The Case for "Change" in Employee Wellness Programs

"75% of health care spending pays for illnessessupport they need to stay fit, manage stress and
which are preventable".- Centers for Diseasecontinue to make good health decisions. Programs
Controloften include initiatives such as health risk
Four of the leading causes of death in theassessments, on-site screenings, preventive care
nation--heart disease, cancer, stroke, and chronicreminders, health club memberships, and financial
obstructive pulmonary disease --are directly linkedincentives.
to unhealthy lifestyles and tobacco use.By promoting healthy behaviors, employers can
Encouraging individuals to adopt healthy habits andreduce overall healthcare costs and absenteeism
practices may reduce the burden of chronicas well as support a "culture of health" and
disease in communities throughout the Unitedwellness.
States. Public and private efforts and programsHealth Improvement Plans
are increasingly designed to promote theseHealth improvement plans are about identifying
healthy behaviors and lifestyles. Employers arehigh-risk factors, and preventing or slowing
becoming more aware that obesity, lack ofdisease progression and encouraging individuals
physical activity, and tobacco use are adverselythrough education and one-on-one behavioral
affecting the health and productivityof theirhealth coaching to begin altering their risky actions.
employees and ultimately, the businesses' bottomThe types of behavioral-related high-risk factors
line. As a result, innovative employers areaddressed by health improvement programs
providing their employees with a variety ofinclude high blood pressure, high cholesterol,
work-site-based health promotion and diseasetobacco cessation, and weight management.
prevention programs using health coaches and theIndividuals with known or potential health
"trans- theoretical theory of change" approach toconditions may be aware of elevated risks but
wellness. These programs have been shown tohave not found the motivation to change. They
improve employee health, increase productivityhaven't experienced any major hospitalization or
and yield a significant return on investment forserious complications - yet. However, without
the employer.some form of intervention, their conditions will
What is a Health Coaching Program?likely progress to a much higher-cost,
Health coaching programs help people make smartproductivity-limiting chronic disease.
choices about health behaviors through education,Disease Management
motivation and reinforcement of healthy options.The goal of disease management is to empower
Taking the time to build a rapport, assessindividuals to effectively manage disease and
readiness to change, identify areas of need andprevent complications through adherence to
to create an action plan, leads to a healthiermedication regimens, regular self-monitoring of
outcome. Research proves that this personalized,vital signs and healthful diet, exercise and other
collaborative approach is more effective than thelifestyle choices by education, support and
cookie-cutter method that often leaves thoseencouragement of both the physician and the
most at risk far behind.health coach.
Health Coaches typically are licensed, degreedFor employers, the cost of chronic disease goes
healthcare professionals that have made thefar beyond the direct costs of healthcare and
choice to work one-on-one with their clients,medical expenses. Absenteeism due to lost wages
outside of the typical "medical model";amounts to $65 billion annually for American
empowering them to make long-term healthycompanies. This cost is compounded by the
changes by building solid skills that will last aimpact of lost productivity due to workers who
lifetime.are limited in the amount or kind of work they
Wellness Promotioncan do, which can be as high as 34% of the total
Employee wellness education is the starting pointworkforce. Disease management programs have
of prevention. It is about encouraging individualsproven to not only control health benefit costs
who have demonstrated the behaviors of healthybut also improve the overall health and
living and providing them with the tools andproductivity of workplace environments.