results from the ceo council on health and innovation
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Results from the CEO Council on Health and Innovation Physical Activity Challenge RON Z. GOETZEL, PH.D. JOHNS HOPKINS UNIVERSITY INSTITUTE FOR HEALTH AND PRODUCTIVITY STUDIES DECEMBER 9, 2016 2 About the CEO Council on Health and Innovation


  1. Results from the CEO Council on Health and Innovation Physical Activity Challenge RON Z. GOETZEL, PH.D. – JOHNS HOPKINS UNIVERSITY INSTITUTE FOR HEALTH AND PRODUCTIVITY STUDIES DECEMBER 9, 2016

  2. 2 About the CEO Council on Health and Innovation C omprised of chief executives of some of the nation’s largest  employers who are taking actions to improve the health and well-being of Americans and achieve higher quality, more cost- effective, patient-centered healthcare. CEO Council member companies share their innovative  strategies and invite other employers to: – Improve the health and wellness of individuals; – Improve the health of communities; and – Improve the health care system.

  3. Members of the 3 CEO Council on Health and Innovation Dominic Barton, Managing Director, McKinsey & Company  Brian T. Moynihan, Chairman and CEO, Bank of America  Corporation Mark T. Bertolini, Chairman, CEO, and President, Aetna  Alex Gorsky, Chairman and CEO, Johnson & Johnson  Patrick Soon-Shiong, MD, Chairman and CEO, Institute for  Advanced Health Muhtar Kent, Chairman and CEO, The Coca-Cola Company  Gregory D. Wasson, President and CEO, Walgreen Co.  Lowell C. McAdam, Chairman and CEO, Verizon  Communications

  4. 4 Why Employers? Why Now? The U.S. spends more on health care per capita than any other  nation in the world, representing nearly one-fifth of all U.S. spending — or about $3.2 trillion. Despite spending more per capita on health care than any other  nation, we rank poorly even on the most basic measures of good health. Private sector employers — together with their employees — bear  about half of the cost of the nation’s health care expenditures . The CEO Council believes that the health of the nation is vital to  maintaining American competitiveness in the global marketplace today and for the next generation. America’s business community has always been an effective driver of  change and progress.

  5. Results from the CEO Council Physical Activity Challenge 5

  6. 6 Goals of the Physical Activity Challenge 1. Improve the health and well-being of individuals employed or covered by CEO Council members and other companies operating in the U.S.; 2. Support successful implementation of such programs across all American businesses by evaluating and widely disseminating the results of our evaluation; and 3. Increase awareness of the importance of physical activity in improving health and well-being, and enhancing productivity among all Americans.

  7. CEO Council Work Group on Physical Activity Challenge 7 Co-Chairs: Work Group Members: Jim Huffman, Bank of America Rhona Applebaum, The Coca-Cola Company   Audrietta Izlar, Verizon Mary Lou Boersig, McKinsey & Company   Bob Florio, The Coca-Cola Company  Janella Funes, Institute for Advanced Health  Deb Gorhan, Johnson & Johnson  Adi Gupta, McKinsey & Company  Emily Hackel, McKinsey & Company  Jen Hodson, Institute for Advanced Health  Fik Isaac, Johnson & Johnson  Barbara Kealey, Aetna  Kelly Keith, The Coca-Cola Company  Nancy Lusignan, Aetna  Diane McGrane, Verizon  Kay Mooney, Aetna  Lina Uribe, Johnson & Johnson  Bonnie Washington, Aetna  Frances Wilson, McKinsey & Company  Jennifer Yakey-Ault, Aetna 

  8. 8 Key Components of the Challenge Multi-employer effort involving CEO Council member companies as well as  other employers across the U.S. Employers invited their employees to enroll in the physical activity  challenge. Employees voluntarily committed to: Participate in at least 8 weeks of physical activity – Log their steps and/or exercise – Fill out an “Engagement and Satisfaction” survey to assess results of the – Challenge Employers who participated received:  Employer Toolkit on Physical Activity Challenge (Towers Watson) – Standard surveys and physical activity analyses (Johns Hopkins) – Participation in CEO Council, multi-employer robust communications and PR – strategy to build awareness and promote action among employers Better data on what works and doesn’t work to inform future efforts – Happier, healthier, more productive employees –

  9. 9 Participating Organizations Employees Headquarters Eligible for Organization Business Type Primary Industry Location Participation 1. Bank of America 220,000 Charlotte, NC For profit Finance and Insurance 2. The Coca-Cola Company 170,000 Atlanta, GA For profit Food Services 3. Johnson & Johnson 126,500 New Brunswick, NJ For profit Health Care 4. Verizon 59,000 New York, NY For profit Communications 5. Aetna 49,000 Hartford, CT For profit Finance and Insurance Global (US Southern Professional, Scientific, 6. McKinsey & Company, Inc. 21,400 Offices used for this For profit and Technical report) Consulting Services 7. McGraw Hill Financial 20,000 New York, NY For profit Finance and Insurance 8. Blue Cross Blue Shield of North 4,800 Chapel Hill, NC For profit Health Insurance Carolina 9. The Academy of Nutrition and 150 Chicago, IL Non-profit, other Non-Profit Dietetics 10. Bipartisan Policy Center 85 Washington, DC Non-profit, other Non-Profit 80% For Profit, 20% TOTAL 670,935 N/A N/A Non-profit

  10. 10 Physical Activity Results – Steps Accumulated Over 100,000 employees across 9 organizations reported steps  data Employees logged nearly 40 billion steps over the 8 weeks  Employees averaged nearly 7,000 steps per day  – (US average is 5,117 steps per day) Aggregate Steps Data Total number of eligible employees 544,435 Total number of employees who logged steps 103,383 Total number of steps taken by Physical Activity Challenge participants 39,762,693,070 Average number of steps taken by employees over the course of 8-weeks 384,615 Average (mean) steps per employee per day 6,886

  11. 11 Employee “Engagement and Satisfaction” Analysis Employees completed an “Engagement and Satisfaction” survey at  the end of the Challenge All employees were invited to fill out the survey, regardless of  whether they participated in the Challenge 3,820 individuals from 7 organizations completed the survey  2,310 (62%) respondents participated in the Challenge  1,406 (38%) respondents did not participate 

  12. 12 Reasons for Participating in the Challenge Among the 2,310 respondents who participated in the  Challenge, the most common reasons were enjoyment of worksite health activities and team competitions , followed closely by wanting to make a healthy change Reasons for Participating in the Challenge [If you did enroll,] Why did you choose to participate? (select all that apply) N % of enrollees 1. Enjoy participating in worksite health activities 1,320 57% 2. Enjoy participating in team competitions 1,180 51% 3. Wanted to make a healthy change 1,101 48% 4. Incentives were provided 832 36% 5. Received encouragement to participate from co-workers or management 813 35% 6. Felt pressure from management or colleagues 39 2% 7. Other 114 5%

  13. 13 Reasons for Not Participating in the Challenge Among the 1,406 respondents who did not participate in the  Challenge, the most common reasons people cited were already exercising on their own and not aware of the Challenge Reasons for Not Enrolling in the Challenge % of non- If you did not [enroll], why not? (select all that apply) N enrollees 1. Already exercising on my own/participating in other classes/exercise groups 502 36% 2. Did not know about it 428 30% 3. Lack of time 326 23% 4. Was not interested 167 12% 5. None of my friends or co-workers were participating 153 11% 6. Missed the deadline to enroll 101 7% 7. Not motivated to exercise 62 4% 8. Other 309 22%

  14. Promoting the Challenge: Outreach and 14 Enrollment Employees were most likely to remember receiving emails  and/or announcements from management promoting the Challenge Communication Strategies Do you remember seeing/receiving any of the following promotional information about % of Yes the challenge? (select all that apply) respondents 1. Emails about programs from wellness teams or management 2,757 72% 2. Announcements/encouragement from management to participate in programs 2,124 56% 3. Calendar of health promotion events 1,605 42% 4. Posters throughout the building 1,339 35% 5. Table tents and/or placemats 533 14% 6. Other 267 7%

  15. 15 Satisfaction with the Challenge 61% were somewhat or completely satisfied  33% were neither satisfied nor dissatisfied  6% were somewhat or completely dissatisfied  Satisfaction with the Challenge In general, how satisfied are you with the Physical Activity Challenge? N % of enrollees 1. Completely satisfied 824 36% 2. Somewhat satisfied 583 25% 3. Neither satisfied nor unsatisfied 765 33% 4. Somewhat dissatisfied 103 5% 5. Completely satisfied 19 1%

  16. 16 Positive Features of the Challenge Employees described the Challenge as fun/engaging , and a  great way to build teamwork Positive Features of the Challenge What did you like most about the Physical Activity Challenge? (select all that apply) N % of enrollees 1. It was fun/engaging 1,230 53% 2. The platform was easy to use 1,085 47% 3. It was a great way to build teamwork 792 34% 4. I achieved my goal 580 25% 5. I lost weight 424 18% 6. The pressure of the competition with others/other teams 329 14% 7. Other 153 7%

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