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10/25/2012
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Occupational Medical Consulting, LLC
WELLNESS AT CIANBROREVEALING THE SECRET SAUCE
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DemographicsDemographics
• Ranked 88 on the Engineering News
Record’s list of the Top 100 US Contractors
• Cianbro is 100% employee-owned, open
shop, team oriented company of
approximately 2,000 team members
(4,000 including Starcon)
• Male dominated, blue collar workforce
who work long 8-12 hour days and
commute 1-4 hours a day
• Strong safety culture focused on
eliminating at-risk behavior.
What can we influence to change? Change
behavior over time through the Wellness
Program.
– Apply the same approach used
with safety
– Change at-risk behavior
– Educate and lead by example
– Create a total wellness
environment
In the beginning…In the beginning…
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www.omcwellness.com
Change the Mindset
• The Old - Construction workers get hurt and
people just get sick.
• The New - Preventive maintenance - works on
our equipment and must be applied to our
people!
Uniting safety and health
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Creating a healthy and safe
environment
Creating a healthy and safe
environment
• SHARE committees
• Tobacco-free environment
• Aligning benefit programs to support the
behaviors we encourage
• Daily stretching
• Health and safety stand and delivers
• Healthy vending and healthy food and
beverages at company meals
• Wellness Champions and exercise routes
on jobsites
• Wellness scorecards for jobs to rate how
“well” their jobsite is
Promoting health and
medical self management
Promoting health and
medical self management
• Preventive care covered at 100%
• Providing a consumer driven medical plan
with an HSA
• Health Advocate service that aids with
healthcare and insurance issues
• Employee Assistance Program
• 24 Hour Nurse Health Line to triage health
concerns
Prevention and self management
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Promoting health and
medical self management
Promoting health and
medical self management
• Wellness Matters newsletter
• Lunch and Learns
• Safety and Health Focus
• Intranet with benefit and wellness
information and links to vendor websites
• Audio health information library through
our medical carrier
• Quality Counts Program promoting Centers
of Excellence
Education
Maintaining good health
and eliminating at-risk
controllable health
behaviors
Maintaining good health
and eliminating at-risk
controllable health
behaviors
• Senior Manger’s Wellness Challenge
• Healthy LifeStyle Program
– Quit Tobacco Today Program
– Condition Management Program
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Healthy LifeStyle ProgramHealthy LifeStyle Program
• Participation is voluntary
• Focus is on major preventable health risk
behaviors
• Administered by Dr. Catlett and the health
educators at Occupational Medical
Consulting LLC (OMC)
• Guides participants toward optimal
health using motivational interviewing
techniques
• Onsite, face-to-face appointments for
team members
• Spouse locations for face-to-face
appointments
• Incentives for participation
Participating Credit
• Complete a health risk appraisal (HRA)
• Identify and commit to eliminate
controllable at-risk behaviors.
• Set health related goals and objectives.
• Schedule and keep face-to-face follow-up
appointments.
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Healthy Living Reward
Be at or below 3 out of 4 health risks:
• Body mass index (BMI) less than 27.5
• Total cholesterol less than or equal to 200
and HDL greater than 40
• Blood pressure less than 140 over 90
• Tobacco free for 12 months or more
Healthy Living Reward
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Help Quit Tobacco Today Program
• Tobacco-free as of January 1, 2003
• Education and tobacco cessation assistance for
team members and spouses
• Free nicotine replacement therapy
• January 1, 2010 – tobacco-free workplace includes
prohibiting possession
Condition Management Program
• Secondary prevention to help individuals with an already
diagnosed illness manage it the best way possible.
• Participants in HLP that have one of the following chronic
conditions:
– Diabetes
– Heart disease
– Metabolic syndrome
– Chronic back pain
• Under the guidance of the condition management nurse,
participants work with their health coach to set goals that
are right for them and their condition.
• Future conditions that will be addressed under program:
depression, obesity
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Family Encounters
• Children are being invited to take
part in their parents encounter
with a health coach.
• Age specific topics and activities
incorporated into encounter.
• Goal is to help educate children on
nutrition, exercise and other areas
of wellness and influence them to
make healthier choices.
The Motivation?The Motivation?
• Employee owned
• Productivity improvement and decreased health care
spending puts money directly in the owners pockets
• “It’s the right thing to do!” - Pete Vigue, Chairman, President
and CEO, The Cianbro Companies
• Extend a chance to maintain quality of life to all TM’s and
their families
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www.omcwellness.com
Let’s shift people from this…
www.omcwellness.com
To this…improved quality of life
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www.omcwellness.com
Medical/RX Costs
F ig . 1 . T o p 1 0 m e d ic a l c o n d itio n s b y a n n u al m ed ica l a n d d ru g c o s t p e r 1 0 0 0 F T E s fo r a l l
c o m p an ies .
www.omcwellness.com
Full Cost View
Fig. 2. Top 10 medical conditions by annual medical, drug, and productivity cost per
1000 FTEs for all companies.
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Full Cost Of
Employee Benefits
(2002 Benefits Data)
Note: “Absence” includes Presenteeism
www.omcwellness.com
The Essentials
• Management and cultural support
• Employee/spouse engagement in a program
that changes behavior
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www.omcwellness.com
Management & Cultural
Support
www.omcwellness.com
The Health & Productivity
ConnectionWhat do you think?
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www.omcwellness.com
Health & Productivity
Connection
• When I have to work for someone who does
not value health, it presents an obstacle for
my own health?
www.omcwellness.com
Health & Productivity
Connection
• If I improve my health, it will motivate the
people who work for me to be more healthy.
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www.omcwellness.com
Health & Productivity
Connection
• When I have to work for someone who does
not value safety, it presents an obstacle for my
own safety.
www.omcwellness.com
Health & Productivity
Connection
• If I improve my safe behavior, it will motivate
those that work for me to work more safely.
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www.omcwellness.com
Health & Productivity
Connection
• When I am in good physical and mental
condition, I can work harder, longer and more
safely.
www.omcwellness.com
Cultural Support
• Cianbro examples (Senior management wellness, vending, benefit
alignment, company meals, tobacco policy and quit assistance, family/spouse
inclusion, company leaders leading the activities)
• Most important- wellness must leave the
benefits section and become a company
strategy- when health and safety are company strategy
number ONE, your cultural evolution will sustain wellness
indefinitely
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www.omcwellness.com
ENGAGING PARTICIPANTS
www.omcwellness.com
Effecting and Maintaining
Behavior Change
• Educate or Motivate?
• Collaborate, not confront
• Evoke, not educate
• Autonomy, not authority
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www.omcwellness.com
MOTIVATIONAL INTERVIEWING
A different way to talk with a
participant about smoking
www.omcwellness.com
Barriers to Success
• Too many programs, not enough outcomes
• Wellness programs tailored to every “need”
• Management support
• Inability to commit to long term investment
• Misaligned expectations
• Significant sustainable population behavior
change comes one person at a time
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www.omcwellness.com
CAN IT WORK?
Affects on Health Risks
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Decreased Spending on Healthcare
Expected vs Actual Costs
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www.omcwellness.com
Difference in Diabetes Incidence
(Co A vs Co B)
0
10
20
30
40
50
60
70
80
90
Diabetes - no
wellness
program
Diabetes -
wellness
program
Current
Benchmark
Per 1,000 Employees
www.omcwellness.com
Difference in Heart Incidence
(Co A vs Co B)
Per 1,000 Employees0
5
10
15
20
25
30
Heart Disease
- no wellness
program
Heart Disease
- wellness
program
Current
Benchmark
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www.omcwellness.com
Wellness and Productivity
Connection
www.omcwellness.com
Questions
• Dr. Larry Catlett, CMO,Founder
• www.omcwellness.com
• Email: [email protected]
