Download - Gmd wellvolution webinar_103012
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Do it different. Make a difference. Bryce Williams
October 30, 2012
@brycecwilliams
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two roads converging
Source: D. Ornish, M.D.
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living longer, living sicker
0%
10%
20%
30%
40%
50%
60%
Men Women
U.S. Smoking Trends (1965-2006)
Source: CDC Health, United States
0%
10%
20%
30%
40%
50%
18-29 Yrs 30-44 Yrs 45-64 Yrs 65+ Yrs
U.S. Obesity Trends (1971-2006)
1965 20061990 1971 20061990
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wellness 1.0
risk identification
information transfer
marginal impact
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information rich, knowledge poor quantity of global digital data, exabytes
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1,000 (kilo)1,000,000 (mega)1,000,000,000 (giga)1,000,000,000,000 (tera)1,000,000,000,000,000 (peta)1,000,000,000,000,000,000 (exa)1,000,000,000,000,000,000,000 (zetta)1,000,000,000,000,000,000,000,000 (yotta)
1302005
1,2272008
2,7202010
7,9102015
Source: EMC/IDC Digital Universe Study, 2011
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wellness 2.0 makes it…
Wellness 2.0
Easy
Rewarding
Fun
IconicSocial
Real
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make it rewarding: the basicsI. forget cash…link to benefits…seize the 20%
II. embrace outcomes…show compassion
III. perfect is the enemy of the good
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
Low Risk Med Risk High Risk
Medical/Pharma Absence Workers Comp S-T Disability
Source: Wright, Beard, Edington. JOEM. 44(12):1126-1134, 2002.Source: Bray et al. West J Med 1988;149:429–41.
BMI & Mortality Risk Health Risks & Costs
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make it rewarding: behavioral economics
Weight Watchers Participation (1Q)
0
100
200
300
400
500
600
2009 2010 2011 2012
Discount
Reimbursement
Behavioral Economics
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make it rewarding: social cohesionCalPERS - Social Incentives
0%
20%
40%
60%
80%
100%
DPH CalSTRS SCO
Traditional Incentives
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make it easy
Source: Wansink et al, NY Times, 2010
Putting salad bar near checkout
tripled sales!
Putting fruit in attractive bowls doubled sales!
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make it social: the basics
page 13Source: Massive Health; Christakis et al, NEJM, 2007
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make it social: shape up shield
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shape up shield: trends
0
200
400
600
800
1000
1200
1400
SUS1 SUS2 SUS3 SUS4
Parti
cip
ant
s
Alumni Newbies
social wellness is:
“sticky” - significant alumni retention
“viral” – strong newbie adoption
“popular” – one program = 40% of BSC employees
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shapeupshield: week 2 vs. week 8
0
5
10
15
20
25
30
35
<10,000 10,000-19,999
20,000-29,999
30,000-39,999
40,000-49,999
50,000-59,999
60,000-69,999
>70,000
Steps/Indiv idual/Week
# o
f Tea
ms
Week 2 Week 8
Insight: marked increase in physical activity as the challenge progressed
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shapeupshield: team performance
0
100,000
200,000
300,000
400,000
500,000
600,000
700,000
1 8 15 22 29 36 43 50 57 64 71 78 85 92 99 106 113 120 127
Team #
Cum
ulat
ive
Step
s/Pa
rtici
pant Turned On
Tuned Out
Insight: top teams consistently employed behavioral best practices (goal setting, group activities, peer coaching, loss aversion)
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shape up shield: high performance
Teams Averaging >10K Steps/Day
0
3
6
9
12
15
18
1Q2011 1Q2012
Avg Steps/Day - "Winning" Team
0
3000
6000
9000
12000
15000
18000
1Q2011 1Q2012
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HR - total HR - components companywide
71%
72%
92%
89%
90%
90%
2012 medical plan discount
2011 health day off
wellness
assessment
biometric
screening
wellnessgoals &
programs
annual
preventive
visit
HR – by locationSF
EDH
OTHER
93%67%
93%75%
67%100%
Way to lead by
example! #1 in
Medical Plan
Discount! Great
job!
2012 medical plan discount
40%
55%
70%
85%
100%
ITISGBU
eBusiness
Customer OpsHCS
Network M gmt
MarketingLega l
Shield Advance LGSBFinance
CPLPSBiz R
eadinessFoundatio
nCorporate HRBSC To tal
2011 health day off
20%
40%
60%
80%
100%
ITISGBU
Customer Ops
eBusiness HCSLega l
Marketing
Shield Advance
Network MgmtCPLPS
LGSBBiz R
eadinessFinance HR
Foundation
CorporateBSC To tal
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connectedness & health
Illness
Wellness
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let’s face it…we love…
we hate…
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gamification & the hype curve
Source: Gartner, Inc.
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daily challenge: researchEngagement & Social Connection
Source: Poirier, J & Cobb, N; J Med Internet Res 2012
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daily challenge: early returns
60,000 Challenges
90% Retention
2/3 w/ >1 “Friends”
1/4 w/ >8 “Friends”
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make it iconic: brand anti-matter
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make it iconic: brand matters
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make it iconic
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make it real: engagement matters
0%
15%
30%
45%
60%
75%
90%
2004 2005 2006 2007 2008 2009 2010 2011
Wellness Assessment Biometrics Health Goals/Program
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low risk employees
better choices; better outcomes
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2008 201158%
73%
2009 2010
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better choices; better outcomesregular exercise
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2008 201142%
56%
2009 2010
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make it real: outcomes matter
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smoking
12%
9%
8%6%
2008 20112009 2010 2012
6%
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make it real: outcomes matter
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2009 2011
hypertension
2010
24%
10%
24%
2012
10%
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million annual cost savings
per employee
improving financials
ROI