HEALTHY EMPLOYEES AND ABSENTEEISM 2:00 PM – 3:15 PM 101C (Ocean Center) Stephen Berry, LYNX - Orlando Rob Gregg, CUTR – USF/Tampa Supported by Center for Urban Transportation Research Florida Operations Network http://www.transitoperations.org/ Please Identify the Happy / Healthy Transit Employee A B 3 When you are Healthy and Happy: Impact on Work? Attendance Less Stress Attitude Focus Morale Friendly Motivation Productivity Alertness Camaraderie Reduction of at Risk Career Longevity 4 Why Driver Health is Important Drivers are the largest number of employees in public transportation organizations • Healthy drivers support the retention and long term careers • Absenteeism adds significant costs to operation budgets. It consumes time and resources in terms of organization and service delivery • Some Statistics Passenger transit workers* are more likely to have several diseases: • 79 % higher chronic obstructive lung disease (COPD) • 70 % higher lower extremity vascular problems • 63 % higher diabetes • 37 % higher carpal tunnel syndrome • 32 % higher asthma • 29 % higher shoulder problems • 28 % higher blood pressure • 25% higher depression • 23 % higher cardiovascular problems • 19 % higher low back pain • 13 % higher gastrointestinal problems *includes all types of bus drivers, as well as commuter rail, streetcar, subway, van pool, airport limousine, taxi, and ambulance drivers Source: Center for Workers’ Compensation Studies Health Targets Lack of Physical Activity Unhealthy Diet Uncontrolled Hypertension Obesity Uncontrolled Diabetes Stress Poor Back Care Drug / Alcohol Use High Cholesterol Fatigue 7 Transit Cooperative Research Program: Transit Operator Health and Wellness Programs Health Risk Contributing Factors • Sitting position for several hours • Limited opportunities to eat • Limited opportunities to use the restroom • Conflicting task demands • Stress from traffic • Stress from customer service • Low Autonomy and Support (limited connection to Management) Ways to Improve Driver Health • • • Ergonomics of the driver area Driving shift Supervision Make it easier for bus drivers to be healthy (Best Practices) Ergonomics • Position and adjustment of seat • Steering wheel and pedals • Visibility and marking of the dashboard • Adjustability for larger and smaller drivers • Adequate training (when introducing new bus models) Scheduling • Consistent schedule • Adequate periods of rest between shifts • Forward rotation of shifts (e.g. morning shift, day shift, night shift) • Two days off in a row Work Environment/ Management • Division of drivers into working groups with assigned supervisor • Supportive style leadership where drivers have a point of management contact for voicing concerns and learning about new management initiatives Best Practices • Wellness Programs • Onsite Exercise Equipment • Healthy lunch options near driver breakrooms • Agency sponsored activities (e.g. sports) • Incentive programs (e.g. gift certificates) HART – Hillsborough County • • • • • • On-site fitness room with classes (e.g. Zumba & Yoga) Wellness club with incentives Exercise events (e.g. 5k Area Walks, Dodgeball Volleyball) Biometric screening (lower rates on premiums) Online coaching through Cigna Group weight loss program HART Wellness Club • Holds several health events and classes a year ◦ ◦ ◦ ◦ Digital Scavenger Hunt Volleyball dodgeball Healthy Lunch Event Financial Seminar ◦ ◦ ◦ ◦ Stress Diabetes Colon Cancer Preventive Health • Participants earn points for attendance • Points can be redeemed at the Wellness Store for prizes (e.g. LCD TV or Grill) RTS- Gainesville Shares program with the city of Gainesville: • Multiple employee exercise facilities in the city • Pro club offers points for fitness, lifestyle choices, and annual health assessment; points reduce premiums • Offers disease awareness programs • Information on exercise and nutrition RTS Gainesville 17 RTS Gainesville 18 MCAT- Manatee County The Your Choice Manatee Health Plan: • Pays for employee gym memberships • Programs are offered in weightless, tobacco cessation, nutrition, diabetes prevention, mental health, and fitness • Participating employees earn health bucks to use towards medical visits/ prescriptions • The program offers access to several preventive healthcare professionals including: Health Coaches, Nurse advocates, personal trainers, and nutritionists Manatee Your Choice 20 Space Coast Transit• Spring and Fall Health Fairs – which include free biometric screening • Weight Watchers and weight loss challenges • On-site gym open early till late • Discounts at several local gym memberships • Classes in smoking cessation, healthy eating and exercise • Free flu shots during open enrollment • Mini-health fairs that start early for our employees Wellness Program ROI • Johnson and Johnson conducted a study (2002-2008) • Determined for every $ 1 dollar invested $2.71 are saved • Another Study of 185 high health risk employees at a single employer (Milani and Lavie) • 57% of high risk employees went to low risk • $ 1,421 saved per participant on average were • $6 ROI per $1 spent Improved Attendance • • • • • MD Anderson Cancer Center created a workers’ compensation and injury care unit within its employee health and well-being department, staffed by a physician and a nurse case manager. Within Six years: Lost work days declined by 80% Modified-duty days reduced by 64%. Workers’ comp insurance premiums declined by 50%. Cost savings totaled $1.5 million (reduction in lost work days multiplied by average pay rates) Benefits for Employee • • • • • • • • Increased well-being, self-image, and self-esteem Improved coping skills with stress or other factors affecting health Improved health status Lower costs for acute health issues Lower out of pocket costs for health care services (e.g. reduced premiums; deductibles; copayments) Increased access to health promotion resources and social support Improved job satisfaction Safer and more supportive work environment Source: Center for Disease Control and Prevention Wellness Programs: What are the general steps for implementing a program? 1. Establish the goal of the wellness program. 2. Decide the company’s level of involvement in the program. 3. Establish the budget and expected return on investment (ROI). 4. Choose employee rewards. 5. Write and communicate the policy/program. 25 How can a wellness program benefit employers? Wellness programs can benefit employers by: Lowering health care costs. Reducing absenteeism. Achieving higher employee productivity. Reducing workers’ compensation and disability-related costs. Reducing injuries. 26 27 28 Stephen Berry Manager of Transportation Operations