Workplace Wellness - States of Wellness 2012 Hawaii

Key Findings From Hawaii

The States OfWorkplace Wellness

In America

Made possible with funding from the Centers for Disease Control and Prevention. Sponsored by the Minnesota Department of Health.

METHODOLOGY

SLIDE 2

The Alliance for a Healthier Minnesota conducted this survey among business leaders in Hawaii through September 19, 2012.

It was held in conjunction with a national survey conducted by the Society for Human Resource Management (SHRM); Public Opinion Strategies was instrumental in the design of the survey questionnaire and analysis of the data.

The Hawaii project is sponsored by the Centers for Disease Control and Prevention, in partnership with the Hawaii State Department of Health, Society for Human Resource Management Hawaii Chapter, Chamber of Commerce of Hawaii, Hawaii Business Health Council, Knoa-Kohala Chamber of Commerce, Kaiser Permanente, HMSA, University Health Alliance, American Heart Association, Kauai and Maui Nutrition and Physical Activity Coalitions, YMCA of Honolulu, Coalition for a Tobacco Free Hawaii, Kauai Chamber of Commerce, Healthways, Hawaii American Cancer Association, and Hawaii Association of Non-Profits.

For the national survey, 406 HR professional respondents from a randomly selected sample of SHRM’s membership participated.

For more findings, visit www.statesofwellness.com

http://www.shrm.org/surveys

THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 3

National Hawaii

4%10%

54% 51%

38% 35%

4% 3%

A B C D/F

Most organizations give themselves a “B” rating. The larger the organization, the lower the rating.

“What grade would you give your organization’s employees in terms of being healthy?”

B B


62%

46%

44%

41%

84%

80%

74%

69%

Health insurance costs top the list of issues impacted by employee health and behavior.

“Below are some issues that may be impacted by employee health behaviors and conditions. Please rate the importance of these issues in terms of overall organization priorities. (1 = Not

Important At All To Your Organization; 10 = Extremely Important To Your Organization)”

Absenteeism

Health Insurance Costs

Decreased Productivity

Workers Compensation or Disability Claims

10

8-10


Series1 19%

18%

19%

9%

11%

3%

4%

5%

3%

6%

3%

41%

51%

32%

35%

10%

22%

12%

16%

16%

9%

56%

Obesity, stress and a lack of exercise are seen as the top health conditions facing employees.

“Which from the list do you consider to be the top three health conditions or areas that you feel are the greatest concern to your employees?”

Obesity/Overweight

Stress & Other Mental Health Issues

Lack of Exercise/Fitness

Chronic Diseases

High Blood Pressure

Tobacco Use

Workplace Injuries

High Cholesterol

Alcohol & Substance Abuse

Poor Nutrition

Cold & Flu VaccinationsFirst Choice

Top 3 Choices


Eight out of ten organizations spend 5% or less of their budget on these initiatives.

46%

38%

15%

0-1% 2-5% 6+%

“Approximately what percentage of your organization’s operating budget would you say is spent on worksite wellness initiatives that are

separate from health insurance coverage?”

17% 18%

11% 10%

44%

1 2 3 4 5+

“How many years ago was your organization’s worksite wellness initiative first created?”

NATIONAL SAMPLES


Organizations place high value on whether or not initiatives have any return on investment.

NATIONALLY % Important

Very 41%

Somewhat 43%

Not Very 14%

Not At All 1%

“How important is it to your organization to have a measureable ROI (return on investment) one to three years from now in order to determine the value of worksite

wellness initiatives?”

HAWAII % Important

Very 36%

Somewhat 42%

Not Very 9%

Not At All 4%


Organizations place high value on whether or not initiatives have any return on investment.

42%

58%Nationally

Yes No

“Does your organization track the return on investment (ROI)

of its worksite wellness initiatives? “

19%

51%Hawaii

Yes No


Nine out of ten organizations see the benefit of having worksite wellness initiatives in place.

“In general, how beneficial would you say worksite wellness initiatives are to organizations like yours?”

87% 91%

National Hawaii

Very Beneficial 38% 35%

Somewhat Beneficial 49% 45%

Not Very Beneficial 12% 11%

Not Beneficial at All 1% 1%


90%81% 78% 78%

6% 10% 12% 13%

Total Agree Total Disagree

There is widespread belief they help both the employees and the company’s waistline.

“Below are a series of different viewpoints on worksite wellness initiatives. For each one, please select if you AGREE or DISAGREE with a particular position.”


Only impact a limited number of workers

Make employees feel their privacy is being intruded

upon

Do little to improve overall worker health

60%

33%26%

36%

57%67%


Some agree that wellness initiatives impact only a limited number and might impact privacy.

“Below are a series of different viewpoints on worksite wellness initiatives. For each one, please select if you AGREE or DISAGREE with a particular position.”


82%

72%

62%

65%

57%

49%

27%

20%

22%

28%

Employers’ primary objective is to keep employees healthy.

“To the best of your knowledge, what are your organization’s reasons for offering a worksite wellness initiative?”

To improve the overall health of employees

To reduce employee health care costs

To improve employee productivity

To improve employee morale

To reduce employee absenteeism

To reduce the costs associated with disability claims

To attract and recruit employees

Was requested by employees

To reduce employee turnover rates

Were part of the existing health plan


56%

52%

51%

32%

32%

46%

43%

41%

37%

29%

32%

8%

64%

The cost of the initiatives is also a main concern.“Regardless of whether you have a worksite wellness initiative at your

organization or not, what are some of the reasons why organizations like yours often decide NOT to offer a worksite wellness initiative?”

Cost of the initiative

Lack of employee interest/expected low levels of participation

Lack of time

Management does not see the value of it

Employees do not see the value of it

Lacking expertise/staff

Lack of information/resources about how to develop and maintain an initiative

Lack of facilities

Would not reduce health insurance costs

Unable to find someone who will champion the initiative

Organization is too small

High employee turnover


National Hawaii

52%

38%48%

23%

Yes No

They are longitudinally capable of reducing health care costs.

“Based on your experience, over the last year do you think that worksite wellness initiatives were effective in reducing your organization’s health care costs?”


Worksite Wellness Initiative0-1% of Operating Budget


Worksite Wellness Initiative6%+ of Operating Budget

42%

54%65%

58%

46%35%

Yes No

Almost seven out of ten organizations believe that their larger investments in wellness initiatives help

keep health care costs low.

Effectiveness in Reducing Health Care Costs by % Operating Budget

NATIONAL SAMPLE


63%

40%

66%

41%37%

60%

34%

59%

Yes No

Those that offer financial incentives have higher return on investment.

Effectiveness in Reducing Health Care Costs by Financial Incentive & Return On Investment

NATIONAL SAMPLE


50%

38% 37%

53%

19%

62% 63%

47%

Yes No

But they don’t seem to reduce overall worker absenteeism.

“Based on your experience, do you think that worksite wellness initiatives are effective in reducing worker absenteeism at your organization?”

NATIONAL SAMPLE




Worksite Wellness Initiative6%+ of Operating Budget

37%

49%58%

63%

51%42%

Yes No

NATIONAL SAMPLE

Organizations that have recently added wellness initiatives to their worksites don’t see the employee

absenteeism rates falling.

Effectiveness in Reducing Worker Absenteeism by % Operating Budget


56%

39%

56%

76%

11%

61%

44%

24%

NATIONAL SAMPLE

But they do see positive changes in productivity in the workplace.

“Based on your experience, do you think that worksite wellness initiatives are effective in improving worker productivity at your organization?”


“How interested is your organization in developing

a worksite wellness initiative in the next one to three years?”

National Hawaii

85%

63%

15%26%

Total Interested Total Not Interested

There is high interest in launching initiatives at new organizations and improving existing ones.

39%Very Interested

26%Very Interested


“How interested is your organization in expanding or improving your current worksite wellness initiative in the next one to three years?”

National Hawaii

85%77%

15% 12%

Total Interested Total Not Interested

There is high interest in launching initiatives at new organizations and improving existing ones.

39%Very Interested

55%Very Interested


“How beneficial would your employees find a worksite wellness initiative if your organization created one?”

National Hawaii

90%

71%

10% 13%

Total Beneficial Total Not Beneficial

Employees see them as beneficial to their health.

15%Very Beneficial

15%Very Beneficial


86% 86%78%

14% 14%23%


If subsidies or financial incentives existed, organizations would be more willing to establish

wellness programs.“Please select if you AGREE or DISAGREE with the following statements. My organization

would be interested in creating or expanding a worksite wellness initiative if…”


80%74% 72%

19%26% 28%


But they also would invest in initiatives to fulfill their employees’ needs.

“Please select if you AGREE or DISAGREE with the following statements. My organization would be interested in creating or expanding a worksite wellness initiative if…”


43%

59%

38%

43%

36%

42%

23%

27%

Business executives look at other businesses’ experience with initiatives.

“Which of the following would you consider to be TRUSTED and VALUED sources of information about creating or expanding a worksite wellness initiative for your organization?”

Business peers or fellow human resource managers

Health care service providers

Worksite wellness vendorsand consultants

Health care insurers

State and local health departments

Non-profit health organizations

Business organizationsand trade associations

Online resources


70%81%

65%

30%19%

35%

They are willing to learn more through community networking.

“If there was a network in your community for business leaders to learn about issues related to worksite wellness initiatives and to share information, how likely is it that someone from

your organization would join this network?”

26%VeryLikely

36%VeryLikely

20%VeryLikely

NATIONAL SAMPLE


“In your professional opinion, which one of the following best describes how your organization views the federal government's involvement in worksite wellness initiatives for companies like yours?”

Hawaii National

53%

39%

16%20%

30%

40%

Should Be More Active Should Be Less Active Should Not Really Change

Organizations, overall, think there should be more government involvement in wellness initiatives.


“In your professional opinion, which one of the following best describes how your organization views the state and local government's involvement in worksite wellness initiatives for companies like yours?”

National Hawaii

47%

63%

15% 12%

38%

25%


63%

Organizations, overall, think there should be more government involvement in wellness initiatives.


State & Local Government Involvement Federal Government Involvement

51%43%

13%18%

36%39%


…even more so among those organizations that already have worksite wellness initiatives in place.

Government Involvement Among Organizations With Worksite Wellness Initiatives


Kona: Question 1

Delays in getting an appointment which results in delays in return to work

Delays in getting an appointment, which results in employee using the Emergency room instead of an office visit

Delays in getting an appointment which results in less productivity at work

Unable to access timely specialty care on Big island resulting in employees needing to travel to Honolulu

40%

44%

47%

69%

How has the provider shortage in Hawaii County impacted your em-ployees? (Please check ALL that apply.)


Kona: Question 2

Greatly affected

Only when I recruit from the mainland

Moderately affected

Somewhat affected

Not at all affected

0%

2%

14%

29%

55%

Has limited access to healthcare affected your ability to recruit em-ployees?


Kona: Question 3

74%

26%

Do you allow return to work authorization forms to be signed by a Physician’s Assistants or Nurse Practitioners?

Yes No


Kona: Question 4

Pct 67% 33%

67%

33%

Might you consider changing this in order to get employees back to work sooner?

Yes No


Kona: Question 5

Authorize travel expenses to see a physician in off-is-land

Contact physicians on their behalf

Have a provider come to my business

Nothing

Provide a list of providers

Allow personal time off work or offer flex time for appointments

6%

10%

11%

26%

29%

61%

Beyond providing healthcare benefits, what do you, as an employer, do to assist your employees in getting access to healthcare?

(Please, check all that apply.)


Kona: Question 6

More efficient medical offices

Longer office hours, including evenings and Saturdays

A new, bigger hospital by the airport

Additional healthcare providers such as physician's assistants, physical therapists, nurse practitioners

Better reimbursements for healthcare providers

More physicians

42%

45%

45%

65%

66%

79%

What do you think would help most to improve access to healthcare in Hawaii County? (Please, check all that apply.)


Oahu, Maui & Kauai: Question 1

Other

Breastfeeding programs

Alcohol and substance abuse programs

Chronic disease management programs

Nutrition programs

Stress management programs

Tobacco cessation programs

A physical environment that supports healthy behaviors (has accessible stairwells, bike racks, fitness facilities, showers, basic kitchen equipment, and/or a lactation room)

Benefits that support healthy behaviors (co-pays waived for cancer screenings and other preventive care, discounted gym memberships)

worksite injury prevention programs

Exercise/fitness programs

A social environment that supports healthy behaviors (encourages stretch breaks, walking meetings, flexible work schedules, and/or healthy food at meetings)

A health risk assessment or employee wellness survey that assesses needs and interests

14%

15%

24%

25%

29%

44%

46%

53%

54%

54%

54%

58%

64%

What does your worksite wellness initiative currently include? (Check all that apply)



Competition

Other

Having a wellness champion

Customized incentives

Marketing/communication

Seeing and feeling results

Financial incentives

Programs designed to meet their needs & interests

Having a healthy worksite culture

Support from leadership

2%

2%

4%

5%

5%

7%

13%

18%

22%

22%

In your opinion, what is the key to keeping employees engaged in your initiative?



Yes No Unsure

29%

51%

20%

Does your organization conduct a formal evaluation of your wellness ini-tiative?



Yes No Some do and some don't

Unsure

17%

35%

16%

33%

Does your health plan(s) provide claims data or reports to assist in planning and evaluating your wellness initiative?



Social media posts from trusted organizations (Facebook, Twitter, LinkedIn)

Internet searches

Websites of trusted organizations

Newsletters or email updates from trusted organizations

SHRM or other professional networks

10%

44%

47%

53%

61%

Which of the following ways do you gather information on worksite wellness initiatives and other employee health issues?


What do we now know?

Employers want it.– 87 percent nationally see it as “beneficial.”

We know why.– Insurance/productivity/absenteeism

We know what attracts them.– Weight/stress/fitness

The time is right for workplace wellness


What do we now know?

We know what they’re nervous about.– Cost/engagement/ROI

They want to work together.– 74 percent nationally said they would join a community

network

They believe in government.– Majorities value the role of federal, state & local

The time is right for workplace wellness


States of Workplace Wellness in America 2012 Hawaii Survey

The Alliance for a Healthier Minnesota800 Nicollet MallSuite 2690Minneapolis, MN 55402

www.statesofwellness.com

www.healthiermn.com

http://www.statesofwellness.com/

http://www.healthiermn.com/

Health & Medicine

Workplace Wellness - States of Wellness 2012 Hawaii