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Recess Newsletter April 2009
An Apple A Day, or, A Bad Apple? Wellness, Work & Culture.

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The Bad Apple
Legislative Corner
Culture and Wellness
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The Bad Apple, or, An Apple A Day?

Poor health can lead to poor mood and morale.

Also see this post on Benefits Buzz - a featured blog at Workforce.com

I was recently listening to an episode of This American Life titled, "Ruining It For The Rest of Us" where they featured stories about how easily one person's behavior can have a contaminating effect on others. One particularly haunting story covered the research of Will Felps, a professor at Rotterdam School of Management in the Netherlands, who placed a confederate in a group and observed the impact that this "bad apple" had on the rest of the group. In nearly every case the influence of even one spoiler tarnished the productivity and the morale of the group by as much as forty percent!!!

Bad Apple

One thing that the researchers in Felps' study didn't look at, however, is that poor health can impact mood. Could an apple a day and a brief jaunt outdoors help the bad apple get his mood back on track? Or could workplace health and wellness be a protective means of coping for those who might otherwise be affected by a bad apple?

How do health and mood interact in your workplace? Have you seen an instance where a bad apple lowered the productivity of a work group and subsequently led to more sick days or a reluctance of team members to show up for work?

When an apple a day beats out the bad apple »

Legislative Corner: The Healthy Workforce Act

Wellness @ Work: Scared By The Price Tag?

We all know that a healthier workforce is a more productive workforce and that can also lead to decreased medical costs.  Trouble is, when the average cost per employee for administering a comprehensive and effective wellness program starts at $150 per employee per year and may not show a financial impact until year three, many managers are reluctant to get started. 

Health Care Costs

The Healthy Workforce Act (S.803;H.R.1897)
The Act is part of an effort to ensure that health care reform does more to address the underlying causes of disease in the place where Americans spend the majority of their waking hours - at work.

Health Care Costs

The Healthy Workforce Act (S.803;H.R.1897)provides a tax credit for 50% of the cost of a qualified employer health promotion program, up to $200/employee for the first 200 employees and $100/employee for remaining employees. The credit is conveyed through income tax credit with for profit employers and through payroll tax with tax exempt employers.

It also instructs CDC to develop an outreach program to make employers aware of the tax credit, and to educate employers on how to develop effective programs and how to measure success; to contract with experts who will evaluate the outcomes of some employers based health promotion programs and to train some employers how to conduct program evaluations.

The economic impact? 
New investments in health promotion stimulated by this bill are expected to create 41,000 new health promotion jobs. Income and payroll taxes from these new jobs are expected to cover 80% of the cost of the tax credit. If new health promotion programs save only 20 cents in medical costs for every 1 dollar invested, total new income and payroll tax will cover the full cost of the tax credit, and the legislation will be revenue neutral.

Health Care Costs

How can you help?
Your company can easily endorse the Healthy Workforce Act and by doing so signal that you see health promotion as an important component of reducing health care costs for employers - making room to create more jobs.

Endorse The Healthy Workforce Act »
 
Do As I Say And Not As I Do?

Managers and culture can impact wellness' success.

Could research in ethics and management shed any light on the impact that culture can play with regards to wellness? 

Studies have shown that management behavior influences workplace ethics.  A Deloitte and Touche study showed that among working adults, the behavior of management (42%) and that of direct supervisors (36%) were considered the the top two factors contributing to the promotion of an ethical workplace.  Ethics training ranked much lower (16%) as a factor.

Others studies have shown that corporate codes of conduct and the degree of "implementation strength and embeddedness" of such codes seems to deter self-reported unethical behavior in employees.

Sheep
If it works for ethics can it work for wellness?
If corporate code and management conduct are so influential when it comes to ethics, could their example also improve workplace health and productivity?  A new body of studies in health promotion seem to point in that direction. 

An article published in the Journal of Occupational And Environmental Medicine, looked at nine quality components of worksite health management programs and compared the results of those programs between best practice and common practice organizations.  Best practice organizations showed higher levels of program engagement than common practice organizations and were 1-2.3 times more likely to see population health improve.

Everyone wants to be the best
So what are some of the distinguishing characteristics of best in class programs?
  • Comprehensive program design
  • Integrated incentives
  • Comprehensive communications
  • Management support
  • Dedicated onsite staff
  • Multiple program modalities
  • Health awareness programs
  • Biometrics health screenings
  • Vendor integration
The first step in really showing the value of any wellness program is always to form a cogent plan, make the case to management and then to execute that plan with enough discipline and flexibility to achieve results.  It's no small job, but what worth doing is?

Have the will but lacking the way? Recess can help. »
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