The City of Calgary Well-Being Works Program

Well-Being Works Mission Proudly committed to empowering colleagues in achieving a higher level of health and wellbeing, through education, training, and understanding, by providing accessibility to resources for a healthy work life balance.

Outcomes Improved employee access to wellness opportunities Awareness to Employee Health Benefits Strengthening the workplace : Staff Attraction & Retention Healthier work/life balance Allow our employees to retire healthier Improve overall morale and well being

Business Impact (Stats Canada): ”Lost Productivity” 92 million work days lost in Canada in 2003 due to absence in (9.1 days per worker) 1 1.7 days due to personal time off 1 $16 billion lost in productivity 1 9 times more costly than work stoppages due to labor disputes 2 1 Labor Force Historical Review 2004, Statistics Canada 2 Workplace Information Directorate (HRSDC) 2004 Watson Wyatt Staying@Work Survey 2005 Copyright Watson Wyatt Worldwide. All rights reserved

Business Impact: Retention Report 2005 Hudson Retention ReportBusiness Unit Name

Objectives Encourage employees healthy lifestyle changes Continued HR/EMS partnership Identification of high risk patients and support for Level II and Level II assessments EMS partnership with Foothills Consultants Integrate the Well-Being Works Program across the corporation

Business Impact: Mental Health & Engagement Majority if disability due to:stress, anxiety and depression 51% of employees experience significant stress at work 40% of incoming calls to EFAP related to depression Only 29% of employees say their organizations do a good job of managing, motivating and rewarding high performance Copyright Watson Wyatt Business Unit Name

Psychological Health Work/life balance Personal control Stress in personal/family life Stress levels at work Leisure time/time for self Emotional health Personal relationships Relationships at work Social networks Concentration Memory Rewards Trust , Respect and Fairness Great Places to Work Institute

Level I Health Risk Assessment 15% (675) Progress to Level II Systolic Blood Pressure > 140mmhg Diastolic Blood Pressure > 100mmhg Influenza Immunization Total Cholesterol value > 5.2mmol/L HDL Cholesterol value < 1.3mmol/L Non-Fasting Blood Glucose Value > 7.9mmol/L

Annual Influenza Clinics Annual Influenza Clinics *Decrease in 2005 due to late flu serum distribution

How it is done today Level I – Flu Immunization Clinic Funded by HS&W 4500 employees Funded by HS&W 15% Business Unit 675 would be eligible HS&W EMS Corp Cost Level II Health Risk Assessment (HRA’S) @ $150.00/participant corporate approved.

Level II Health Risk Assessment Online Assessment Fasting Cholesterol – HDL, LDL, Total, Triglycerides Fasting Glucose Level Blood Pressure Waist Circumference Height & Weight Optional 12-lead Electrocardiogram CONFIDENTIAL Printed results Report Follow-up Questionnaire Physician Follow-Up and Referrals if required

Level II High Risk Factors – 15% (100) Progress to Level III Any single (or combination) of the factors listed . . . BP values from comprehensive assessment Cholesterol values from comprehensive assessment Glucose values from comprehensive assessment Framingham score ≥ 11% (cardiovascular disease) Wellness Factors identified in questionnaire Worksite Factors identified in questionnaire

Level III Health Risk Assessment Laboratory Measures Graded Exercise Test Stress Test ECG Pulmonary Function Test Grip strength, Push-Ups, Sit-Ups, Flexibility Heart Rate – Resting and Exercise Physician Consultation and Further Testing

Well-Being Works Cost to City Current Cost Annual Additions Projected Total Annual Costs Well-Being Works Clinic 200K (equip.) 120K (1.5 MTC) Clinic Physician (4 hrs./week) 50K – 75% reimbursement = 12.5K 13K Level I Assessments 153K – HR 40 K (.5 MTC) 7-10% increase in vaccine cost 208K Level II Assessments 7.5 from BU’s 100K (15% of 4500 from LI - $150/person) 100K Level III Assessments 100K (15% of 675 from LII - $1000/person) Total 520.5K 541K

Well-Being Works Medical Clinic We help protect and care for our employees’ health by providing high quality care and resources that limit costs by: lowering workers’ compensation premiums reducing lost productivity reducing down time facilitating a quick, but safe return to work

Well-Being Works Medical Clinic Onsite Medical Doctor 4 hrs./week: For employees -by appointment Level III assessments WCB Massage Therapy, Physiotherapy, Chiropractic services by appointment Emergency pandemic clinic Fitness Assessments and programs Nutrition counseling