ACOEM Corporate Health Achievement Aw ard 2004 Alan Burton Director, Safety and Human Resources Cianbro (2004 Winner of the WELCOA Gold Award) Larry Catlett, MD Occupational Medical Consulting Medical Director, Cianbro
Company Fast Facts Cianbro - Who Are We? � Our Industry � We are one of the east coast's largest civil and heavy industrial construction and construction services companies. � Our Mission � To be “ The Constructor of Choice” by safely constructing quality facilities on time and at a competitive price. Through innovation, efficiency, and a can-do spirit, we will develop our people, satisfy our customers, and grow profitably. 2
Company Fast Facts Cianbro - Who Are We? � Our Team � Over 2,000 team members � Construction operations in 13 states � Revenue of $300 Million in 2003 � Our Culture � Cianbro is an employee owned company where safety and health are priorities in every work activity. It is dedicated to establishing an injury-free workplace. Our commitment starts at the top of the organization and involves every team member. 3
Company Fast Facts Cianbro - Who Are We? � Our Organization Cianbro Pete Vigue President & CEO Construction Operations Engineering Finance Safety, & Purchasing & Accounting Human Resources & Communications Construction Management Northern New England Southern New England Mid-Atlantic Support Services Equipment Maintenance Coating & Fabrication 4
Company Fast Facts Cianbro - Who Are We? � Safety and Health Mission � We want to be the Safest and the Healthiest company in America � Mission: to continuously provide and promote programs throughout Cianbro that encourage, educate, and support team members and their dependents to make healthy mental, physical and financial lifestyle choices on a daily basis. 5
Healthy People/Healthy Environment Cianbro’s Safety Program � The Problem! � Pre-1987, expected people to get hurt � Hazardous industry - believed injuries were beyond our control � Standard industry practice to factor into bid work one fatality for every 1 million work hours � From 1981 to 1987, workers compensation claims were in excess of $21 Million 6
Healthy People/Healthy Environment Cianbro’s Safety Program � Interventions � Stopped blaming others � Decided to take control 7
Healthy People/Healthy Environment Cianbro’s Safety Program Safety Improvement and Milestone Events 32.00 1987 : Safety Audit (X-Ray), 100% Eye Protection, 28.00 Recordable Annual Safety Training, HAZMAT, Employee Incident Rate Orientation, Pre-placement Physical Lost Time Incident Rate 24.00 1988-1989 :100% Fall Protection, Double Eye Protection, Injury 20.00 Management, Activity Planning, Full-body Harness Protection, EAP 16.00 1997 : Introduced Behavioral 12.00 1990-1991 : Introduced Safety Process (CAPP) 2002 : Safety Accountability Lifting Techniques, Line Management Safety Training 8.00 1992-1993 : Daily Stretching, Modified Work Program 4.00 1994-1996 : Introduced Ergonomics, OSHA 510 and CSHT Training, Regional Safety Ownership 0.00 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 8
Healthy Company Cianbro’s Wellness and Healthy Lifestyle Program The Problem! � High rates of adverse health behaviors � 40% increase in health care costs since 1996 (and 21% increase from 2000 to 2001, with doubling expected by 2009) � No cost shift to team members for 7 years � Inadequate commercially-available wellness programs and data systems � System wide attempts at cost control saw their net effect revealed as a doubling of health care costs ($700 billion to $1.4 trillion) between 1990 and 2000 9
Healthy Company Cianbro’s Wellness and Healthy Lifestyle Program Interventions: The Basic Premises For Action � Employers cannot significantly affect line item health care cost increases which will continue to escalate � Much of the progression from “at-risk” health behavior to chronic disease is preventable � By emphasizing prevention, self care and appropriate utilization, employers can significantly influence the health and health purchases of their employees � Prevention, or “Wellness”, is best accomplished by creating a healthy corporate culture 10
Healthy Company Cianbro’s Wellness and Healthy Lifestyle Program A New Paradigm . . . Attacking Health Care Costs with a Prevention versus Disease Management Model 11
Healthy Company Cianbro’s Wellness and Healthy Lifestyle Program Wellness Activities at Cianbro � Senior management promotional activities � Wellness Team � Wellness on Worksites (WOW) � Healthy vending/menu options � Wellness Matters monthly newsletter � Intranet Wellness Website � Healthwise Handbook to all team members � 24 hour nurse line � Healthy Lifestyle Program 12
Healthy Company Cianbro’s Wellness and Healthy Lifestyle Program Ramping Up � Announced team member share of benefits going up � Announced “Tobacco Free” initiative-NRT Program � Increased preventive services health benefits - 100% coverage annual PE’s colonoscopy, mammograms, etc. � Introduced Healthy Lifestyle Program and participation incentive (10% premium reduction in 2001, then 15% in 2002) 13
Healthy Company Cianbro’s Wellness and Healthy Lifestyle Program Key Messages � You are personally responsible for your health � Think disease prevention, not disease treatment � Think self-care � If you are “seriously well”, you need to work to stay that way � Get smart about health care purchases 14
Healthy Company Cianbro’s Wellness and Healthy Lifestyle Program The Healthy Lifestyle Program � Ongoing, one-on-one, individualized health behavior change intervention � Physician supervised � Software driven and results/changes are tracked 15
Healthy Company Cianbro’s Wellness and Healthy Lifestyle Program � Health Educators provide education and help team members develop and maintain motivation for change 16
Healthy Company Cianbro’s Wellness and Healthy Lifestyle Program � Software � Tracks HRA and calculates “wellness” score � Provides protocols (behavior change and educational interventions) � Can view current individual, family and population health risk status and risk status change over time 17
Healthy Company Cianbro’s Wellness and Healthy Lifestyle Program “I am a long time employee with Cianbro and I have always known that our company has cared about us at work and at home. It has so many wonderful programs to help us get on track in our lives. Cianbro saved my life and showed me that I have to take personal responsibility for helping myself . . . My journey started twenty-one months ago when I was asked to quit tobacco use. I was asked to be a power of example to the people that worked with me and around me. So I quit chewing tobacco, but continued to smoke. Then nineteen months ago I quit smoking with the help of the Cianbro Wellness Program. I feel the program . . . showed me that I have to take personal responsibility for helping myself. But, the good thing is, I know that I don't have to do it all by myself.” Cianbro Team Member April 2004 18
Healthy Company Cianbro’s Wellness and Healthy Lifestyle Program What Do We Know ? 700 600 Dependents 500 Team Members 400 300 200 100 0 Tobacco Exercise Cholesterol Overweight Seriously Stress Smoke Overweight 19
Healthy Company Cianbro’s Wellness and Healthy Lifestyle Program What Else Do We Know? HBP 3 (>180/>110) Team Members HBP 2 Dependents HBP 1 Prehypertension 0 50 100 150 200 250 300 20
Healthy Company Cianbro’s Wellness and Healthy Lifestyle Program Risk Score Range - Individual Clients 700 600 Team Members 500 Dependents 400 300 200 100 0 No Risk Low Risk Medium Risk High Risk 21
Healthy Company Cianbro’s Wellness and Healthy Lifestyle Program Aggregate Risk Score By Family High Risk 20% No Risk 2% Low Risk 1% Medium Risk 77% 22
Healthy Company Cianbro’s Wellness and Healthy Lifestyle Program “The doctor of the future will give no medicine, but will interest his patients in the care of the human frame, in diet and in the cause and prevention of disease.” Thomas A. Edison 23
Management and Leadership The President’s Message “Together, we will continue to make Cianbro one of the safest and healthiest companies in America.” Pete Vigue, President & CEO � Set your expectations high � Active involvement from the top � Continuous improvement - keep it fresh! 24
Conclusion Building Success for the Future Future Efforts � Reach out to entire Cianbro family - team member dependents � Draw in other businesses and industries � Continually enhance communication and education efforts 25
Conclusion Building Success for the Future Tips for Success � Senior management commitment and buy-in � Stay the course - don’t start and stop � Be morally grounded - do the right things! � Provide the appropriate resources 26
ACOEM Corporate Health Achievement Aw ard 2004 � People - Caring about each other at work and at home � Pride - In a job well done and a job done safely � Progress - Putting safety and health first 27
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