Exercise & Wellness Program

Matt Jacobs, MA, RD/LD, NSCA-CPTFebruary 8th, 2008

Goal

Bring an exercise component to the already comprehensive OWLO program Employee Wellness Program (EWP) Online Personal Training Program (OPT) Fitness Facility for Patients and Employees (2009)

Literature Review

McCullough et al., Chest 2006 109 patients prior to lap Roux-en-Y Measured complication rate (death, angina, stroke)

compared to VO2 max 16% (6 of 37 patients) with VO2 < 15.8 mL/kg/min 2.8%(2 of 72 patients) with VO2 > 15.8 mL/kg/min

Literature Review Kerrigan et al, Medicine & Science in Sports & Exercise,

2005 rate of weight loss after (3 and 6 months) bariatric

surgery for 3 groups: 1) clinic based, supervised exercise program 2) self-reported regular exercise 3) self-reported no regular exercise

Supervised group lost greater absolute weight than the other two groups at both 3 and 6 months

There was no difference in weight lost between groups 2 & 3

Who will this program benefit? Patients

Less risk of complications after surgery Improved weight loss after surgery

Employees Decreased absenteeism due to illness, depression,

stress Increased job satisfaction, morale, productivity Decreased weight, blood pressure, stress

OWLO Increased revenue stream Increased patient satisfaction Decreased work site stress Employee buy in to OWLO program

Divisions of Program

Employee Wellness Program (EWP) Online Personal Training (OPT) OWLO Fitness Facility (2009)

Components of the Employee Wellness Program (EWP)

Provide access to cardiovascular and resistance exercise equipment at the workplace

Provide education related to nutrition Basic and advanced exercise instruction Topics related to health and wellness Employee set goals (weight loss, blood pressure,

percent body fat, etc) Nutrition supplement use

How EWP works...

Employees enroll in wellness program as part of a benefit package from OWLO

30 minute confidential RD consultation Medical evaluation from a RN Exercise evaluation from a CPT Employees will meet weekly in a group setting

during non-business hours (before or after work, noon)

Incentives offered for employees that meet goals

Goals and Incentives of EWP

Employees set a 12 week goal Employees that meet goals would be eligible for

incentives as long as they continue with the program Discounted health insurance premiums - OR -

Reimbursement for copays Reimbursement for gym memberships Monetary rewards Paid time off

Costs of EWP

Employee costs $5 per month for initial evaluations and weekly group

meetings $1 per 15 minute session of exercise $25 individualized exercise plan Monthly supplements

OWLO Costs Equipment (cardio, pedometers, mats, education

materials, stability ball) Office Space Incentives Program facilitator time

Anticipated revenue from EWP Employee Enrollment

10 employees x $5/month x 1 year = $600/year Time Reservation

15 minute blocks of time x $1/session 10 employees 3 sessions/ week = $1560/year

Employee purchased Supplements $120/month or $1440/year

Individualized Exercise Program $25 x 10 employees = $250 x 4 = $1000/year

Total revenue for 10 employees enrolled = $4600/year

On-Line Personal Training Program (OPT)

Website devoted to the exercise and fitness needs of OWLO patients and employees

Trainerforce.com Online personal training program used by fitness

professionals to provide an additional service to their clients

Can be linked to existing website

How the OPT program works....

Patients log on the the OPT website linked directly to owlo.com

Pay monthly fee Gain complete access to site Site monitored by CPT

Benefits of OPT program Patient Benefits

Customized exercise plan complete with animation All exercises are able to be performed at home with

proper equipment Discussion forum, newsletter, emails Support system

OWLO Benefits Increased revenue Increased patient satisfaction and care

Trainer Benefits Instant clientèle Increased revenue

Costs of OPT program

Patient costs $30 per month- patients gain complete access to entire

website and services OWLO costs

Advertisement costs (brochures etc) 30% of subscription costs for website

$30 x 30% = $9/month Trainer Costs

70% of subscription costs for website Time and effort of maintaining website

Compensation to Trainer

Trainer will receive 70% of income from OPT program

Trainer is responsible for maintaining all tasks associated with website and any service offered

If trainer is also an employee of OWLO, any work performed for the OPT will be on downtime, evenings, weekends etc

Anticipated Revenue from OPT program

After 3 months: 10 users x $30/month = $300 x 30% = $90 x 3 months

= $270 - $27 (website) = $243 After 1 year:

$243 x 4 = $972 (before advertising costs)

OWLO Fitness Facility

Provide a facility in new hospital for staff and patients of OWLO

Provide exclusive “bariatric specific” wellness facility

Benefits of Fitness Facility

Enhances the already comprehensive OWLO program

Provide additional service to patients and staff Increased revenue for OWLO Initial exercise assessments

OWLO Fitness Facility

Cardio Equipment Free Weights Machine Weights Bariatric specific equipment

Costs of Fitness Facility

Numerous Factors Size Type of equipment Brand of equipment Staffing Utilities

Anticipated Revenue from Fitness Facility

Monthly Memberships Personal Training Walk in visits Initial patient assessments

Next Steps of Action

Space and equipment for EWP & Initial Assesments

Development of EWP curriculum (Balance) In service of EWP Begin development of online personal training

website Develop promotional materials for OPT Begin plans for Fitness Facility

Thank you

McCullough PA, Gallagher MJ, deJong AT, et al. Cardiorespiratory fitness and short-term complications after bariatric surgery. Chest. 2006;130:517–525.

Kerrigan, DJ; Keteyian, SJ; Thompson, T et al. Post Surgical Weight Loss In Bariatric Patients Who Self-Select Supervised Exercise. Medicine & Science in Sports & Exercise. 37(5) Supplement:S286, May 2005.