CHANGE STARTS WITH ME
A JOURNEY TO EXCELLENCE
I N T EG RI S E M P LOY E E W E L L N ES S
THE INTEGRIS WELLNESS
JOURNEY TIMELINE
1978
PACER
Fitness
Center
2001
Wellness
Program
enhanced
for system
1998
Wellness
$60 for
HRA
1994
Begin
nonsmoker
credit
1999
Biometric
screening
added
I N T EG RI S E M P LOY E E W E L L N ES S
2001
Incentive
expanded
to $250
HOW WAS $250
INCENTIVE AWARDED?
Incentives provided for participation:
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Annual Health Assessment
Biometric Screenings
Personal Health Journals
Physical Activity Logs
Food Diaries
5-a-Day Challenge
Health Education
Weight Management Programs
Disease Management
Preventive Exam Logs
I N T EG RI S E M P LOY E E W E L L N ES S
THE INTEGRIS WELLNESS
JOURNEY TIMELINE
2004
Tobacco
Free
Campuses
Metro OKC
2006
WELCOA
Gold
Award
2005
Begin
WW@W
2005
WELCOA
Bronze
Award
2006
Tobacco
Free
Campuses
Statewide
I N T EG RI S E M P LOY E E W E L L N ES S
2007 to
Present
Certified
Excellent
Business
THE INTEGRIS WELLNESS
JOURNEY TIMELINE
2010
Tobacco
Freedom for
Employees
and Patients
2014
WorkHealthy
Hospital
&
WHH Gold
Star Tobacco
Free
Tobacco
Freedom
2011
Tobacco Freedom
national recognition
Leading by Example
20??
WorkHealthy
Gold Medal
Physical
Activity
20??
WorkHealthy
Gold Apple
Nutrition
I N T EG RI S E M P LOY E E W E L L N ES S
20??
WorkHealthy
Center of
Excellence
CHANGE STARTS WITH ME
The Journey
I N T EG RI S E M P LOY E E W E L L N ES S
THE JOURNEY BEGINS
 The health of INTEGRIS employees and their
spouses mirrored the health of Oklahomans in
general
 Bottom line: We needed to change.
 Culture
 Environment to foster healthy behaviors
 Partnerships to improve health
 The passion that we put into the health of our
patients needed to match the passion for our
own health and the health of our families
I N T EG RI S E M P LOY E E W E L L N ES S
CATALYST FOR CHANGE
• Realizing the importance of focusing on our
health now, not later.
• Hearing studies that show a shorter life
expectancy for our children.
• Taking ownership for our daily choices that
affect our children and grandchildren, not just
us as an individual.
I N T EG RI S E M P LOY E E W E L L N ES S
CATALYST FOR CHANGE
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Reduced absenteeism
Health plan savings for employer and employee
Better employee retention
Increased productivity
Healthier and happier workforce
Better health = Better business
I N T EG RI S E M P LOY E E W E L L N ES S
SYSTEM-WIDE
MOTIVATION
We want to move
our state from
a culture of illness
to a culture of
wellness.
Living
our
mission
Strives to
be role
model for
the state
I N T EG RI S E M P LOY E E W E L L N ES S
Change
Starts
with ME
OUR ROLE IN COMMUNITIES
• Hospitals, health systems and their employees are
critical to their communities because of their
leadership and mission.
• We need to lead the way and serve as role models for
healthy living and fitness throughout our
communities.
I N T EG RI S E M P LOY E E W E L L N ES S
VISION OF WELLNESS
 INTEGRIS made a commitment to improve the health of our employees
 Increase participation
 Greater emphasis on a culture/environment of wellness
 Encourage physician and patient interaction
 Increase participation in our disease management program
 Inspire and reward healthy behavioral changes
 Explore partnerships
I N T EG RI S E M P LOY E E W E L L N ES S
CHANGE STARTS WITH ME
Successful Partnerships
I N T EG RI S E M P LOY E E W E L L N ES S
TOBACCO FREEDOM
To obtain excellence businesses must have in
effect 100% tobacco free workplace policy that
applies to the entire property under their
control, both indoors and outdoors.
INTEGRIS EMPLOYEE WELLNESS
TOBACCO FREEDOM
• Greater OKC Hospital Council (2004)
• Executive Leadership decision to partner with
Oklahoma Hospital Association (2009)
• TSET funded initiative (2010): Pilot for metro
hospitals
• Policy Update: Tobacco Free Campuses includes
e-cigs
• Process: Evidence based “best practice”
• Enhanced Implementation: Patients and
Employees
INTEGRIS EMPLOYEE WELLNESS
TOBACCO AND EMPLOYEES
• 6 months preparation: Allow employees to
prepare for quit attempts
• Tools Available: HR / Employee Wellness
• Meds – 7 FDA approved
• E-cigarettes/Vapes: Not Recommended
– Not FDA approved
– Propylene glycol; glycerin; nicotine; flavors
– E-juice poisonings on rise nationally and locally
INTEGRIS EMPLOYEE WELLNESS
CHANGE STARTS WITH ME
Challenges
I N T EG RI S E M P LOY E E W E L L N ES S
CHALLENGES THE
PROGRAM FACED
• 2008 Participation Numbers:
– HRA Participation: 2,652
– Screening Participation: 3,213
– Out of 9,500 employees (roughly 34%)
• Employee Engagement Low
• Physician Interaction Low
• Program was “Siloed”
– Most important partnerships
I N T EG RI S E M P LOY E E W E L L N ES S
NEW PROGRAM DESIGN
• Incentive Model shifts away from numerous small
rewards
• Proposed Year 1 Model provided:
– Large incentive for participation in
HRA/Biometrics and
– Additional incentive for Well Visit with PCP
• Incentive provided as “Preferred Pricing”
• Make Spouses Eligible
• Select vendor to provide online
HRA/Communication & Education Tool
I N T EG RI S E M P LOY E E W E L L N ES S
2009 STRATEGIC
WELLNESS PLANNING
• Formed cross-functional team to evaluate past
program successes, current best practices* and
develop future model.
• Stated Goals:
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Affect Behavioral Change
Increase Individual Accountability
Educate Consumer
Focus Culture on Prevention & Wellness
Reduce Cost
*HERO, WELCOA, Healthy People 2020, Certified Healthy Business
I N T EG RI S E M P LOY E E W E L L N ES S
PROGRAM BRANDING AND
ROLL-OUT
Created a Culture of Wellness
• Opened with “Change Starts with Me” Series of
videos where INTEGRIS employees, including the
CEO, shared their personal wellness stories
• Personal Letter & Invitation from CEO
• Cafeteria Initiatives introduced the “e-meal”
• Total Rewards Fairs
I N T EG RI S E M P LOY E E W E L L N ES S
PHYSICIAN INVOLVEMENT
• Program introduced to physicians through letter from
INTEGRIS CMO and two respected physicians
• Provide physician referral to IH Physician
• Physicians asked to discuss results, risks and plans on
how to improve or maintain healthy behaviors
• Goal: To ensure our employees are on the right
track and getting the support they need to
make changes and/or manage chronic conditions
I N T EG RI S E M P LOY E E W E L L N ES S
2011 PLAN YEAR
• Use Baseline to focus on Accountability
• Set Specific Goals
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Tobacco Use
Blood Pressure
Cholesterol
BMI/Waist Circumference
• Incentive Aligned with Goals
– Meet the Goal, or
– Engaged in a Health Improvement Program to meet goal,
or
– Working with your physician to address risk
I N T EG RI S E M P LOY E E W E L L N ES S
CHANGE STARTS WITH ME
I N T EG RI S E M P LOY E E W E L L N ES S
HEALTH IMPROVEMENT
PROGRAMS
Care Coordination
Changing Your Weighs
Tobacco Freedom
Corporate Assistance Program
Diabetes Education
FIT Coach
Maternal Wellness
Move for Life
PACER Fitness Center
SurvivorFit
Tools for Living with Chronic Conditions
Walk Well
Weight Watchers
I N T EG RI S E M P LOY E E W E L L N ES S
CHANGE STARTS WITH ME
Achieving Excellence
I N T EG RI S E M P LOY E E W E L L N ES S
SITUATIONAL
OPPORTUNITIES
• Health Care Reform
– Free Preventive Care required for nongrandfathered plans
– Focus on Wellness and Future Incentives
– Accountable Care Organization Concept
• Organizations Move Towards Total Health
Management
I N T EG RI S E M P LOY E E W E L L N ES S
BUSINESS CRITERIA
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Preventive Health Screenings
Health Education
Physical Activity
Tobacco Use Prevention
Healthy Food Options
Management Support for Health & Safety
Role of Business in Community Health
Wellness Policy in the Workplace
Behavioral Health Options in the Workplace
I N T EG RI S E M P LOY E E W E L L N ES S
CERTIFIED HEALTHY
RESTAURANT
• Recognizes restaurants who offer healthy food
options
• Recognizes restaurants who provide healthy
environments for customers
• 2013 INTEGRIS Baptist, Southwest and
Canadian Valley
I N T EG RI S E M P LOY E E W E L L N ES S
CERTIFIED HEALTHY
PARTNERSHIPS
I N T EG RI S E M P LOY E E W E L L N ES S
CHANGE STARTS WITH ME
The Journey Continues
I N T EG RI S E M P LOY E E W E L L N ES S
FUTURE
CONSIDERATIONS/IDEAS
• Continue to turn the dial from awareness to
engagement to results
• Invert incentives so smaller incentive on
participation and larger incentive on goals
• Add meeting or improving measurements as
standard instead of just participation in health
improvement program
• Strict accountability where incentive available
only to those who meet goals
I N T EG RI S E M P LOY E E W E L L N ES S
GOALS TO LEVERAGE
TECHNOLOGY
• Interface Wellness with INTEGRIS Personal
Health Record
• Interface Wellness with INTEGRIS Electronic
Medical Record
– Logs
– Biometrics
– Health Risk Profile
I N T EG RI S E M P LOY E E W E L L N ES S
SIGNS OF SUCCESS
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Higher Engagement
Strategic Plan for INTEGRIS
Certified Excellent Business since 2007
Breastfeeding Friendly Worksite – Gold Star
E-Meal leads to Weight Loss Success
Memorial Marathon Challenge – Top 3 Corporate
Team
I N T EG RI S E M P LOY E E W E L L N ES S
SIGNS OF SUCCESS
• Physician Visits - Identified Diagnosis
• Grassroots Initiatives
• Health Improvement Programs = Improved Health
Outcomes
• Reduced Health Care Claims
• Tobacco Program - Nationally Published 3 Times
• Being-Well: Journal Record Success Stories
I N T EG RI S E M P LOY E E W E L L N ES S
KEYS TO SUCCESS
• Create Culture: Executive Support & Leadership
• Create Ownership: Involving diverse team, including
finance, in program design and implementation
• Create Trust: Begin with awareness, move towards
engagement, end with accountability
• Create the Environment: If you are going to set the
expectations, you must provide the tools for success
• Create Momentum: Recognize that “Zero Trend” (not
getting worse) is success & a good starting point
I N T EG RI S E M P LOY E E W E L L N ES S
CHANGE STARTS WITH ME
Questions?
I N T EG RI S E M P LOY E E W E L L N ES S
CHANGE STARTS WITH ME
References
*HERO, WELCOA, Healthy People 2020, Certified Healthy Business,
Clinical Practice Guideline: Treating Tobacco Use and Dependence,
update 2008
I N T EG RI S E M P LOY E E W E L L N ES S