Workplace Wellness - States of Wellness 2012 Hawaii

Made possible with funding from the Centers for Disease Control and Prevention.
Sponsored by the Minnesota Department of Health.

 The Alliance for a Healthier Minnesota conducted this survey among business leaders
in Hawaii through September 19, 2012.

 It was held in conjunction with a national survey conducted by the Society for Human
Resource Management (SHRM); Public Opinion Strategies was instrumental in the
design of the survey questionnaire and analysis of the data.

 The Hawaii project is sponsored by the Centers for Disease Control and Prevention, in
partnership with the Hawaii State Department of Health, Society for Human Resource
Management Hawaii Chapter, Chamber of Commerce of Hawaii, Hawaii Business
Health Council, Knoa-Kohala Chamber of Commerce, Kaiser Permanente, HMSA,
University Health Alliance, American Heart Association, Kauai and Maui Nutrition and
Physical Activity Coalitions, YMCA of Honolulu, Coalition for a Tobacco Free Hawaii,
Kauai Chamber of Commerce, Healthways, Hawaii American Cancer Association, and
Hawaii Association of Non-Profits.

 For the national survey, 406 HR professional respondents from a randomly selected
sample of SHRM’s membership participated.

 For more findings, visit www.statesofwellness.com

SLIDE 2

Most organizations give themselves a “B” rating.
The larger the organization, the lower the rating.
“What grade would you give your organization’s employees in terms of being healthy?”

54%
51%

38%
35%

10%
4% 4% 3%

National Hawaii

A B C D/F
THE STATES OF WORKPLACE WELLNESS IN AMERICA / Hawaii www.statesofwellness.com SLIDE 3

Health insurance costs top the list of issues
impacted by employee health and behavior.
“Below are some issues that may be impacted by employee health behaviors and conditions.
Please rate the importance of these issues in terms of overall organization priorities. (1 = Not
Important At All To Your Organization; 10 = Extremely Important To Your Organization)”

Health Insurance Costs 62% 84%

Decreased Productivity 46% 80%

Absenteeism 44% 74%

Workers Compensation 41% 69% 10
or Disability Claims
8-10


Obesity, stress and a lack of exercise are seen as
the top health conditions facing employees.
“Which from the list do you consider to be the top three health conditions or areas that you feel
are the greatest concern to your employees?”

Obesity/Overweight 19% 41%
Stress & Other Mental Health 18% 51%
Issues
Lack of Exercise/Fitness 19% 56%

High Blood Pressure 9% 32%
Chronic Diseases 11% 35%

Tobacco Use 3% 10%

Poor Nutrition 4% 22%

Workplace Injuries 5% 12%

High Cholesterol 3% 16%
Cold & Flu Vaccinations 6% 16%
First Choice
Alcohol & Substance Abuse 3% 9% Top 3 Choices

Eight out of ten organizations spend 5% or less of
their budget on these initiatives.
“Approximately what percentage of your “How many years ago was your organization’s
organization’s operating budget would you say worksite wellness initiative first created?”
is spent on worksite wellness initiatives that are
separate from health insurance coverage?”
NATIONAL SAMPLES
46%
44%
38%

17% 18%
15%
11% 10%

0-1% 2-5% 6+% 1 2 3 4 5+


Organizations place high value on whether or not
initiatives have any return on investment.
“How important is it to your organization to have a measureable ROI (return on
investment) one to three years from now in order to determine the value of worksite
wellness initiatives?”

HAWAII % Important NATIONALLY % Important

Very 36% Very 41%

Somewhat 42% Somewhat 43%

Not Very 9% Not Very 14%

Not At All 4% Not At All 1%


Organizations place high value on whether or not
initiatives have any return on investment.
“Does your organization track the return on investment (ROI)
of its worksite wellness initiatives? “

58%
Nationally Hawaii
51%

42%

19%

Yes No Yes No


Nine out of ten organizations see the benefit of
having worksite wellness initiatives in place.
“In general, how beneficial would you say worksite wellness
initiatives are to organizations like yours?”

National Hawaii

Very Beneficial 38% 35%

Somewhat Beneficial 49% 45%

Not Very Beneficial 12% 11%

Not Beneficial at All 1% 1%


There is widespread belief they help both the
employees and the company’s waistline.
“Below are a series of different viewpoints on worksite wellness initiatives. For each
one, please select if you AGREE or DISAGREE with a particular position.”

90%
81% 78% 78%

10% 12% 13%
6%

Help workers develop Increase worker Lower health care Reduce worker
healthier lifestyles productivity costs absenteeism
Total Agree Total Disagree


Some agree that wellness initiatives impact only a
limited number and might impact privacy.
“Below are a series of different viewpoints on worksite wellness initiatives. For each
one, please select if you AGREE or DISAGREE with a particular position.”

67%
60%
57%

36%
33%
26%

Only impact a limited number Make employees feel their Do little to improve overall
of workers privacy is being intruded upon worker health


Employers’ primary objective is to keep
employees healthy.
“To the best of your knowledge, what are your organization’s reasons for
offering a worksite wellness initiative?”
To improve the overall health of
employees 82%
To reduce employee health
care costs 72%
To improve employee productivity 62%
To improve employee morale 65%
To reduce employee absenteeism
57%
To reduce the costs associated
with disability claims 49%
To attract and recruit employees 27%
Was requested by employees 20%
To reduce employee turnover rates 22%

Were part of the existing health plan 28%


The cost of the initiatives is also a main concern.
“Regardless of whether you have a worksite wellness initiative at your
organization or not, what are some of the reasons why organizations like
yours often decide NOT to offer a worksite wellness initiative?”
Cost of the initiative 56%
Lack of employee interest/expected low
levels of participation 52%
Lack of time 51%
Management does not see the value of it 32%
Employees do not see the value of it 32%
Lacking expertise/staff 46%
Lack of information/resources about how to
develop and maintain an initiative
43%
Lack of facilities 41%
Unable to find someone who will
champion the initiative
37%
Organization is too small 29%
Would not reduce health insurance costs 32%
High employee turnover 8%

They are longitudinally capable of reducing
health care costs.
“Based on your experience, over the last year do you think that worksite wellness
initiatives were effective in reducing your organization’s health care costs?”

52%
48%
38%

23%

National Hawaii

Yes No

Almost seven out of ten organizations believe that
their larger investments in wellness initiatives help
keep health care costs low.
Effectiveness in Reducing Health Care Costs by % Operating Budget

NATIONAL SAMPLE
65%
58%
54%
46%
42%
35%

Worksite Wellness Initiative Worksite Wellness Initiative Worksite Wellness Initiative
0-1% of Operating Budget 2-5% of Operating Budget 6%+ of Operating Budget
Yes No


Those that offer financial incentives have higher
return on investment.
Effectiveness in Reducing Health Care Costs by Financial Incentive &
Return On Investment
NATIONAL SAMPLE
66%
63%
60% 59%

40% 41%
37%
34%

Worksite Wellness Worksite Wellness Worksite Wellness Worksite Wellness
Initiative Provides Initiative Does Not Provide Initiative Has Return on Initiative Has No Return on
Financial Incentive Financial Incentive Investment Investment

Yes No

But they don’t seem to reduce overall
worker absenteeism.
“Based on your experience, do you think that worksite wellness initiatives are
effective in reducing worker absenteeism at your organization?”
NATIONAL SAMPLE
62% 63%
53%
50%
47%
38% 37%

19%

Overall Worksite Wellness Worksite Wellness Worksite Wellness
Initiative 1-2 Years in Initiative 3-4 Years in Initiative 5+ Years in
Operation Operation Operation
Yes No


Organizations that have recently added wellness
initiatives to their worksites don’t see the employee
absenteeism rates falling.
Effectiveness in Reducing Worker Absenteeism by % Operating Budget
63% NATIONAL SAMPLE
58%
49% 51%
42%
37%

Worksite Wellness Initiative Worksite Wellness Initiative Worksite Wellness Initiative
0-1% of Operating Budget 2-5% of Operating Budget 6%+ of Operating Budget
Yes No

But they do see positive changes in productivity
in the workplace.
“Based on your experience, do you think that worksite wellness initiatives are
effective in improving worker productivity at your organization?”
NATIONAL SAMPLE 76%

61%
56% 56%
44%
39%

24%

11%

Overall Worksite Wellness Worksite Wellness Worksite Wellness
Initiative 0-1% Initiative 2-5% Initiative 6%+
of Operating Budget of Operating Budget of Operating Budget

Yes No

There is high interest in launching initiatives at
new organizations and improving existing ones.
“How interested is your organization in developing
a worksite wellness initiative in the next one to three years?”

85%

63%

39%
Very Interested
26% 26%
Very Interested
15%

National Hawaii
Total Interested Total Not Interested


There is high interest in launching initiatives at
new organizations and improving existing ones.
“How interested is your organization in expanding or improving your current worksite
wellness initiative in the next one to three years?”

85%
77%

55%
39% Very Interested
Very Interested

15% 12%

National Hawaii
Total Interested Total Not Interested


Employees see them as beneficial to their health.
“How beneficial would your employees find a worksite wellness initiative if your
organization created one?”

90%

71%

15%
15% Very Beneficial 13%
Very Beneficial 10%

National Hawaii
Total Beneficial Total Not Beneficial


If subsidies or financial incentives
existed, organizations would be more willing to
establish wellness programs.
“Please select if you AGREE or DISAGREE with the following statements. My organization
would be interested in creating or expanding a worksite wellness initiative if…”

86% 86%
78%

23%
14% 14%

Health plans offered premium We could demonstrate a financial The state and federal government
discounts or rebates for these return on investment for these provided tax incentives for these
initiatives. initiatives. initiatives.


But they also would invest in initiatives to fulfill their
employees’ needs.
“Please select if you AGREE or DISAGREE with the following statements. My organization
would be interested in creating or expanding a worksite wellness initiative if…”

80%
74% 72%

26% 28%
19%

It would help attract and retain My employees actively requested There was a community initiative
talented employees. such an initiative. that recognized employers with
healthy workplaces.

Business executives look at other businesses’
experience with initiatives.
“Which of the following would you consider to be TRUSTED and VALUED sources of information
about creating or expanding a worksite wellness initiative for your organization?”
Business peers or fellow human
resource managers 43%

Health care service providers 59%

Worksite wellness vendors
and consultants
38%

Health care insurers 43%

State and local health departments 36%

Non-profit health organizations 42%

Online resources 23%

Business organizations
and trade associations
27%


They are willing to learn more through
community networking.

“If there was a network in your community for business leaders to learn about issues related
to worksite wellness initiatives and to share information, how likely is it that someone from
your organization would join this network?”

81%
NATIONAL SAMPLE
70%
65%

35%
30% 36%
Very
26% Likely 19%
Very 20%
Likely Very
Likely
Overall Organization With Worksite Organization Without Worksite
Wellness Initiative Wellness Initiative
Total Likely Total Unlikely

Organizations, overall, think there should be more
government involvement in wellness initiatives.
“In your professional opinion, which one of the following best describes how your organization views the
federal government's involvement in worksite wellness initiatives for companies like yours?”

53%

39% 40%

30%

20%
16%

Hawaii National

Should Be More Active Should Be Less Active Should Not Really Change


Organizations, overall, think there should be more
government involvement in wellness initiatives.
“In your professional opinion, which one of the following best describes how your organization views the
state and local government's involvement in worksite wellness initiatives for companies like yours?”

63%

47%
38%

25%

15%
12%

National Hawaii


…even more so among those organizations that
already have worksite wellness initiatives in place.
Government Involvement Among Organizations With Worksite
Wellness Initiatives

51%
43%
39%
36%

18%
13%

State & Local Government Involvement Federal Government Involvement



Kona: Question 1
How has the provider shortage in Hawaii County impacted your
employees? (Please check ALL that apply.)

Unable to access timely specialty care on
Big island resulting in employees needing 69%
to travel to Honolulu

Delays in getting an appointment which
47%
results in less productivity at work

Delays in getting an appointment, which
results in employee using the Emergency 44%
room instead of an office visit

Delays in getting an appointment which
40%
results in delays in return to work


Kona: Question 2

Has limited access to healthcare affected your ability to recruit
employees?

Not at all affected 55%

Somewhat affected 29%

Moderately affected 14%

Only when I recruit from the mainland 2%

Greatly affected 0%


Kona: Question 3

Do you allow return to work authorization forms to be signed by a
Physician’s Assistants or Nurse Practitioners?

74%

26%

Yes No


Kona: Question 4
Might you consider changing this in order to get employees back to
work sooner?

67%

33%

Yes No


Kona: Question 5
Beyond providing healthcare benefits, what do you, as an employer, do
to assist your employees in getting access to healthcare?
(Please, check all that apply.)

Allow personal time off work or offer flex time for
appointments 61%

Provide a list of providers 29%

Nothing 26%

Have a provider come to my business 11%

Contact physicians on their behalf 10%
Authorize travel expenses to see a physician in off-
island 6%


Kona: Question 6
What do you think would help most to improve access to healthcare
in Hawaii County? (Please, check all that apply.)

More physicians 79%

Better reimbursements for healthcare
providers 66%

Additional healthcare providers such as
physician's assistants, physical… 65%

A new, bigger hospital by the airport 45%

Longer office hours, including evenings and
Saturdays 45%

More efficient medical offices 42%


Oahu, Maui & Kauai: Question 1

What does your worksite wellness initiative currently include?
(Check all that apply)

A health risk assessment or employee wellness survey that assesses needs and
interests 64%
A social environment that supports healthy behaviors (encourages stretch
breaks, walking meetings, flexible work schedules, and/or healthy food at … 58%
Exercise/fitness programs 54%
worksite injury prevention programs 54%
Benefits that support healthy behaviors (co-pays waived for cancer screenings and
other preventive care, discounted gym memberships) 54%
A physical environment that supports healthy behaviors (has accessible
stairwells, bike racks, fitness facilities, showers, basic kitchen equipment, and/or … 53%
Tobacco cessation programs 46%
Stress management programs 44%
Nutrition programs 29%
Chronic disease management programs 25%
Alcohol and substance abuse programs 24%
Breastfeeding programs 15%
Other 14%


In your opinion, what is the key to keeping employees engaged in your
initiative?

Support from leadership 22%

Having a healthy worksite culture 22%

Programs designed to meet their needs & interests 18%

Financial incentives 13%

Seeing and feeling results 7%

Marketing/communication 5%

Customized incentives 5%

Having a wellness champion 4%

Other 2%

Competition 2%


Does your organization conduct a formal evaluation of your wellness
initiative?

51%

29%
20%

Yes No Unsure


Does your health plan(s) provide claims data or reports to assist in
planning and evaluating your wellness initiative?

35%
33%

17% 16%

Yes No Some do and Unsure
some don't


Which of the following ways do you gather information on worksite
wellness initiatives and other employee health issues?

SHRM or other professional networks 61%

Newsletters or email updates from trusted
organizations 53%

Websites of trusted organizations 47%

Internet searches 44%

Social media posts from trusted organizations
(Facebook, Twitter, LinkedIn) 10%


What do we now know?
The time is right for workplace wellness

Employers want it.
– 87 percent nationally see it as “beneficial.”

We know why.
– Insurance/productivity/absenteeism

We know what attracts them.
– Weight/stress/fitness


What do we now know?
The time is right for workplace wellness

We know what they’re nervous about.
– Cost/engagement/ROI

They want to work together.
– 74 percent nationally said they would join a community
network

They believe in government.
– Majorities value the role of federal, state & local


States of Workplace Wellness in America
2012 Hawaii Survey

The Alliance for a Healthier Minnesota
800 Nicollet Mall
Suite 2690
Minneapolis, MN 55402

www.statesofwellness.com
www.healthiermn.com

Workplace Wellness - States of Wellness 2012 Hawaii

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