Management often looks for returns to justify the financial and labor investment into employee wellness programs, just as what they would do in other business initiatives. Two types of perspectives usually come up: return on investment (ROI) and value on investment (VOI). Here’s a quick look at the differences between these two assessment methodologies.

Return on Investment (ROI)

The basic premise of measuring ROI is that an organization invests in employee health hoping to eventually extract lower health care costs in the future. Traditionally, ROI has been a popular way for executives to justify a wellness program, especially for organizations focused on cost containment. Unfortunately, ROI is a limited set of goals, and research indicates that employers actually have many reasons for offering health and wellness programs outside of just cutting health care costs.

Additionally, to accurately measure the value of any program, the metrics need to be based on the reason for initiating it. Given the fact that employee wellness programs are (and should be) based on many holistic improvement metrics, they cannot be authentically evaluated unless more outcomes are measured than the amount of medical cost savings. ROI on wellness programs (reducing claims and health care costs) is only a subset of the true value of investment.

If wellness programs are continuing to work towards providing benefits such as lower health care costs and other changes, why are companies still investing in such initiatives? Simply put, there is a lot to be gained from taking care of employee health beyond lower health care expenses.

Value on Investment (VOI)

VOI is a broad measure of all the benefits conferred by employee health and wellness programs. It is important to note that moving the focus to VOI does not mean that there are no financial returns to be had from wellness programs. Simply put, VOI benefits go beyond lower health care expenses and include such metrics as productivity, employee morale, retention, and satisfaction, all of which impact an organization’s bottom line.

When this broader context is taken into account, companies are able to achieve a complete view of program effectiveness that goes beyond dollar to dollar cost. On the strength of this view, organizations can then fine-tune their wellness programs.

Some of these key value-on-investment metrics are easier to track than others, but few are beyond the reach of data. Examples of such tracking include measures of employee engagement, safety incidents, absenteeism, turnover, and business profitability. Many companies already track this data but don’t analyze it in relation to workforce health. There is a direct linkage, for example, between employee wellness programs and the all-important ability to attract and retain talent.

Measuring VOI

A company consists of people, and anything that promotes a healthy lifestyle for those people will naturally benefit almost all of an organization’s key performance indicators (KPIs). Below are a few ways in which these connections are directly validated.

Productivity

Productivity is the 3rd most popular reason for investing in health.  That should come as no surprise given that unwell employees cost U.S. employers about $530 billion in annual productivity. This is due to both absenteeism as well as presenteeism, a term used for workers who show up feeling ill. There are other, subtler effects of less-than-optimal health in the workforce. For instance, one study shows that obese people exhibit poorer decision-making skills, and helping them lose weight improves cognitive functioning as well as delivers other health benefits. Sitting for too long also leads to cognitive decline, and the availability of standing desks for employees has been demonstrated to result in higher productivity.

62% of employees with wellness programs felt their program boosted morale and increased their productivity, and 56% reported having taken fewer sick days because of their program. Finally, the topic of stress and mental health has an important part in any discussion about productivity and wellness. Stress hormones pose health risks for human cognitive ability, and knowing that paid sick leave is available decreases employees’ stress levels.

A problem with measuring productivity is that it is hard to track. In theory, productivity can be measured by dividing business outputs (such as calls made, services produced, etc.) over the total number of employees. However, in an organization with many departments, only a few of which are actually client-facing. Business outputs rely on a small subset of employees while other departments work to keep the business running in the background without direct attribution to the products. On top of that, the quality of the output is as important as quantity, adding another layer to the assessment.

The bottom line is: measuring productivity is tricky business, but it can be done. Many organizations and teams now measure their productivity based on hitting departmental and personal goals, with standardized systems like KPIs. Additionally, employees can rate their own level of productivity. While self-report data should be used with caution, when combined with the metrics mentioned above, provide a more complete picture. Measuring productivity this way is not only good for justifying wellness programs, but it is also crucial in propelling the organization forward from a business point of view.

Recruitment/Retention

Replacing an employee costs between 20% and 213% of their annual salary, according to the Bureau of Labor Statistics, and over 3 million people quit their jobs every month of 2018. This quit rate is nearly at a 17-year high, and those workers are searching for something better. Today’s employees, especially millennials, look for a company that cares about their wellbeing — and backs up that caring with concrete actions.

In a tight labor market, economists would expect to see wages rising as employers compete for workers. Interestingly, this is not what’s happening; instead, reflecting the priorities of workers, benefits of all kinds are becoming more generous. Retention increases when companies demonstrate that they care about healthy employees — and this extends even to workers who don’t make use of a wellness program. A survey found that 73% of employees without access to wellness programs want them, including 42% who are “very interested.”

Compared to productivity, employee retention is much easier to track. The formula is relatively simple: divide the number of employees who left during a period by the total number of employees at the end of a period to get the percentage.

Satisfaction

Research demonstrates that worker satisfaction correlates closely with whether or not an employer has a wellness program. Of employers offering wellness programs, 67% reported increased employee satisfaction, 66% reported increased productivity, 63% reported increased financial sustainability and growth, and 50% reported decreased absenteeism.

Other

The list for VOI metrics is long, so let’s throw in a catch-all category call “other.” In this category are metrics that pertain to the organization’s specific business goals, whether it is revenue, operation efficiency, scope of impact, etc.

In many cases, wellness program effectiveness can be reflected directly in the business outcome. This is simple to understand: team members who feel healthier and more positive about their job will have an influence on everyone they come into contact with.

Depending on the organization’s goal, this metric will look different for different programs. By definition, most organizations are already tracking these core business outcomes, and simply need to correlate the data with employee wellness program participation.

Acting to Improve VOI

So, what’s the best way to optimize VOI in wellness programs? In most cases, it is simply a matter of improving employee engagement and utilization in the wellness program that has been put into place. There are several tried-and-true methods.

• Multiple channels of communication: Employees cannot participate in programs that they are not aware of. Organizations can get higher engagement rate by making sure to inform employees of the program through a broad range of communication channels, such as emails, internal communication tools, flyers, wellness portal, etc… Generating excitement through word-of-mouth is another effective channel to recruit participants.

• Variety of offerings: The most successful wellness programs have a wide range of offerings available to participants. This is because people have different needs, and they will only engage in a program if it addresses those needs. A good program should include all major markers of holistic wellness, such as mental health, physical activity, stress management, and nutrition, and is delivered through a variety of programs such as webinars, activity tracking, and informational articles.
• Leadership support: A study from the Health Enhancement Research Organization (HERO) found that leaders of top-scoring organizations that publicly recognized employees for healthy actions and outcomes and served as role models for prioritizing health and work/life balance were more likely to report employee health improvements and medical cost improvements relative to organizations that did not have public recognition from leadership. Programs without leadership support and engagement are simply checking the box. By having leadership involved, the organization is truly building up its culture of health.

Ideally, offering wellness programs does lead to healthier employees, which does lead to lower health care costs. However, measuring ROI has been an elusive goal for most employers. Instead of focusing on dollar-for-dollar cost savings, organizations should adopt a value-on-investment measurement framework. Once these holistic metrics are captured and analyzed alongside data on engagement in wellness programs, organizers can paint a complete picture of the program effectiveness and start fine-tuning their wellness offerings.

When the VOI of a wellness program is measured, the organization’s profitability will reflect the true extent of benefits that arise from a healthier workforce.

If you take a look at some of the most successful wellness programs, there will be numerous common themes in all of them, including wellness champions.  These organizations recognize that wellness is hard and champions ease that burden; if it were easy, obesity, chronic conditions, and out-of-control medical expenses would not be critical issues for so many people.  Establishing a formal wellness champion committee program is one easy and important way for employers to optimize engagement and program results.

So, Let’s start with: What is a wellness champion?

Wellness champions are employees who are passionate about wellness and can serve as ambassadors of your wellness program.  They are leaders of a grassroots movement that promotes engagement by helping other employees get involved.  Some of the responsibilities include communications at their specific office location or within their department, being a captain in a team wellness challenge, and helping users setup their accounts and get involved.  The latter responsibility is one that is often overlooked, but it is critical to success for sustainable engagement with non-tech savvy employees.  Many of these employees are baby boomers and need a little help with downloading and using an online platform or setting up a wearable device.  Although this cohort may be reluctant to proactively ask for help, a wellness champion can offer their assistance, and once the employee gets over to initial setup process, they can be sustainably engaged in the program.

What are the qualities of a good wellness champion program?

A wellness champion should be someone who brings a lot of energy, positivity and is someone who will support and care about the success of the organization’s wellness initiatives.  I encourage all organizations that we work with to think of inviting a diverse group to your wellness champion program.  Wellness champions should come from various departments, have different levels of seniority, and represent the different personas within your organization.  This will allow the wellness champions to be a subset of your entire employee base while reflecting their needs, concerns, challenges, and more.  The better the group represents all employees, the better they will be able to serve them.

Good wellness committees and champions also recognize and reward their champions for going well beyond their day-to-day responsibilities at work.  Creating opportunities to publicly recognize their hard work or offering up additional incentives (gift cards, etc.) are also great ways strengthen the core of your grassroots movement.  Although recognition and rewards will motivate wellness champions, it is important to select individuals who are already intrinsically motivated.  Recognition and rewards should be the icing on the cake.

Another hallmark of a good wellness champions program is creating a formal feedback loop.  Since the group should be a reflection of your employee base and interacting with users regularly, they are a great source of immediate information.  We encourage having a regular meetings (once per month) for wellness champions to share thoughts, ideas, and feedback to each other.  This will allow for wellness champions to learn and grow from each other and provide opportunities for iterative changes and improvements to your program.

Want to learn more?  Contact Well365 at:  info@corewell365.com

One significant way many employers can help improve their employee’s health is by helping them quit the use of tobacco and nicotine products. Not only will this increase their productivity, reduce non-productive time during the day and lower health-care costs, it will also help them feel their best and live a happier, healthier life outside of work! Tobacco cessation programs are a great way to offer assistance to employees and help support them as they overcome their addiction to tobacco and nicotine.

Many tobacco cessation programs include group classes, support groups or counselling, in combination with information about treatment and medication options. Many employers offer online classes or digital content as a simple and inexpensive tobacco cessation program. Although this option allows employers to “check the box” on offering a tobacco cessation program for employees, there is still more that they could be doing.

Research shows that individuals are more likely to quit the use of tobacco or nicotine when they have a combination of nicotine replacement theory, medication, and behavioral intervention (such as classes, coaching, and information alone) (1). Because of this, one thing that employers should consider when designing their program is offering Nicotine Replacement Therapy (NRT) to their employees at no cost. Through Well365’s tobacco cessation program, a Certified Tobacco Treatment Specialist (CTTS) will work with individuals and help get them started to quitting using a NRT. Well365 will then work with the employer to ensure that the individual gets the NRT that they need. Through individualized coaching, Well365’s CTTS will follow up with the individual to confirm compliance and make any adjustments that may be needed.

Another way that employers can help employees quit is by covering the cost of all tobacco cessation medication. While Well365 cannot offer pharmacotherapy, such as Chantix or Wellbutrin, employers who have input on what their health insurance plan covers can make sure their plan covers the cost of all tobacco cessation pharmaceutical drugs at 100%. If an employer cannot change their coverage or employees have High Deductible plans, they can also offer 100% reimbursement to tobacco cessation pharmaceuticals. This allows our CTTS to assist them in obtaining the correct prescription, free of charge to the employee.

As an employer, consider taking their tobacco cessation program to the next level. Be proactive and help make the healthy choice, the easy choice for your employees.

Resources:

1. https://www.physiciansbriefing.com/internal-medicine-21/smoking-cessation-news-628/uspstf-advises-pharmacotherapy-to-aid-smoking-cessation-758069.html