Transcript
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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

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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

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10

15

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25

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<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

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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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make it fun

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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

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[email protected]

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Follow on Twitter @brycecwilliams


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