Bon Secours Employee Wellness Healthier Employees, Better Outcomes

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Bon Secours Employee Wellness Healthier Employees, Better Outcomes 1

Good Life Program Objectives 1. Create a culture of Wellness and Wellbeing that empowers employees to make healthier choices at home and at work 2. Decrease healthcare costs through prevention, wellness and interventions 3. Provide programs and services to motivate employees to make life long behavioral changes. 4. Collect and analyze data to develop, support and maintain program design and optimal results. 5. Decrease controllable risk factors.

Employee Wellness Scope of Services Personal Health Appraisals and Biometric Screenings Blood Pressure BMI (Height, Weight, Waist Circumference) 60% of BSR Employees participate in the Wellness Program Cholesterol (Total, HDL) Glucose Good Life Website Facility Wellness Committees and Champions 6000 5000 4000 3000 2000 5025 2704 3438 1526 4478 2722 Biometric Screening HRA 85 members across BSR meet monthly to plan and champion Wellness events 1000 0 2008 2009 2010

Employee Wellness Scope of Services Wellness Classes 5497 Class Participants Smoking Cessation Nutrition and Healthy Weight Stress Management Physical Activity Flu Shots 7,000 administered in 2010 Health Coaching 400 Referrals Pre Diabetic Program 50 Participants

Good Life Website www.bonsecourswellness.com 5000 4500 4000 3500 3000 2500 2000 1500 1000 500 0 4689 3600 2692 531 2007 2008 2009 2010 The Good Life website is an integrated tool that incorporates the HRA, incentive plan, health resources, tracking tools, and health coaching capabilities in an electronic format. Over 85,848 Log Ins 4,689 Active Participants

Good Life Website Participants Receive Printable Wellness Profile Risk stratification (showing change over time) Lifestyle risk capturing long term prospects for a healthy, active life Personalized guidance and recommendation for each controllable risk factor Individualized health education information Health Coaching Graphs depicting: cholesterol, blood pressure and weight. Personalized nutrition assessment with score Incentive points, if applicable Customized articles www.bonsecourswellness.com 10

Good Life Website www.bonsecourswellness.com 11 Customized to the needs of the individual participant. Used to track glucose or blood pressure levels or timing trials for a competitive runner.

Good Life Website www.bonsecourswellness.com 12 Targeted Messaging for individuals, a single site or facility, or the entire participant base

Good Life Website www.bonsecourswellness.com 13 Online Calendar with separate calendars for each facility. Classes are online and permit participants to sign up until the class reaches capacity

Good Life Website www.bonsecourswellness.com 9 Fitness Tools Pedometer logs and Challenges Customized and sample fitness workouts Participants track a variety of physical activities and analyze calories burned, body weight and points achieved towards the incentive program

Good Life Incentive Program Examples of How to Earn Points: Setting annual wellness/health goals Participating in a coaching session Completing wellness classes/quarterly challenges Participating in fitness activities Completing recommended immunizations Completing preventive screens Completing a smoking cessation class Volunteering in the community Joining a weight management program Employees can earn up to $100 or 4 hours PTO every 4 months for a maximum of $300 or 12 hours PTO annually. 806 Employees Participated in the Incentive Program in 2010.

Wellness Program Outcomes Benefits pd PEPY HRA Participants Non HRA Participants 2008 2009 % change 2008 2009 % change Inpatient $1,606 $720 55.20% $1,382 $1,354 2% Outpatient $4,077 $4,031 1.10% $3,525 $4,213 19.50% Pharmacy $658 $823 25.10% $763 $944 23.70% Total $6,341 $5,574 12.10% $5,670 $6,511 14.80% Data shows a 12.10% decrease in Medical Claims of 350 PHA Participants vs. 14.80% increase in medical claims of non PHA Participants. Total cost avoidance equals $1.5M. Mercer Data Analysis: 2011

Wellness Program Outcomes Controllable Risk Factors Low HDL Cholesterol Low Life Satisfaction Low Job Satisfaction High Stress Level High Cholesterol Sedentary Lifestyle Body Weight Tobacco Use 743 Health Risk Reduced Between 2005 and 2009 participants in the Bon Secours Richmond Wellness Program showed a 43% reduction in Controllable Risk Factors for a net reduction in medical claims of $1.9M. There is an average of $1,038 savings in medical claims per year for each health risk factor eliminated Journal of Health Promotion: 2009

Wellness Program Outcomes 2008 2010 BMI decreased from 28.8% to 28.2% Sedentary lifestyle decreased from 41.9% to 38.4 % Weight Management Programs: 4,530 pounds lost. 120 employees quit smoking: $423,000 savings.

Well Workplace Awards 2010 American Heart Association Platinum Award 2007 American Heart Association Platinum Award and the Virginia Business Coalition on Health s recognition as one of the Healthiest Companies in Virginia. 2004 Workforce One presented Bon Secours Wellness with the prestigious Innovation Award 2003 and 2007 Bon Secours Richmond received the prestigious Gold Well Workplace Award from the Wellness Councils of America