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

6

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...

8

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

©SAIF CORPORATION | 2014 17

Presenter

Presentation Notes

Laura

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

Page 28

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

©SAIF CORPORATION | 2014 35

Personalized training

Stressed Better

©SAIF CORPORATION | 2014 36

Personalized training

Stressed Better

©SAIF CORPORATION | 2014 37

Personalized training

Stressed Better

©SAIF CORPORATION | 2014 38

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

©SAIF CORPORATION | 2014 40

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, laura.pavlat@springfield.k12.or.us

• Charis Allenbaugh, MS, Health Promotion and Wellness Manager, PacificSource Health Plans, Charis.Allenbaugh@pacificsource.com

• Bryan Burnette, Sr. Safety Management Consultant, SAIF Corporation, brybur@saif.com

• Deborah Fell-Carlson, RN, MSPH, COHN-S, FAAOHN, Policyholder Safety and Wellness Adviser, SAIF Corporation, debfel@saif.com

©SAIF CORPORATION | 2014 49

© SAIF CORPORATION | June 22, 2015