1. Reduce Stress, Metabolic Syndrome, and Health Costs
Bruce Cryer, CEO
HeartMath LLC

2. Transforming Stress Workshop
Leader’s Notes
Problem
I would head as The Challenge
Dot point three would become Stress is a major contributor (or factor) to many chronic and lifestyle related diseases
Stress is accelerating; more complaints; few effective solutions
Changing workforce puts organizational productivity, health costs and sustainability at risk
Well-demonstrated link between workplace stress, performance and health
Slide # 2

3. Stress and Disease Production
One Third of Americans Extremely Stressed.
APA Survey 10/07
Workplace stress is as bad for your heart as smoking and high cholesterol.
JAMA. 2007;298:
Most costly health care expenditures are for stress-related disorders. People with high stress have 46% higher health costs.
JOEM, Vol. 40, Number 10, October 1998.

4. Health Risk Identification

5. Lurking in the background…. Metabolic Syndrome
Blood pressure
HDL
Triglycerides
Blood Glucose
Waist Circumference

6. Impact on Disease Production High Cortisol: Low DHEA
Obesity (Marin 1992)
Diabetes (Nestler 1992)
Hypertension (Shafagoj 1992)
Heart Disease (Barrett-Connor 1986)
Cancer (Bhatavdekar 1994)
Alzheimer’s (Nasman 1995)
HIV-related disease (Wisniewski 1993)

7. Revitalize You! Solution: Video-based online learning program
Validated by clinical research into the physiology of optimal function, performance, resilience
Results in rapid, sustained behavior and health improvement based on practical tools
emWave2® feedback technology engages practice
Program can be scaled 24/7 across global populations
Way too much for one slide
Probably break into two slides:
Start new slide at Program can be introduced

8. Who is HeartMath?
Founded 1991, non-profit research center to study links between stress, brain/heart function, health and performance.
Developers of award-winning learning and technology solutions with measurable results.
19 years evidence of consistent, sustained reduction of stress and stress-related conditions
More than 60 published research studies on mental and emotional well-being, cognitive performance, health care utilization, staff retention, leadership development, PTSD.

9. Selected Clients

10. Published Research American Journal of Cardiology
Harvard Business Review
Wall Street Journal
Future Healthcare: The Journal of Medical Innovation
Stress Medicine
Preventive Cardiology
Modern Healthcare
Alternative Therapies in Health and Medicine

11. Interrupting the stress cycle for optimal health and performance
Transforming Stress Workshop
Leader’s Notes
Interrupting the stress cycle for optimal health and performance
Perception
Brain Function
Thoughts & Emotions
Physiological Effect
Slide # 11 11

12. Coherence  Creates “Zone Performance”
An optimal state in which the heart, mind and emotions are operating in-sync and balanced.
Physiologically, the immune, hormonal and nervous systems function in a state of energetic coordination.
 Creates “Zone Performance”
Slide # 12

13. Interrupting the stress cycle for optimal health and performance
Transforming Stress Workshop
Leader’s Notes
Interrupting the stress cycle for optimal health and performance
++ Health
++ Performance
Perception
Coherence
Brain Function
Thoughts & Emotions
Physiological Effect
Slide # 13 13

14. Why Coherence Training is Important
Improves effectiveness of other wellness programs
Improves both physical and mental categories resulting in reduced costs
The state of coherence is a natural state and can be practiced by anyone in any situation
It’s an anchor for behavior change that maximizes sustainability.
Results indicate improvement in both physical and mental categories. These two categories are the leading causes of illness and prescription drugs used in the US.

15. Healthcare Cost Reduction: Nonprofit Organization
144 in HeartMath cohort; 343 in control group
Positive outcomes in three major areas:
Claim Cost
Biometrics
Well-Being and Quality of Life

16. Healthcare Cost Reduction
Medical Costs: 0%
HeartMath Cohort
Non-HeartMath Cohort $
4% Decreased cost $
9% Increased cost
-5% 0%
10%
*2007 covered charges vs covered charges

17. Healthcare Cost Reduction
Essential Hypertension Costs: 0%
HeartMath Cohort
Non-HeartMath Cohort $
22% Decreased cost $
47% Increased cost
-25% 0%
50%
*2007 covered charges vs covered charges

18. Healthcare Cost Reduction: 911 Call Center
100 in HeartMath cohort; compared against rest of covered lives
Positive outcomes in:
Total spend
ER visits Rx

19. Expenditures 11% Decrease 19% Increase 30% Increase 8% Increase
Medical Expenditures
$77 Decrease
$75 Increase
11% Decrease HM
Non-Int
19% Increase
Total Expenditures
The non-intervention pre-program average was $661, significantly lower than the HeartMath pre-program average of $1,115
Non-Int
30% Increase
8% Increase HM
= HeartMath
= Non-intervention

20. Utilization 9% Decrease 27% Decrease 17% Decrease 50% Decrease
ER Visits / Admissions
Non-Int
9% Decrease
27% Decrease HM
Office Visits
Non-Int
17% Decrease HM
50% Decrease
= HeartMath
= Non-intervention

21. Utilization 30% Increase 8% Increase
Scripts
Non-Int
30% Increase
8% Increase HM
While the HeartMath group has a larger average number of scripts per quarter, the percentage growth is significantly lower.  Also, the lower member group size of the HeartMath group will lend itself to causing the few members with a high number of scripts not being averaged as evenly as in the larger non-intervention group.
= HeartMath
= Non-intervention

22. Utilization 20% Increase 10% Increase
Risk Index
Non-Int
20% Increase HM
10% Increase
Similar to the Scripts Utilization, the HeartMath has a higher average RI, but the % increase is lower.
= HeartMath
= Non-intervention

23. Biometric Improvements
Metabolic Syndrome
Metabolic Syndrome
% Positive

24. Improvements in Well-Being and Productivity
Clinical Stress Risk Reduction
Percentage of individuals who responded : often- always
Before and six weeks after taking the HeartMath Program
(n=5692)
60%6
60%6
44%6
52%6
52%6
61%6

25. Improvements in Well-Being and Productivity
43%6
44%6
63%6
Hi –
Jackie from IHM (where they do the heartmath research) who runs the POQA reports just sent me an updated “all pairs” report – the aggregate of all matching pre / post data we have for POQA – last time they had 3129 people’s data – now they have
I added two rough slides at the top of this in case you/Catherine want to use. would replace the ones that have n=3129)  
Thanks,
Sibyl    
33%6
44%6
44%6
(n=5692)

26. Case Study – Sustainability
% attendees
With no further intervention

27. Summary: Revitalize You! Outcomes
Transforming Stress Workshop
Leader’s Notes
Summary: Revitalize You! Outcomes
Reduced medical costs
Reduced self-reported stress, anxiety, depression, fatigue, sleeplessness
Reduced Metabolic Syndrome
Improved productivity and performance
Improved employee engagement and morale
Slide # 27

28. The Science Behind These Results

30. Inhibits Brain Function (Incoherence)
Facilitates Brain Function (Coherence)

31. The process of shifting into and anchoring a coherent state is facilitated by HeartMath’s award-winning technology — the emWave2.

32. Revitalize You! Overview
Video-based online learning program
Five 1-hour sessions teaching more than ten health-promoting HeartMath tools and techniques to build resilience while transforming stress
Online application, registration and surveys
Individual communication is key to a successful program
emWave2 technology for each participant
Psychometric measures to validate program effectiveness
Five 1-hour sessions teaching more than ten health-promoting HeartMath tools and techniques to build resilience while transforming stress
*Delivered through top LMS/Rich internet application platform
* Includes worksheets, quizzes, online coaching and alumni program
Individual communication is key to a successful program
* Multiple messages per session to participants
* Health counselors for quality and engagement

33. Revitalize You! Guided exercises Science Demos Training and Homework

34. Participants Report 83% say they are healthier
Transforming Stress Workshop
Leader’s Notes
Participants Report
83% say they are healthier
69% say they have more energy and vitality
70% say that it is easier to focus at work
61% say that it is easier to communicate
This is the most effective health program I have participated in at my organization. It is phenomenal! This program will be instrumental in improving my health, no doubt about it!
Lin
Slide # 34

35. Transforming Stress Workshop
Leader’s Notes
Participants Report
Just want to comment on how great [the Revitalize You! program] is and how much I am learning...  I have a very stressful job and it is great learning how to deal with my stress and reduce it to be more productive.  I use it every night and I am sleeping great.  There are several others in my office on the program and we all have our emWaves on our desk, ready to use at a moment’s notice.  Bottom line, I am very impressed with the program and I would recommend it to anyone. Thanks for the great program.
  Margaret Lawrence
Team Lead, Travelocity Business
Slide # 35

36. Q&A
Bruce Cryer