenn-Bottari@stjoe.org707.257.4103

Maracie Wilson MSN, RN, CESDirector, Wellness and Health ImprovementSt. Joseph Health SystemMaracie.Wilson@stjoe.org707.251.3610