55
Productivity, the Other Side of the Ledger RICHARD POLAK AND TOM PARRY | 8 SEPTEMBER 2016

Productivity, the Other Side of the Ledger - NHRMA 2018 … · Productivity, the Other Side of the ... Working longer does NOT equal greater productivity. Avg. Hours Per Worker vs

Embed Size (px)

Citation preview

  • Productivity, the Other Side of the LedgerRICHARD POLAK AND TOM PARRY | 8 SEPTEMBER 2016

  • 14GBSDCN#

    3

    Working longer does NOT equal greater productivityAvg. Hours Per Worker vs. GDP Per Capita

    $0 $20,000 $40,000 $60,000 $80,000 $100,000 $120,000

    MexicoTurkey

    HungaryPolandRussia

    ChileGreece

    KoreaSpain

    ItalyIsraelJapan

    UKFrance

    GermanyBelgiumFinlandIrelandAustria

    NetherlandsCanada

    USDenmarkSwedenAustralia

    SwitzerlandNorway

    Luxembourg

    Avg. Hours Worked GDP Per Capita

    Source: World Bank, OECD (1)0 500 1,000 1,500 2,000 2,500

    NetherlandsGermany

    NorwayDenmark

    FranceBelgium

    SwitzerlandSwedenAustria

    LuxembourgSpain

    FinlandAustralia

    UKIcelandCanada

    JapanItalyUS

    TurkeyIsrael

    HungaryPolandRussia

    ChileGreece

    KoreaMexico

  • 14GBSDCN#

    4

    ProductivityAbsence Mgmt.

    Wellbeing

    Engagement

    Technology

    Optimizing Work Day

    Key Components to Improved Productivity

  • 14GBSDCN#

    Number of employees engaged Gallup study

    Engagement

    5

    13%

    $450B

    $3.14M

    Cost of disengaged workers in annual lost productivity Gallup study

    Savings in turnover costs/1,000 employees (based on case study)

  • 14GBSDCN#

    What is Engagement?We measure employee engagement using the items..

    A willingness to put in more effort than expected Being proud to work for the organization A willingness to promote the organization as a great workplace Not recently considering other job opportunities Feeling a strong sense of job satisfaction Feeling your work strongly contributes to the organizations success Feeling compelled by the organizations mission

    6

  • 14GBSDCN#

    Wellbeing

    7

    Harvard study of 100 peer-reviewed journal articles showed that Wellness programs can expect to yield an ROI of:

    3.27:1 on health care cost reductions, and 2.73:1 on absence and related costs after about three years.

    Physical Health

    Social/Emotional

    HealthFinancial Health

    Career Health

    Community Health

  • 14GBSDCN#

    8

    TechnologyRe-engineered to optimize the work experience: Instant communication software (e.g., Skype for

    business, Jabber, Slack, etc.) Cloud (for collaboration) Voice recognition software Virtual meetings Tablets (for customer presentations) Mobile optimization Social platforms (e.g., Chatter for Salesforce,

    LinkedIn, etc.)

  • 14GBSDCN#

    Absenteeism

    9

    Unplanned absenteeism costs an estimated $2,650 per year for every salaried employee.

    Other costs to the business include:

    Low employee morale and resentment from the staffers who are left behind.

    Breakdown of team collaboration and project management.

    Safety issues creating hazards for understaffed departments.

    Managers spending too much time focused on missing employees.

    Poor customer service and product quality management.

    Limited productivity due to low employee headcount creates an overwhelming work load.

    Breakdown in respect for all company policies when employees are allowed to habitually abuse PTO and come into work late or not at all.

  • 14GBSDCN#

    Headset

    Treadmill

    Multiple monitors(20-30% increase)

    Stand-up desk(10% increase)

    Voice recognition software

    Optimizing Your Workday

    10

  • 14GBSDCN#

    Sample Metric of ROI Results

    11

    Description AssumptionsTime Saved

    (minutes)

    Increased Productivity

    (minutes)Rate $ per

    minuteIncreased Productivity ($)

    Breakfast Stabilize and energy 30 30 3.33 $100

    Exercise Stabilize and energy 30 30 3.33 $100

    Transcription service for vm's 20 vm's/day 30 seconds/vm 10 3.33 $33

    Voice Recognition Software 30 min/day 1 min/email x 35 35 3.33 $117Keyboard Shortcuts 15 min/day 15 15 3.33 $50Optimize Task List 30 min/day 30 30 3.33 $100Use a Password Manager 10 min/day 10 10 3.33 $33Improve typing speed 15 min/day 15 15 3.33 $50Avoid Distractions 30 min/day 30 30 3.33 $100Manage email 10 distractions x 5 50 50 3.33 $167Avoid multitasking Focus 30 30 3.33 $100

    Get enough sleep Focus/productivity 30 30 3.33 $100Increase monitor size 26" monitor 30 30 3.33 $100Add another monitor Two 19" monitors 15 15 3.33 $50Nap for 10 minutes 10 min/day 30 30 3.33 $100

    Assume $200/hour Total minutes = 390 Daily increase $1,300

    # minutes = 1 hr 60 # work days/yr 240

    Hours 6.5Annual

    incr/person $312,000

    # employees 1000Assumed % efficiency gained 75%

    $234,000,000

  • 14GBSDCN#

    Thomas Parry, Ph.D.PresidentIntegrated Benefits Institute

    Productivity: Finding the Business Value in Workforce Health

  • 14GBSDCN#

    Todays discussion How is the world changing for employers? Why?

    What does workforce health REALLY mean to employers?

    Can CFOs get it?

    How do we deal with measurement and the business case for health?

  • 14GBSDCN#

    The world is changing The rise of consumerism New health/risk financing and delivery

    mechanisms A broadening view of health Market consolidation The breakdown of industry segmentation Rapidly changing technology and resulting

    data challenges The need to demonstrate health value to

    senior leaders

  • 14GBSDCN#

    Employer journey: moving beyond costs to outcomes

    Healthcare as cost of doing business Changing plan designs to control costs Managing health risks to dampen healthcare

    cost trend Broadening outcomes to include absence,

    disability and performance Integrating other factors: EE engagement,

    health culture, financial wellness, wellbeing

  • 14GBSDCN#

    Whats at Risk Economically for Employers?

  • 14GBSDCN#

    Case profile: an example 10,000 life manufacturer

    Workforce

    71% male

    54% between 35-54

    48% operators, 13% skilled crafts

  • 14GBSDCN#

    Its all about medical costs

    Chart1

    1

    0

    0

    0

    Series 1

    Sheet1

    Series 1

    Medical1

    0

    0

    0

    To resize chart data range, drag lower right corner of range.

  • 14GBSDCN#

    Its about medical and pharmacy costs

    Chart1

    0.81

    0.19

    0

    0

    0

    Series 1

    Sheet1

    Series 1

    Medical0.81

    Pharmacy0.19

    0

    0

    0

    To resize chart data range, drag lower right corner of range.

  • 14GBSDCN#

    We should include wage replacements

    Chart1

    0.64

    0.15

    0.21

    0

    0

    Series 1

    Sheet1

    Series 1

    Medical0.64

    Pharmacy0.15

    Wage replacements0.21

    0

    0

    To resize chart data range, drag lower right corner of range.

  • 14GBSDCN#

    And the other impacts of absence

    Chart1

    0.53

    0.13

    0.2

    0.09

    0

    Series 1

    Sheet1

    Series 1

    Medical0.53

    Pharmacy0.13

    Wage replacements0.2

    LP - absence0.09

    0

    To resize chart data range, drag lower right corner of range.

  • 14GBSDCN#

    What about reduced EE performance?

    Chart1

    0.5

    0.11

    0.17

    0.08

    0.14

    Medical is just HALF of the total costs of health

    Series 1

    Sheet1

    Series 1

    Medical0.5

    Pharmacy0.11

    Wage replacements0.17

    LP - absence0.08

    LP - performance0.14

    To resize chart data range, drag lower right corner of range.

  • 14GBSDCN#

    Research - going beyond medical & pharmacy to absence and presenteeism

    $0

    $50,000

    $100,000

    $150,000

    $200,000

    $250,000

    $300,000

    $350,000

    $400,000C

    ost p

    er 1

    000

    EEs

    Medical Pharmacy Absence lost prod Presenteeism lost prod

    Chart1

    553382472996057186490

    1669929599294151865

    338413225910179677095

    12575430536813046922

    80821548682869132582

    9482382788617982430

    15754278767256688576

    1485853620298505618

    11671128063599924694

    15726365517269546818

    Medical

    Pharmacy

    Absence lost prod

    Presenteeism lost prod

    Cost per 1000 EEs

    Sheet1

    DepressionObesityArthritisBack/Neck PainAnxietyGERDAllergyOther cancerOther chronic painHypertension

    Medical553381669933841125754808294821575414858511671115726

    Pharmacy247292953225930531548638278278763620280636551

    Absence lost prod960579929410179668130828698617972566298503599972695

    Presenteeism lost prod1864901518657709546922132582824308857656182469446818

  • 14GBSDCN#

    Co-morbidity and lost time

    Chart1

    0.11.5

    1.43.5

    3.14.7

    4.47.5

    5.96.8

    6.67.6

    811.5

    8.717.8

    14.714.7

    27.59.9

    Absence lost time

    Presenteeism lost time

    # of chronic conditions

    Lost days

    Sheet1

    12345678910+

    Absence lost time0.11.43.14.45.96.688.714.727.5

    Presenteeism lost time1.53.54.77.56.87.611.517.814.79.9

  • 14GBSDCN#

    Low Prevalence, High Cost Diseases

  • 14GBSDCN#

    Health Conditions Evaluated

    Urinary and bladder conditions

    Diabetes

    Ulcers

    Cancer

    Skin cancer

    Coronary artery disease

    COPD

    Osteoporosis

    Congestive heart failure

    Rheumatoid arthritis

    Viral hepatitis

  • 14GBSDCN#

    The Whole Picture of Lost Time$27,837

    $21,812$19,956

    $19,179$15,678

    $14,146$13,164

    $11,782$11,356

    $8,818$5,867 Ave. total costs = $12,200

    Chart1

    2644.753939.2321964242282.7996608571

    3723.3871881.2080762923213.8148934286

    4671.8452651.7971170744032.4696414286

    3619.8435038.0809695233124.4416294286

    4869.6094090.8828035184203.1682254286

    4878.3815056.595306834210.7397145714

    4825.0686688.6718626774164.7229794286

    7763.0854714.8105674266700.6513671429

    5802.1069146.1294773645008.0463502857

    7302.5098206.4906954856303.1084825714

    7001.08814792.4736373286042.9390994286

    STD

    LTD

    Lost Productivity

    Ave. total cost

    Sheet1

    STDLTDLost Productivity

    $2,644.8$939.2$2,282.8

    Skin cancer$3,723.4$1,881.2$3,213.8

    Ulcer$4,671.8$2,651.8$4,032.5

    COPD$3,619.8$5,038.1$3,124.4

    Coronary artery disease$4,869.6$4,090.9$4,203.2

    Osteoporosis$4,878.4$5,056.6$4,210.7

    Diabetes$4,825.1$6,688.7$4,164.7

    Cancer$7,763.1$4,714.8$6,700.7

    Congestive heart failure$5,802.1$9,146.1$5,008.0

    Viral hepatitis$7,302.5$8,206.5$6,303.1

    Rheumatoid arthritis$7,001.1$14,792.5$6,042.9

  • 14GBSDCN#

    So Its Not Just about Healthcare Cost Do CFOs Get It?

  • 14GBSDCN#

    Results from the Integrated Benefits Institutes Latest CFO survey

    Finding the Value in Health

  • 14GBSDCN#

    Key highlights CFOs are integrally involved in

    benefits strategy/decisions CFO focus goes well beyond

    controlling healthcare costs CFOs want to achieve broad

    organizational goals And those translate into consistent

    strategies/plan designs Measurement is a challenge

  • 14GBSDCN#

    CFOs are involved

    Chart1

    0.15

    0.28

    0.14

    0.43

    Equal partner

    All/most decisions

    Limited to budget decisions

    Little/no involvement

    Column1

    Sheet1

    Column1

    Little/no involvement0.15

    Limited to budget approval0.28

    All/most decisions0.14

    Equal partner0.43

    To resize chart data range, drag lower right corner of range.

  • 14GBSDCN#

    Since ACA

    An Emphasis on Engaging Employees in their Health

    Increased Cost-Sharing50%EEs premium share

    Out-of-pocket amounts

    High-deductible plans

    45%44%

    Enhanced wellness programs

    Premiums linked to lifestyle Wellness financial

    incentives

    52%41%

    31%

    Balanced with

  • 14GBSDCN#

    CFOs most important goals since ACA

    Chart1

    0.020.050.09

    0.020.020.07

    0.020.090.12

    0.090.180.2

    0.10.160.23

    0.150.180.11

    0.150.120.1

    0.440.190.1

    First

    Second

    Third

    Sheet1

    FirstSecondThird

    Business process0.020.050.09

    Improve service0.020.020.07

    Improve productivity0.020.090.12

    Manage health0.090.180.2

    Help consumers0.10.160.23

    Comply w/ regs0.150.180.11

    Attract talent0.150.120.1

    Control cost0.440.190.1

  • 14GBSDCN#

    For every 10 CFOs who say controlling costs is most important

    4 say helping enrollees become healthier, better consumers of care

    4 say attracting, retaining talent or improving productivity 1 says improving customer service or business performance

    9 Other CFOs Report Another Goal as the Most Important

  • 14GBSDCN#

    Human capital

    Business performance

    Enrollee health

    Connecting goals to actions

  • 14GBSDCN#

    CFOs that Emphasize Human Capital Are Less Likely to

    increase high-deductible plans

    increase out-of-pocket costs

    raise employee premiums

    eliminate coverage

  • 14GBSDCN#

    CFOs that Emphasize Employee Health Are

    Less likely to offer high-deductible plans

    More likely to:

    increase wellness programs

    link premiums to lifestyle choice

    offer wellness financial incentives

    offer value-based benefits

  • 14GBSDCN#

    CFOs that Focus on Business Performance Are

    Less likely to: increase employee out-of-pocket costs raise employee premiums

    More likely to enhance: disability benefits specialty pharma coverage

  • 14GBSDCN#

    Assessing the performance of benefits programs

    Chart1

    0.05

    0.05

    0.06

    0.08

    0.11

    0.14

    0.23

    Series 1

    Sheet1

    Series 1

    Track absence0.05

    Track health status0.05

    Calculate ROI0.06

    Recruitment/retention0.08

    EE program satisfaction0.11

    EE program participation0.14

    Any assessment at all0.23

  • 14GBSDCN#

    Health and business performance94%

    Chart1

    0.10.43

    0.10.35

    0.210.63

    0.210.62

    0.560.38

    83%

    45%

    53%

    84%

    Agree strongly

    Agree

    Sheet1

    Agree stronglyAgree

    Linking performance to business metrics would help make better decisions0.10.43

    Health-related job performance needs to be linked to business results0.10.35

    EE healthis an important factor in absence0.210.63

    EE health is important to EE performance0.210.62

    EE performance is critical to business success0.560.38

  • 14GBSDCN#

    MGM Mirage Case Study

  • 14GBSDCN#

    Estimating lost productivity at MGM

    1.8 lost days per FTE/Year

    6.2 lost days per FTE/Year

    Lost worktime = 8 days per FTE/Year or $2,598 per FTE/Year in Lost Productivity

    Chart1

    1.8

    6.2

    Sheet1

    AbsencePresenteeism

    1.86.2

  • 14GBSDCN#

    Lost-time improvements impact on EBIDTA Reducing 1 lost day/FTE =

    $15 MM to EBIDTA* from Productivity Gains

    *Earnings before Interest, Depreciation, Taxes and Amortization

    Chart1

    15

    30

    45

    East

    $ Millions

    Sheet1

    1 Day2 Days3 Days

    East153045

  • 14GBSDCN#

    The bottom line

    Savings $15.0 MM

    Wall-Street Multiple 10.7X

    Outstanding Shares 284.3 M

    Gain in Stock Price $ .56/share

    One Day of Productivity Improvement

  • 14GBSDCN#

    Communicating the Right Data to CFOs

  • 14GBSDCN#

    Key workforce health dimensions* Financial (cost) Program

    participation Biometric

    screening Health risks Utilization

    * Thomas Parry and Bruce Sherman, A Pragmatic Approach for Employers to Improve Measurement in Workforce Health and Productivity, Population Health Management, Vol. 15, No. 2, 2012

    Preventive care Chronic

    conditions Lost worktime Lost productivity Employee

    engagement

  • 14GBSDCN#

    Dimensions & dashboard metricsDimension Summary Metric

    Financial Program cost/EE

    Program participation EEs participating/All EEs

    Biometrics EEs reaching target/All EEs

    Health risks # of health risks/EE

    Utilization # EEs getting care/All EEs

    Preventive care # EEs getting screened/All EEs

    Chronic conditions # EEs w/ chronic conditions/All EEs

    Lost worktime # of lost workdays/EE

    Lost productivity Lost productivity $/EE

    Employee engagement Engagement score/EE

  • 14GBSDCN#

    Telling the story to senior leadersLeading Indicators

    Treatment Indicators

    Lagging Indicators

    Health risks

    Biometrics

    Chronic condition prevalence Preventive care

    EE engagement

    Health services utilization

    Program participation

    Financial

    Lost worktime

    Lost productivity

  • 14GBSDCN#

    Thinking Differently About Outcomes

    EmployeeHealth &

    Wellbeing

    Top-Line Value

    Bottom -Line Costs

  • 14GBSDCN#

    EmployeeHealth &

    Wellbeing

    Healthcare Costs

    Excess Labor Costs

    Absence/ disability

    Wage Replacement

    Payments

    Health and bottom-line costs

  • 14GBSDCN#

    Employee Health &

    Wellbeing

    Employee Job

    SatisfactionEmployee

    Job Performance

    Customer Satisfaction

    Core Business Processes

    Customer buying

    behavior

    Corporate Financial

    Performance

    Excess Labor Costs

    Health and top-line value

  • 14GBSDCN#

    Health, human capital and business

    Chart1

    0.6976744186

    0.511627907

    0.5

    0.2558139535

    0.1046511628

    0.8953488372

    0.6976744186

    0.5697674419

    0.3720930233

    0.2093023256

    0.1860465116

    0.1162790698

    0.0697674419

    0.0348837209

    0.9651162791

    0.7674418605

    0.7325581395

    0.6511627907

    0.5348837209

    0.4534883721

    0.2906976744

    0.2674418605

    Raw output

    % of respondents reporting use of a performance metric

    CategoryHuman Capital Performance MetricsValidTotalPercentageVarianceSDSECI

    Business objectivesAny608670%0.21092482420.45926552690.04952387540.0970667958

    Revenues448651%0.24986479180.49986477350.05390180480.1056475373

    Profitability438650%0.250.50.05391638660.1056761177

    Shareholder Value228626%0.19037317470.43631774510.04704935250.0922167308

    Store/unit sales98610%0.09369929690.30610340890.03300797950.0646956398

    Business outputAny778690%0.09369929690.30610340890.03300797950.0646956398

    Customer/patient satisfaction608670%0.21092482420.45926552690.04952387540.0970667958

    Compliance with regulations498657%0.24513250410.4951085780.0533889310.1046423048

    Service Errors328637%0.23363980530.48336301610.05212237450.102159854

    Product throughput188621%0.16549486210.40681059730.04386751490.0859803292

    Patient readmissions168619%0.15143320710.38914419840.04196249810.0822464963

    Product defects108612%0.10275824770.32055927330.03456679540.067750919

    Inventory turnover6867%0.06489994590.25475467790.02747090340.0538429707

    Students performing at grade level3863%0.03366684690.18348527720.01978572630.0387800235

    Human capital mgmt.Any838697%0.03366684690.18348527720.01978572630.0387800235

    Employee satisfaction668677%0.17847485130.42246284010.04555533960.0892884657

    Employee turnover638673%0.19591671170.44262479790.04772945940.0935497405

    HR costs per employee568665%0.22714981070.47660236120.05139335430.1007309745

    Absences468653%0.2487831260.49878164160.05378500760.105418615

    Supervisor evaluations398645%0.24783666850.49783196810.05368260170.1052178994

    Overtime258629%0.20619253650.45408428350.04896516760.0959717284

    Accident costs238627%0.19591671170.44262479790.04772945940.0935497405

    Raw output

    Venn-ish

    Management, output& objectives58

    Management & output18

    Management only6

    Management & objectives1

    Output & objectives1

    No measures2

    86

    Venn-ish

    Company can measure ...

    Link data

    IBIFLHCC

    YES3053541%

    NO2172833%

    DK2032327%

    711586100%

  • 14GBSDCN#

    AMEX - improvements in customer service and workforce health risk

    Chart1

    2.2

    4.3

    Series 1

    % Difference in Customer Service Scores

    Sheet1

    Series 1

    Low vs. Medium Risk2.2

    Low vs. High Risk4.3

    To resize chart data range, drag lower right corner of range.

  • 14GBSDCN#

    Goodyear - an unhealthy workforce does poorer quality work

    Compelling opportunities exist to more closely link health and business goals

    1.5

    2

    2.5

    3

    3.5

    4

    4.5

    $4,000 $5,000 $6,000 $7,000 $8,000 $9,000 $10,000 $11,000

    Was

    te P

    rodu

    ctio

    n as

    % o

    f Fin

    al S

    tock

    Va

    lue

    PEPY medical/drug costPEPY Medical and Drug Costs

    Was

    te P

    rodu

    ctio

    n as

    %

    of F

    inal

    Sto

    ck V

    alue

    Sherman B, Lynch W. Am J Managed Care, 2014.

    For every $1000

    reduction in healthcare

    costs, output increases by

    $2000

    Chart2

    2.01

    4.16

    3.22

    2.88

    3.51

    PEPY medical/drug cost

    Waste Production as % of Final Stock Value

    Sheet1

    Time Period

    Employee Status Group Medstat

    SubsetPatients MedNet Pay MedNet Pay Per Pat MedNet Pay PEPY Med and RxNet Pay PMPY Med and RxSubset2005-062006-07

    Allied plants1,001$2,677,826$2,675$5,989$2,484Allied plants$2,484$1,767

    Tire Manufacturing35,113$90,280,195$2,571$7,556$2,819Tire Manufacturing$2,819$2,908

    Retail11,146$24,217,743$2,173$4,605$2,112Retail$2,112$2,234

    Veyance facilities7,446$20,040,163$2,691$7,820$2,988Veyance$2,988$3,305

    Chemical plants1,857$5,803,612$3,125$8,993$3,339Chemical plants$3,339$4,095

    Time PeriodTime Period

    Employee Status Group MedstatEmployee Status Group Medstat

    SubsetPatients MedNet Pay MedNet Pay Per Pat MedNet Pay PEPY Med and RxNet Pay PMPY Med and RxSubsetNet Pay PMPY Med and Rx

    Allied plants901$1,524,666$1,692$4,141$1,767Allied plants% change

    Tire Manufacturing33,724$87,893,260$2,606$7,725$2,908Tire Manufacturing3.16%

    Retail10,520$24,082,735$2,289$4,700$2,234Retail10.58%

    Veyance facilities5,654$16,664,405$2,947$8,543$3,305Veyance facilities5.81%

    Chemical plants1,704$6,590,042$3,867$10,638$4,095Chemical plants-28.87%

    Time PeriodTime Period22.64%

    Employee Status Group MedstatEmployee Status Group Medstat

    SubsetPatients MedNet Pay MedNet Pay Per Pat MedNet Pay PEPY Med and RxNet Pay PMPY Med and RxSubsetNet Pay PMPY Med and Rx

    Tire Manufacturing-4%-2.64%1.37%2.23%3.16%Tire Manufacturing

    Veyance facilities-24%-16.84%9.51%9.24%10.58%Veyance facilities

    Retail-6%-0.56%5.36%2.07%5.81%Retail

    Allied plants-10%-43.06%-36.74%-30.85%-28.87%Allied plants

    Chemical plants-8%13.55%23.75%18.28%22.64%Chemical plants

    Sheet1

    2005-06

    2006-07

    Net Pay PMPY Med and Rx

    Sheet2

    Time PeriodJul 2005 - Jun 2006

    Employee Status Group MedstatActive

    SubsetAll Data

    FactAKRONDANVILLEGADSDENK/S FAYETTEVILLELAWTONTOPEKAUNION CITYTotal

    Patients Med7,2895,8483,3022,7145,7374,1016,05335,044

    Net Pay Med$16,117,184$11,343,681$7,160,948$7,347,650$19,335,303$9,684,657$18,666,277$89,655,700

    Net Pay Per Pat Med$2,211$1,940$2,169$2,707$3,370$2,362$3,084$2,558

    Net Pay PEPY Med and Rx$6,412$5,977$6,841$7,179$9,677$7,234$9,400$7,564

    Net Pay PMPY Med and Rx$2,576$2,151$2,701$2,764$3,413$2,553$3,480$2,822

    Time PeriodJul 2006 - Jun 2007

    Employee Status Group MedstatActive

    SubsetAll Data

    FactAKRONDANVILLEGADSDENK/S FAYETTEVILLELAWTONTOPEKAUNION CITYTotal

    Patients Med6,8195,6463,0032,5185,7913,7905,92533,492

    Net Pay Med$16,181,277$11,410,892$6,822,659$7,993,575$18,101,898$9,249,120$17,610,854$87,370,276

    Net Pay Per Pat Med$2,373$2,021$2,272$3,175$3,126$2,440$2,972$2,609

    Net Pay PEPY Med and Rx$6,837$6,173$6,962$8,234$9,266$7,534$9,198$7,742

    Net Pay PMPY Med and Rx$2,755$2,233$2,786$3,257$3,335$2,672$3,421$2,916

    Time Period% Change

    Employee Status Group MedstatActive

    SubsetAll Data

    FactAKRONDANVILLEGADSDENK/S FAYETTEVILLELAWTONTOPEKAUNION CITYTotal

    Patients Med-6%-3%-9%-7%1%-8%-2%-4%

    Net Pay Med0.40%0.59%-4.72%8.79%-6.38%-4.50%-5.65%-2.55%

    Net Pay Per Pat Med7.32%4.19%4.76%17.26%-7.25%3.34%-3.62%1.97%

    Net Pay PEPY Med and Rx6.64%3.29%1.77%14.70%-4.25%4.15%-2.15%2.36%

    Net Pay PMPY Med and Rx6.93%3.79%3.15%17.82%-2.28%4.66%-1.70%3.30%

    AKRONDANVILLEGADSDENFAYETTEVILLELAWTONTOPEKAUNION CITYAverage

    2005-06$2,576$2,151$2,701$2,764$3,413$2,553$3,480$2,822

    2006-07$2,755$2,233$2,786$3,257$3,335$2,672$3,421$2,916

    Sheet2

    2005-06

    2006-07

    Net Pay PMPY Med and Rx

    Sheet3

    Time PeriodJul 2005 - Jun 2006

    Employee Status Group MedstatActive

    SubsetAll Data

    FactBAYPORTBEAUMONTHOUSTONNIAGARA FALLSTotal

    Patients Med {Rank}11111

    Patients Med641,09768971,857

    Net Pay Med$460,253$2,975,896$2,326,811$40,652$5,803,612

    Net Pay Per Pat Med$7,191$2,713$3,377$5,807$3,125

    Net Pay PEPY Med and Rx$17,421$8,561$8,803$9,985$8,993

    Net Pay PMPY Med and Rx$6,831$2,987$3,543$4,389$3,339

    Time PeriodJul 2006 - Jun 2007

    Employee Status Group MedstatActive

    SubsetAll Data

    FactBAYPORTBEAUMONTHOUSTONNIAGRA FALLSTotal

    Patients Med {Rank}22222

    Patients Med6399264361,704

    Net Pay Med$469,581$3,214,841$2,874,070$31,549$6,590,042

    Net Pay Per Pat Med$7,454$3,241$4,470$5,258$3,867

    Net Pay PEPY Med and Rx$20,423$9,727$10,943$9,480$10,638

    Net Pay PMPY Med and Rx$8,086$3,498$4,584$5,245$4,095

    Time Period% Change

    Employee Status Group MedstatActive

    SubsetAll Data

    FactBAYPORTBEAUMONTHOUSTONNIAGRA FALLSTotal

    Patients Med {Rank}100%100%100%100%100%

    Patients Med-2%-10%-7%-14%-8%

    Net Pay Med2.03%8.03%23.52%-22.39%13.55%

    Net Pay Per Pat Med3.65%19.46%32.36%-9.46%23.75%

    Net Pay PEPY Med and Rx17.23%13.62%24.31%-5.05%18.28%

    Net Pay PMPY Med and Rx18.37%17.13%29.37%19.51%22.64%

    Sheet4

    DANVILLEGADSDENK/S FAYETTEVILLETOPEKAUNION CITY

    PEPY$6,173$9,962$8,234$7,534$9,198

    Waste as % of FSV2.014.163.222.883.51

    DANVILLEGADSDENK/S FAYETTEVILLETOPEKAUNION CITY

    $2,233$2,786$3,257$2,672$3,421

    Waste as % of FSV2.014.163.222.883.51

    Sheet4

    PEPY medical/drug cost

    Waste as % of final stock value

    Sheet5

    DANVILLEGADSDENK/S FAYETTEVILLELAWTONTOPEKAUNION CITY

    WC claims costs$1,554$737$2,308$1,512$1,421$3,292

    Waste as % of FSV2.014.163.222.222.883.51

    Union City989$8,894,334.685403622$3,291.99

    Fayetteville8386,567,368.215689722$2,308.50

    Replacement613$4,837,308.62

    Danville5984,162,150.795355388$1,554.38

    Union City989$8,894,334.68Lawton6563,544,108.784688407$1,511.86

    Fayetteville8386,567,368.21Tyler505$3,141,780.192027021$3,099.90

    Replacement613$4,837,308.62Topeka485$2,435,434.273428507$1,420.70

    Danville5984,162,150.79Buffalo4492,396,714.492892067$1,657.44

    Lawton6563,544,108.78Wingfoot163$1,654,406.64

    Tyler505$3,141,780.19Gadsden2841,164,307.873158837$737.18

    Topeka485$2,435,434.27Akron/Tech Center150$781,645.381150373$1,358.94

    Buffalo4492,396,714.49

    Wingfoot163$1,654,406.64

    Gadsden2841,164,307.87

    Akron/Tech Center150$781,645.38

    Spartanburg26$548,615.27

    Asheboro84$286,261.24

    Statesville33$226,096.96

    Houston93193,609.68

    Niagara Falls1474,238.61

    Social Circle22$23,673.01

    Kingman511,169.88

    Beaumont257,956.46

    San Angelo7$1,909.41

    Atlanta81,142.48

    Radford91,098.73

    EPD495$1,024,826.44

    Total6,551$41,980,158

    Avg $/claim$6,408

  • 14GBSDCN#

    Next Steps

    55

    1. Engage senior leadership2. Communicate the impact on the

    bottom line3. Talk to your Consultant4. Develop a plan! For example

    1. Collect data: revenue per person, retirement data, termination rates, turnover rate; data history for past 3-5 years

    2. Conduct Engagement Survey

    3. Conduct Focus Groups

    4. Evaluate top performers in what makes them most productive

    5. Analyze data and report on results

    6. Implement Productivity program

    7. Measurement/metrics

    Best Practices

    ProductivityAbsence Mgmt.

    Wellbeing

    Engagement

    Technology

    Optimizing Work Day

  • 14GBSDCN#

    Richard PolakExecutive Vice President

    Arthur J. Gallagher & Co.

    Thomas ParryPresidentIntegrated Benefits Institute

    For more information

    [email protected]

    [email protected]

    55

    Slide Number 1Productivity, the Other Side of the LedgerWorking longer does NOT equal greater productivityAvg. Hours Per Worker vs. GDP Per CapitaKey Components to Improved ProductivityEngagementSlide Number 6WellbeingTechnologyAbsenteeismOptimizing Your WorkdaySample Metric of ROI ResultsSlide Number 12Todays discussionThe world is changingEmployer journey: moving beyond costs to outcomesWhats at Risk Economically for Employers?Case profile: an exampleIts all about medical costsIts about medical and pharmacy costsWe should include wage replacements And the other impacts of absence What about reduced EE performance?Research - going beyond medical & pharmacy to absence and presenteeismCo-morbidity and lost timeLow Prevalence, High Cost DiseasesHealth Conditions EvaluatedThe Whole Picture of Lost TimeSo Its Not Just about Healthcare Cost Do CFOs Get It?Results from the Integrated Benefits Institutes Latest CFO surveyKey highlightsCFOs are involvedSlide Number 32CFOs most important goals since ACASlide Number 34Slide Number 35CFOs that Emphasize Human Capital Are Less Likely to CFOs that Emphasize Employee Health Are CFOs that Focus on Business Performance Are Assessing the performance of benefits programsHealth and business performanceMGM Mirage Case StudyEstimating lost productivity at MGMLost-time improvements impact on EBIDTA The bottom lineCommunicating the Right Data to CFOsKey workforce health dimensions*Dimensions & dashboard metrics Telling the story to senior leadersThinking Differently About OutcomesHealth and bottom-line costsHealth and top-line valueHealth, human capital and business AMEX - improvements in customer service and workforce health riskGoodyear - an unhealthy workforce does poorer quality workNext StepsFor more information