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 • 163 rd year in business American Express is one of the • Headquarters in New York City largest financial services companies in the world • 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 • Average age: 42 years • 2/3 Female Company • Global: 50% of employees Demographics international • Full replacement CDHP with HSA in US • Free Preventive Services Benefits • 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 Employee Disease Wellness Centers Assistance Safety Education Program (EAP) 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 Alonzo Mourning and Ken Chennault at the Healthy Living Activity Center opening in Ft. Lauderdale, FL Head Count: 2,499 Healthy Living Activity Center Phoenix, AZ Head Count: 5,570
Our Mission and Goals • Healthy Living is about making better health a way of life at American Express. Through a shared commitment to wellness, together we can Mission become a stronger and healthier community. Statement • To promote health awareness, influence positive behavior change, improve productivity, enhance employee engagement and reduce health care expenditures. Goals
Three Steps to Healthy Living • Free Preventive Drugs & • Free annual Health • On-site Wellness Centers Vitamins (Biometric) Screenings: blood with nursing care for acute • Free Health Coaching pressure, cholesterol, bloods illness,injuries, emergencies • Free Condition sugar, and body mass index • On-site Doctor/Nurse Management Practitioner, • Health Assessments: provides Health Coach & Dietician • Free Well Woman Exam employees with detailed • Health Navigator; 24-hour • Free Mammograms picture of overall health Nurseline • Free Flu shots • Top Doctors website • Business travel consults & • Employee Assistance Program • Healthy Living website, immunizations 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 How we Sandy: a case The virtual study of crisis employee integrate management Health Protection and promotion Safety & Ergonomic Healthy Living training 14
Our changing Work Force Office Design: Blue Work Goals of Blue Work Evolution of the • Flexibility Meeting the needs • Collaboration traditional of our workforce • Real estate workplace optimization 15
Home – Occasional visits Hub- Employee’s role to Hub Office. Consistently works from home three or more requires them to work in the days a week. Space Impact: No office every day. Space assigned seat in the Impact : Assigned seat in the workplace. 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 Various Types and leadership . Space Impact: Provide unassigned Of cubicles (hot desks) in office Work styles 16
Supporting Virtual Employee Ergonomic Program Approximately 5000 Communications Virtual Ergonomic “virtual” employees designed to: Assessment Toolkit: • Work from home • Link virtual • Assess employees employees & in their workspace • Work from smaller intranet based offices • Provide training and recommendations education • Link employees to regional safety team members • Provide dialogue with safety team members 17
Integrating Safety with American Express Healthy Living Programs Health & Safety Fairs at major locations Safety Fairs with Wellness Center Safety team and Healthy Living works closely Integrating Activity Centers with Wellness participation Center staff Safety with Amex Healthy Living Programs Wellness Wellness Centers Centers provide evaluation and generate treatment for some ergonomic work related injuries 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 Health Coaches/ Dieticians Communications Behavioral Health • EAP Health Portal • Staywell • Amex Intranet Incentives Condition Health Health Risk Assessment Education Health Plan Case • Assess and track health behaviors • Maintain health Management • Notifications for at risk Absence Management Fitness Centers/ Sedgwick Activity Rooms • STD, LTD, FMLA • Low risk maintenance Long Term On-site Medical Strategy — • Diabetes education pilot Pharmacist : Medco Short Term 25 Solutions
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 Highlight s • 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
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