Shared Values-Shared Results: Health as A Win-Win
Organizational Philosophy
Realizing the promise and Competitive Advantage of a:
“Thriving, Healthy, High-Performing and
Sustainable Workplace and Workforce”
Edington Associates LLC
June 12, 2015
©2015 Edington Associates
Questions to Address the Future State of Wellness
What will be the Future State of Wellness and Well-Being
(Build on our Strengths)
1. Maintain the course of Prevention, Wellness and Well-Being
(Controlling risks and evolving to Quality of Life)
2. Evolution to The Clinical Man (Quantifiable Man/Woman)
(Using wearable technology to report clinical and other measures)
3. Develop a Healthy Organizational Environment, Culture and Climate
(Create a Culture and Environment where Health Thrives and Flourishes)
4. Evolve to a Shared Values-Shared Results: Health as a Win-Win
Organizational Strategy/Philosophy
Taking Health and Wellness to a Higher Level
©2015 Edington Associates
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First Story
1978 to 2008
From The Unknown: (Risks to Costs
Relationship)
to
Low-Risk - Low Cost (Zero Trends)
Health as a Serious Economic Strategy
©2012 Edington Associates
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Estimated Prevalence of Health Risks
Health Risk Measure
High Risk
41.8%
Body Weight
31.8%
Stress
28.6%
Safety Belt Usage
23.3%
Physical Activity
22.8%
Blood Pressure
22.4%
Life Satisfaction
14.4%
Smoking
13.7%
Perception of Health
10.9%
Illness Days
Existing Medical Problem 9.2%
8.3%
Cholesterol
2.9%
Alcohol
14.0%
Zero Risk
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 agegender distribution of a specific
corporate employee population
©2012 Edington Associates
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Excess Diseases Associated with Excess Risks (Heart,
Diabetes, Cancer, Bronchitis, Emphysema
Percent with
Disease
100.0%
80.00%
80.0%
56.40%
61.40%
60.0%
25.30%
40.0%
20.0%
32.00%
High
Med Risk
9.50%
3.00%
10.50%
18.60%
Low Risk
0.0%
Less than 45
45 to 64
Greater than
65 Age
Musich, McDonald, Hirschland, Edington. Disease
Management & Health Outcomes 10(4):251-258, 2002.
Range
Excess Medical Costs due to Excess Risks
$6,000
$5,000
Excess Costs
Base Cost
$4,000
$3,321
$3,000
$840
$1,261
HRA NonParticipant
Medium Risk (34 Risks)
$2,000
$1,000
$0
Low Risk (0-2
Risks)
High Risk (5+
Risks)
Edington, AJHP. 15(5):341-349, 2001
©2012 Edington Associates
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Cost increased
Change in Costs follow Change in Risks
$600
$400
$200
Cost reduced
$0
-$200
-$400
Risks Reduced
-$600
3
2
1
Risks Increased
0
1
2
3
Overall: Cost per risk reduced: $215; Cost per risk avoided: $304
Actives: Cost per risk reduced: $231; Cost per risk avoided: $320
Retirees<65: Cost per risk reduced: $192; Cost per risk avoided: $621
Retirees>65: Cost per risk reduced: $214; Cost per risk avoided: $264
Updated from Edington, AJHP. 15(5):341-349, 2001.
Natural Flow: by Risk Status
2,373 (50.6%)
1,961
(18.4%)
Medium Risk
(3 - 4 risks)
1640
(35.0%)
4,546 10,670 (24.6%)
(42.6%)
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
©2012 Edington Associates
26,591 (61.4%)
21,750 (77.8%)
Low Risk
(0 - 2 risks)
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Cluster Analysis
Health Measure
Smoking
Alcohol
Physical activity
Safety belt usage
Body mass index
Systolic blood pressure
Diastolic blood pressure
Cholesterol
HDL cholesterol
Self-perceived health
Life satisfaction
Stress
Illness days
Overall Risks
Low risk (0-2 risks)
Medium risk (3-4 risks)
High risk (5+ risks)
Average Number of risks
Cluster 1: Cluster 2:
Risk taking Low Risk
(N=6688)
(N=3164)
Cluster 3:
Cluster 4:
Biometrics Psychological
(N=3100)
(N=3927)
31%
10%
28%
36%
27%
9%
5%
19%
34%
13%
4%
9%
21%
0%
0%
0%
0%
25 %
0%
0%
19 %
10 %
0%
0%
0%
0%
16%
3%
19%
22%
38%
81%
61%
27%
33%
9%
2%
2%
12%
27%
5%
26%
31%
27%
23%
20%
22%
24%
28%
73%
76%
26%
50.2%
35.7%
14.1%
2.8
97.6%
2.4%
0
0.6
26.5%
48.9%
24.7%
3.6
18.9%
35.9%
45.2%
4.4
©2012 Edington Associates
Baunstein, Yi, Hirschland, McDonald, Edington. Am. J. Health Behavior. 25(4):407-417, 2001
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Natural Flow of a Population by: Risks-Costs-Age
Annual Medical
Costs
$11,909
$11,965
$10,785
$12,000
$8,927
$7,991
$9,000
$6,625
$5,710
$5,114
$7,989
$6,636
$4,620
$6,000
$5,212
$3,353
$3,800
$2,565
$2,944
$1,414
$3,000
$1,776
$2,193
$8,110
$3,734
Med Risk
$2,740
Non-Participant
$0
19-34
35-44
45-54
High
$5,756
$4,613
55-64
65-74
75+
Low
Age Range
©2012 Edington Associates
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Edington. AJHP. 15(5):341-349, 2001
Learnings from the First 30 Years
1. Risk status is related to costs (pain and
Suffering)
2. Excess costs are related to excess risks
3. Risks travel in clusters
4. Change in costs follow change in risks
Controlling risks leads to Zero Trends IF people
and organizations control and maintain their
risks
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The Promise of Zero Trends
Zero Trends: Health as a Serious Economic Strategy (2009)
required 30 years of complexity* to arrive at simplicity
First Part of Zero Trends
Do not get worse
Help the low-risk stay low-risk
Help the high-risk move to low-risk
Second Part of Zero Trends
Use the five pillars to move to a Culture of Health
Engage Strategic, Systematic, Systemic and sustainable
strategies
Measure What Matters to the Organization and the People
*800 articles and presentations, over $60M total revenue. From 2 to 34 staff per year
©2010 Edington Associates
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Vision from
Zero Trends
Zero Trends provides a
transformational approach
Populations throughout the
world live and work within a
thriving, healthy, high
performing and sustainable
workplace and workforce
Based upon over 900 Publications
and Presentations
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Second Story (Part A)
2009 to 2025
From “Low Risk-Low Cost:”
Health as a Serious Economic Strategy
To
Individual and Organizational Health
©2014 Edington Associates
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Business Strategy for Health
©2014 Edington Associates
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Living and Thriving Assessment
Supportive
Community
Individual
Thriving
Employee
Supportive
Family and
Friends
Supportive
Workplace
Living and ©2012
Thriving
Assessment
Edington Associates
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What is SELF-LEADERSHIP?
Self-leadership is the process of
purposefully…
engaging in change
making thoughtful decisions
having resilience
which builds on strengths and is
continuously
learning and growing
in thriving relationships
© 2012 Edington Associates
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Vision for Self-Leadership in Individuals
 Environment
and culture
Purpose, Values, Mission, Vision
Personal
Control
Resilience
 Consumerism
 Engaged
patient role
Optimism
Self-Leadership
Confidence/
Self-efficacy
 Knowledge
 Health Literacy
 Negotiation Skills
SelfEsteem
Vitality/Vigor
Low-Risks and Behaviors
 Social Support
− Colleagues
− Community
− Family
Other characteristics: Mindfulness, Integrity, Trust, Thrive, Enthusiasm,
Ethical, Spiritual, Creative, Flexible, Gratitude,
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© 2012 Edington Associates
Fundamental Skills to Build Life Skills
Positive Outlook

Happiness

Brain Health
Values

Purpose

Vision
Focusing on
Strengths

Positive
Reframing

Creating a Plan
for Change
Emotions &
Intuitions

Mental
Shortcuts and
Biases

Environment
Second Story (Part B)
2009 to 2025
From Individual and Organizational Health
to
Shared Values-Shared Results: Health as
A Win-Win Organizational Philosophy
©2015 Edington Associates
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Business Strategy for Health
©2014 Edington Associates
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Thought Questions: A Game Changer for me
Think about “healthy” individuals:
•
What words would you use to describe the most
outstanding low-risk people you know?
•
Are all low-risk individuals the same?
Think about “successful” companies:
• What words would you use to describe the best of the
workplaces you know?
• Are all workplaces the same?
©2014 Edington Associates
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Challenge for 2015-2025
How can we make
today's positive outliers
tomorrow's norm?
What if anything will we do differently?
©2015 Edington Associates
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New Knowledge Driving Future Trends in Health
• The science behind thriving and positive outlook
• New insights in mind-body connection
• Forming good habits while replacing old habits
• The impact of context: Environment, Climate, Culture
and Social Support
• Cultivating intrinsic motivation
• Decision making, change, resilience
• New methods, measures and metrics (ROI-VOI-VOC)
©2014 Edington Associates
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Increase in “Positive” Disciplines
 Positive Psychology – Evaluation of positive emotion (the
pleasant life), engagement (the engaged life), and purpose
(the meaningful life).
 Positive Health – Examines positive subjective, biological,
and functional health.
 Positive Neuroscience – Explores the neural mechanisms of
human thriving and flourishing.
 Positive Organizational Scholarship – Study of positive
outcomes, processes, and attributes of organizations and their
stakeholders.
 Positive Leadership – Process of cultivating positive
climate, positive relationships, positive communication, and
positive meaning in work and overall life
©2015 Edington Associates
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Redefining Success
for Individuals and Organizations
We imagine flourishing organizations whose criteria for success is
about more than just power and wealth creation.
Positive Organizational Health
We see a world where healthy, thriving and high-performing
individuals are engaged in high quality meaningful work,
collaborating with creative and inspired colleagues in healthy,
thriving and high-performing organizations where they feel
supported, valued, and challenged.
Positive Individual Health
Win-Win Philosophy: Shared Values-Shared Results
© 2014 Edington Associates
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Three Major Themes
©2015 Edington Associates
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The Promise of Shared Values-Shared Results
Shared Values-Shared Results:
Health as a Win-Win Organizational Strategy (2015)
The Promise
Employees and the Organization Share the Value of Health and Win-Win Philosophy
Shared Values
Shared Results
Value of Health
A Win-Win Strategy
Employees
Organization
Employees
©2015 Edington Associates
Organization
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Holistic Model or Medical Model for Individuals
Medical Model
Holistic Model
• Focus of Wellness (holistic)
• Focus on Sickness (defects)
• Focus on Strengths
• Focus on Weaknesses
• Focus on Wellness/Well-Being
• Focus on risks and behaviors
• Focus on appropriate stress
• Focus on stress reduction
• Focus on natural body weight
• Reduce body weight
• Build new competencies
• Reduce Personal Weaknesses
• Focus on top line revenue
• Focus on cost-avoidance
©2015 Edington Associates
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Integrated Dimensions of Health (Thriving Individual)
©2015 Edington Associates
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Shared Values-Shared Results
Healthy Foundations
Pillar 5: Measure
What Matters
(Continuous Evaluation
and Meaningful
Feedback)
Pillar 4:
Recognition
(Approaches that
Build Intrinsic
Motivation)
Pillar 1:
Senior Leadership
(Collaborate to Create
and Live a Shared
Vision)
Thriving
Individuals
Pillar 2: Positive
Organizational Health
Pillar 3: Positive
Individual Health
(Support Positive
Outliers)
(Create Conditions for
Positive Outliers )
Aligned purpose,
values, mission
and vision
Healthy Environment
Healthy Climate and Culture
Healthy Relationships
At the Workplace
At Home, and With
Family, Friends
In the Community
©2015 Edington Associates
All
stakeholders
share value
How both Employees and Employers Win with
Shared Values – Shared Results
Employees










Organization
Maintain health
High energy levels
Ability to do meaningful work
Opportunity to grow and thrive
Autonomy and creativity
Adequate compensation
Respect and recognition
Safe and reasonable work design
Positive relationships
More










Quality products and services
Superior customer experience
Appropriate employee turnover
Appropriate absenteeism
Appropriate productivity
Innovation
Profitability
Great place to work
Loyalty and enthusiasm
More
©2015 Edington Associates
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Measure What Matters
©2015 Edington Associates
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Our Fundamental Belief
We believe that everything that happens in an organization
• impacts the wellness and well-being of the organization;
• impacts the wellness and well-being of the individual
stakeholders; and,
• impacts the wellness and well-being of families and the
community.
©2015 Edington Associates
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Going Forward
What’s The Point?
©2012 Edington Associates
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Thank you for your attention
 Phone:
734.998.8326 (USA)
 Email:
dwe@edingtonassociates.com
jspitts@edingtonassociates.com
acamilleri@edingtonassociates.com
jmrichardson@edingtonassociates.com
jeanettemay@edingtonassociates.com
 Website: www.edingtonassociates.com
 Address: Edington Associates LLC
1300 Bardstown Trail
Ann Arbor MI 48105
©2014 Edington Associates
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