CHAA-2013 AOHC Conference April 28 th, 2013 Wayne N. Burton MD FACOEM, Global Corporate Medical Director Karen DiProfio, RN Director of Nursing Daniel May, Corporate Safety Manager 1
Discloser: None 2
Today s Discussion Overview of American Express Our Corporate Culture Health Benefits Healthy Living Programs & Services Data Integration Corporate Safety & Ergonomics Innovation 3
American Express Company Profile American Express is one of the largest financial services companies in the world 163 rd year in business Headquarters in New York City Fortune 100 Company American Express has one of the world s strongest brands Global services company, providing customers with access to products, insights and experiences that enrich lives and build business success. 4
American Express Overview Company Demographics Average age: 42 years 2/3 Female Global: 50% of employees international Benefits Full replacement CDHP with HSA in US Free Preventive Services Free Preventive Services Incentives 5
Our Corporate Culture Blue Box Values 6
American Express Healthy Living Program
Wellness Center Organization Structure Senior Vice President Global Compensation and Benefits Global Corporate Medical Director Wellness Centers Safety Employee Assistance Program (EAP) Disease Education 8
US Healthy Living Healthy Living Wellness Committee Salt Lake City, UT Head Count: 1,776 Healthy Living Catch the Wave launch event WFC, New York, NY Head Count: 4,799 Healthy Living Activity Center Phoenix, AZ Head Count: 5,570 Alonzo Mourning and Ken Chennault at the Healthy Living Activity Center opening in Ft. Lauderdale, FL Head Count: 2,499
Our Mission and Goals Mission Statement Healthy Living is about making better health a way of life at American Express. Through a shared commitment to wellness, together we can become a stronger and healthier community. Goals To promote health awareness, influence positive behavior change, improve productivity, enhance employee engagement and reduce health care expenditures.
Three Steps to Healthy Living Free Preventive Drugs & Vitamins Free Health Coaching Free Condition Management Free Well Woman Exam Free Mammograms Free Flu shots Business travel consults & immunizations Free annual Health (Biometric) Screenings: blood pressure, cholesterol, bloods sugar, and body mass index Health Assessments: provides employees with detailed picture of overall health On-site Wellness Centers with nursing care for acute illness,injuries, emergencies On-site Doctor/Nurse Practitioner, Health Coach & Dietician Health Navigator; 24-hour Nurseline Top Doctors website Employee Assistance Program Healthy Living website, Healthy Living APP 11
Driving Participation Simplify and sustain messaging Keep the momentum Leverage marketing approach Utilize various methods of media Engage employees and their families Feature real healthy stories and goals from employees Tie to blue box values Encourage the sharing of stories Create competition Report results 12
Integrating our services Productivity Medical Costs Health Promotion & Disease Education EAP STD/LTD/FMLA Biometrics Personnel Electronic Medical Records 13
How we integrate Health Protection and Health Promotion The changing office design Super-storm Sandy: a case study of crisis management How we integrate Health Protection and promotion The virtual employee Safety & Healthy Living Ergonomic training 14
Our changing Work Force Office Design: Blue Work Evolution of the traditional workplace Goals of Blue Work Flexibility Collaboration Real estate optimization Meeting the needs of our workforce 15
Hub- Employee s role requires them to work in the office every day. Space Impact : Assigned seat in the workplace Home Occasional visits to Hub Office. Consistently works from home three or more days a week. Space Impact: No assigned seat in the workplace. Roam- Employee primarily works at client locations and makes regular short visits to the Hub Office. Space Impact: No assigned seat in the workplace Club Employee s role requires frequent in person interaction with colleagues and leadership. Space Impact: Provide unassigned cubicles (hot desks) in office Various Types Of Work styles 16
Supporting Virtual Employee Ergonomic Program Approximately 5000 virtual employees Work from home Work from smaller offices Communications designed to: Link virtual employees & intranet based training and education Link employees to regional safety team members Provide dialogue with safety team members Virtual Ergonomic Assessment Toolkit: Assess employees in their workspace Provide recommendations 17
Integrating Safety with American Express Healthy Living Programs Health & Safety Fairs at major locations Safety Fairs with Wellness Center and Healthy Living Activity Centers participation Integrating Safety with Amex Healthy Living Programs Safety team works closely with Wellness Center staff Wellness Centers provide evaluation and treatment for some work related injuries Wellness Centers generate ergonomic evaluations 18
Responding to Disaster: Hurricane Sandy 19
Critical Incident Team Members Global Security Human Resources Wellness Center Staff (Corp. Medical Dir., Dir. Nursing Services, EAP Dir.) Real Estate Corporate Affairs and Communications Corporate Safety Telecommunications Network Services Technology/Disaster Recovery Planning Business Continuity Customer Care 20
Innovation at American Express Technology Healthy Living going global Worksite based disease management 21
Technology: Objectives and Benefits The American Express Healthy Living mobile website was developed to: Promote health awareness to American Express employees and their families Influence positive behavior change Improve productivity Enhance employee engagement Reduce health care expenditures Product Overview American Express employees will be able to access health related tools and information any time, anywhere. Engaging content is organized into relevant Eat, Move, Live, Play categories. MOVE Employees will receive updates on Healthy Living events, class schedules at fitness center locations, fitness tips, and even ways to stay active at their desks. 22
American Express: Taking Health and Productivity Global India Singapore UK and more 23
Worksite-based Condition Health Education Programs Objectives o Educate employees on the value and importance of disease management o Provide employees with information to enhance self-care o Systematic approach to improving outcomes o Sustainable engagement Identifiable Need o 65 % of Amex employees have at least one chronic health condition o Chronic conditions account for the majority of healthcare costs o Productivity costs exceed direct healthcare costs 24
Create an Integrated and Sustainable Approach to Condition Health Education: A Broad Partnership Behavioral Health EAP Health Coaches/ Dieticians Communications Health Portal Staywell Amex Intranet Health Risk Assessment Assess and track health behaviors Maintain health Notifications for at risk Condition Health Education Incentives Health Plan Case Management Fitness Centers/ Activity Rooms Low risk maintenance Absence Management Sedgwick STD, LTD, FMLA Long Term Strategy Short Term Solutions Pharmacist : Medco On-site Medical Diabetes education pilot 25
Healthy Living with Diabetes The Issue 65% of Amex employees have at least one chronic health condition Chronic conditions account for the majority of healthcare costs Productivity costs exceed direct healthcare costs 5% of Amex employees have diabetes Goals Educate employees on the value and importance of disease management Provide employees with information to enhance self-care The Program Enrollees US Employees with diabetes or elevated blood sugar in locations with Healthy Living Wellness Centers Highlights Free Diabetes screenings Diabetes education, support, and resources through group classes, webinars, website and email Personal consultations with onsite Nurse/NP, Coach, dietician, and Pharmacist Incentives Free glucose meter, $20 AXP checks, Kindle Fire raffle 26
IMPROVE YOUR BOTTOM LINE 27
Questions? 28