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Fit For Work a comprehensive approach to wellness at
Goldcorp’s Wharf Mine #rocksolidatwork
What happens when you take 180 gold miners
who live in South Dakota are predominately male (83%)
work 12 hour rotating shifts are mostly over age 41 (61%)
perform repetitive tasks have multiple health risks (45%)
are at risk for MSD’s (100%) #rocksolidatwork
and design a comprehensive approach to wellness by integrating traditional occupational safety and health protection efforts
with health promotion
#rocksolidatwork
Wharf W.E.L.L. 3 year Outcomes
Slower Health Spending
Reduction in employee health risks
A strong return on investment
Reduced presenteeism, increased productivity
#rocksolidatwork
23% reduction compared to increases of 15% (region), 17% (size), 29% (industry). Note: Health benefit cost growth has slowed since the inception of the Affordable Care Act (ACA) in 2010 to between 5.0% and 6.9% (Mercer’s National Survey of Employer-Sponsored Health Plans).
Wharf W.E.L.L. 2010-2014 Health Benefits Utilization Trend
#rocksolidatwork
2010-‐2011 2011-‐2012 2012-‐2013 2013-‐2014
Total PEPY Medical Cost Trends claims, premiums, Rx
Wharf
Region
Industry
W.E.L.L. Program Begins 08/2011
Wharf W.E.L.L. 2011-2013 Musculoskeletal Claims Cost Trend
Note: workforce has increased from 150-180 employees, while costs have decreased. #rocksolidatwork
5% 0%
79%
34%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
2011 2013
% of Total Workman's Comp Loss Falls and Overexertion
Falls OverexerDon Linear (Falls)
2011 2013
Total Workman’s Comp Loss All Claims
88%
Wharf W.E.L.L. 2013-2014 Lifestyle Claims Costs
-100.00%
-100.00%
-100.00%
-99.41%
-99.24%
-49.45%
-91.22%
-99.65%
-36.16%
-83.19%
-72.15%
-88.54%
-89.11%
-84.83%
-99.86%
-9.04%
31.74%
-120.00% -100.00% -80.00% -60.00% -40.00% -20.00% 0.00% 20.00% 40.00%
ENT
Immunologic
Vascular
Gastrointestinal
Cardiovascular
Miscellaneous
Hepatobiliary
Breast
Multisystem
Endocrine
Respiratory
Musculoskeletal
CNS
Dermatological
Male Genital
Gynecological
Psychiatric
Variance Compared to Truven Health Analytics Inc. Database
#rocksolidatwork
Wharf W.E.L.L. 2011-2014 Lifestyle Claims Costs Trend
#rocksolidatwork
53%
80%
99%
16%
0%
20%
40%
60%
80%
100%
120%
Reductions in Other Lifestyle Claims
17%
23%
0%
5%
10%
15%
20%
25%
2011-2012 2012-2013
Reductions in Musculoskeletal Claims
Wharf W.E.L.L. 2010-2013 Changes in Employee Health Risks
43%
36%
18%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
2009 2011 2013
% of High Risk Employees 5+ risks
31%
42%
49%
0%
10%
20%
30%
40%
50%
60%
2009 2011 2013
% of Low Risk Employees 0-2 risks
University of Michigan Health Risk Assessment administered 2009, 2011, 2013. Improvements in the health risk profile of a population can lead to reductions in health costs (Edington et al., 2001, Goetzel et al., 1999). #rocksolidatwork
1. SPS-6 measures a worker's perception of his or her ability to overcome the distraction of current physical and/or
psychological problems in order to handle job stress, complete tasks, achieve goals and maintain sufficient focus and energy levels.
2. Presenteeism costs can be calculated by extrapolating estimates of productivity loss/gain (the SPS-6 Score) multiplied by # of employees and average annual employee compensation.
Wharf W.E.L.L. 2011-2012 Presenteeism/Productivity: SPS-6
PRESENTEEISM
PRODUCTIVITY LOW
PRESENTEEISM
BELOW AVERAGE AVERAGE ABOVE AVERAGE
HIGH PRESENTEEISM
6-‐10 11-‐15 16-‐20 21-‐25 26-‐30
YOUR EMPLOYEES
2011 20.80
YOUR EMPLOYEES
2012 21.85
#rocksolidatwork
Wharf W.E.L.L. 3 year Outcomes
Slower Health Spending
Reduction in employee health risks
Reduced presenteeism, increased productivity
#rocksolidatwork
A strong return on investment $3.41 (Health Care Costs)
How did we do it
#rocksolidatwork
First consider this…
Designing and implementing a total worker health strategy may well be the most challenging change initiative your organization
has ever undertaken… #rocksolidatwork
Why Programs Don’t Deliver
#rocksolidatwork
• Not approached like other strategic business decisions.
• Not continuously
managed.
#rocksolidatwork
Thorough Assessment
• HRA
• Biometrics
• Culture
• Productivity
• Participation
• Claims Analysis
• Wellness Needs, Barriers and Interests
How did we do it Traditional Health Promotion Best Practices
#rocksolidatwork
Thorough Strategic Planning • Senior Leaders
• Front Line Leaders
• Wellness Team
• Safety Team
• Employee Focus Groups
• Operations Plan
• Appropriate Interventions/Incentives
• Continuous Marketing & Communications Plan
• Rigorous & Continuous Evaluation
How did we do it Traditional Health Promotion Best Practices
#rocksolidatwork
Creating A Supportive Environment and Healthy Culture
How did we do it
An innovative next practice which is designed to: ü reduce musculoskeletal pain and injury
ü promote safety
ü encourage active living, healthy eating & resiliency
Rock Solid@WorkTM™
#rocksolidatwork
Daily Exercise 7-10 minutes, start of
shift
Peer Led Group supported
Daily Safety & Health Challenges
Daily Safety & Health Education Discussions during exercise “shares”.
Weekly Health Education in safety meetings “shares”.
Rock Solid@Work™
An innovative next practice which is designed to reduce musculoskeletal pain and injury, while promoting safety, active living, healthy eating and resiliency.
#rocksolidatwork
Daily Exercise 7-10 minutes, start of
shift
Rock Solid@Work™
An innovative next practice which is designed to reduce musculoskeletal pain and injury, while promoting safety, active living, healthy eating and resiliency.
#rocksolidatwork
Customized to counter the demands of work and “professional sitting”
ü Baseline and periodic FMS
ü Periodized annually
ü Mobility
ü Stability
ü Endurance
ü Maintenance
Daily Exercise 7-10 minutes, start of
shift
Peer Led Group supported
Rock Solid@Work™
An innovative next practice which is designed to reduce musculoskeletal pain and injury, while promoting safety, active living, healthy eating and resiliency.
#rocksolidatwork
Leaders trained quarterly
ü Exercise instructions
ü Group facilitation skills
ü Leadership skills
ü Exercise physiology
ü Kinesiology, anatomy
ü Health, wellness
ü Safety
Daily Exercise 7-10 minutes, start of
shift
Peer Led Group supported
Daily Safety & Health Education Discussions during exercise “shares”. ü Safety share – short duration ü Health topic – short duration
Weekly Health Education in safety meetings “shares”. ü Wellness Share – longer
duration ü Specific curriculum
Rock Solid@Work™
An innovative next practice which is designed to reduce musculoskeletal pain and injury, while promoting safety, active living, healthy eating and resiliency.
#rocksolidatwork
Daily Exercise 7-10 minutes, start of
shift
Peer Led Group supported
Daily Safety & Health Challenges ü end of session challenge of
the day
Daily Safety & Health Education Discussions during exercise “shares”.
Weekly Health Education in safety meetings “shares”.
Rock Solid@Work™
An innovative next practice which is designed to reduce musculoskeletal pain and injury, while promoting safety, active living, healthy eating and resiliency.
#rocksolidatwork
Rock Solid@Work™ 2011-2012 Pain
Employees participating in Rock Solid@Work™ an average of 15 days per month, for 9 months (1/2012-9/2012), reduced overall bodily pain by 41%, 39% in the low back, and 65% in the wrist -measured on a standard self-reported verbal numeric pain scale.
#rocksolidatwork
Rock Solid@Work™ 2011-2012 Movement Competency
A total improvement of 56% in movement competency as measured on the FMS, reduced the risk of injury. Reflected in reductions in health benefits utilization and comp loss.
#rocksolidatwork
Slower Health Spending
Reduction in employee health risks
Reduced presenteeism – increased productivity
A strong return on investment $3.41 (Health Care Costs)
Reduced pain & injury, increased movement competency,
healthier lifestyles
Wharf W.E.L.L. 3 year Outcomes + Rock Solid@Work™
#rocksolidatwork
#rocksolidatwork
Road Blocks - Solutions
Road Block Solution
Individuals not wanting to participate. Answering WIIFM: what’s in it for me. Seeing other’s success.
Adequate time to conduct RS sessions. Set timeframe, limit on duration allows for “small bites”.
Varying comfort and fitness levels. Offering modifications, alternatives.
Space to conduct exercise sessions. Exercise selection, participant placement, teams.
What’s next
#rocksolidatwork
Thank You For Your Time And Attention
Learn more: www.rocksolidatwork.com www.wharfwellness.com
#rocksolidatwork
Contact: Colleen Broersma, [email protected], www.321-health.com
Kenan Sarratt, [email protected]
#rocksolidatwork
