2011 OMHRA Spring Workshop – HR Metrics

1. 2011 OMHRA Spring Workshop – HR Metrics Municipal Showcase Presentation Region of Durham Use of “Healthy Workplace” Metrics

2. Background • 2004 • Durham Region implemented a Corporate Wellness Program • 2008 • Expanded focus on Wellness to the more comprehensive “Healthy Workplace” Model

3. Healthy Workplace Model Psychosocial Environment Personal Health Practices (Wellness) Psychosocial Environment (Culture) Employee Health, Safety and Well-being Corporate OH&S Program

4. Using HR Metrics to Enhance the Healthy Workplace Strategy • 2009 • Began expanded use of Metrics to: • Develop, Measure and Continuously Improve our Healthy Workplace Strategy and Action Plan • Engage Department Heads’ Healthy Workplace Commitment and Participation and • Secure Resources (staff, time and budget) for the Healthy Workplace Program • Focus Efforts and Resources for the best potential ROI

5. The “What” • Every couple of years, gather and share General Healthy Workplace Research data from the following with Department Heads, the HR Team and the Wellness/Healthy Workplace Committee: • Health Canada • E.g. Every smoker costs their employer $2500/yr • Chrysalis Performance Inc. • E.g. Stress accounts for 19% of a business’s absenteeism costs • Dr. Martin Shain • E.g. Employees under sustained conditions of high efforts/low reward and high pressure/low control are 2-3x more likely to contract infections • Healthy Workplace ROI research • $1.15 to $8.00 for every $1 invested in Wellness

6. The “What” • Also gather and share data results from Employee Surveys: • Wellness Interest Surveys done in 2004, 2005, 2006, 2007 • Top Employee Health Improvement Wants/Needs (consistently): • Fitness • Nutrition • Stress Management • Back Health • Massage • Financial and Estate Planning • Cancer Prevention

7. The “What” • Employee Surveys (continued): • Health Canada Workplace Health Needs and Risks Survey in 2009 • Personal Health Practices • Fitness, Nutrition, Stress Reduction still tops • Sleep also raised as major area of concern • Health and Safety • Air Quality top issue • Culture • Top 4 Improvement Needs: • Employee Involvement in Decisions that affect their work • Feeling Rewarded for level of Effort • Communication • Flexible/Alternative Work Arrangements

8. The “What” • Plus pull existing related data and statistics from: • Region’s HR Info Systems (Peoplesoft HCM & Parklane) • Region’s Demographics • Absenteeism and Short Term Disability Costs • Health and Safety Incidents and WSIB Claims • Region’s Benefits Insurer • Drug Claims and Costs • Other Extended Health Care Claims and Costs • LTD Claims • EAP Provider • EAP Utilization • Evaluation Form Feedback from specific Healthy Workplace Programs offered • Health Screening Results

9. The “So What” • All of this Data is Reviewed and Analyzed by the Corporate Health, Safety and Wellness Team and the Healthy Workplace Committee annually to Identify: • Trends • E.g. 2/3rd’s of workforce over 40 and rising (aging workforce which may be contributing to increased cardiovascular claims, orthotics costs, absenteeism, overexertion claims, etc.) • Commonalities • E.g. Psychological is becoming more significant in absenteeism costs, LTD claims, EAP cases and Extended Health Claims; links with Employee Survey identifying Stress Management as key

10. The “So What” • Potential Root Causes • E.g. Comments on surveys about lack of involvement in decision making, lack of recognition, lack of communication and more work/life demands may be key contributors to the rise in psychological related claims and costs • Areas for Greatest Potential ROI • E.g. Long Term Care have significant back-related and over-exertion claims and costs, absenteeism costs and have lowest workplace culture index scores (from survey) – need for increased focus on Healthy Workplace Programming at our Homes • We put this data and any correlations into charts and tables wherever possible • Seems to work best when communicating with management

11. Top 11 Therapeutic Classifications By Number of DINS Covered Top 10 Therapeutic Classifications By Amount Paid Period August 2007 – Jul 2008 Division(s) 1, 2, 3, 4, 5, 9, 10, 11 Claimant Type Employee

12. APPENDIX 2 LTD Claims Data 2008 DisabilityClaims Distribution By Diagnosis

13. APPENDIX 4 EAP Statistics

14. Employee Interest Survey – 2 year review

15. The “Now What” • The “So What” is used by the Corporate Health, Safety and Wellness Team to Develop Annual Action Plans with input from: • Healthy Workplace Committee • JHSC’s • Consultant • Department Heads • Used to provide Business Case for Budget Requests related to Healthy Workplace Programs • Used when liaising with a Divisional Management Team (e.g. LTC) to get agreement to offer Healthy Workplace Programs in their area • Also used to measure if HR’s efforts (Healthy Workplace and otherwise) are making a positive contribution to a reduction in claims and costs • Have had lower than average Benefits Claims Cost Increases

16. The “Now What” • Based on the “So What”, our Action Plans focus on: • Stress Management Awareness/Education Programs • Includes Mental Health and Sleep issues • Nutrition Focused Education and Personal Coaching Programs • Mainly on Healthy Eating • Fitness Challenges and On-Site Fitness Programs • Including Yoga, Pilates, Core Conditioning, Stretching • Health Screenings • Including Cholesterol, Blood Pressure, BMI, Weight and Waist Circumference • Back Care • Including Education and Ergonomic Assessments • Health Prevention • Including Flu Immunization Clinics, Annual Health Fair, Cancer Awareness and Diabetes Prevention • We have also increased our focus on employee groups with the highest costs/needs and have taken more programs outside of HQ to do so

17. The “Now What” • The most challenging to address are the “Culture” factors • Could do even more in terms of sharing and using the data we have within HR • Need to integrate the safety piece in more strategically and cohesively • Hard to isolate reasons for improvements to employee health, culture and safety • It is truly a journey!