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UNDERSTANDING DISEASE MANAGEMENT & DIABETES

By Employment Resources

Since the medical costs for diabetes reach into the billions each year, taking a chunk out of the cumulative cost of this disease would be beneficial in many ways. As most people know, the goal of disease management programs is to reduce the costs incurred by diabetes. To do this, these programs attempt to teach patients to control the disease. They learn the importance of monitoring cholesterol, blood pressure and blood glucose levels. Individuals with diabetes face similar challenges, treatment choices and the possibility of serious complications. This means that anyone who has diabetes can benefit from the offerings of a disease management program.

However, this is an issue where logic and science are not always in harmony. Many studies have shown that the majority of people with diabetes complications are less educated. Since they lack education, these individuals are more likely to hop from one treatment to another, which is a practice that may create even worse problems. One research study showed that patients who were less educated had two to three times as many incidences of coronary artery disease and end-stage renal disease. The researchers’ conclusion showed that less educated patients with lower socioeconomic status also had poor health management skills for themselves.

Education also plays an important role in the possibility of dying from complications. Research shows that individuals who did not finish high school have a death rate that is twice as high as the rate of death for diabetic patients with college degrees. It is also interesting to note that this factor remains true regardless of race, gender, age, obesity and other relevant factors.

For individuals who need it most, a disease management program will make a significant impact. This means that those who have the highest risk for complications will likely be the most impacted. These programs also have the highest ROI for groups with the largest amount of high-risk members. However, such programs have a lower return for groups filled with people who have college degrees.

Unfortunately, these statistics are not restricted to diabetes. In general, individuals who have a lower income, less education and a lower socioeconomic status face more health challenges. People who have higher education and earn a better income are more likely to get help, follow a treatment plan and learn to live with various diseases. To learn more about disease management and what it is about, discuss the options with one of our friendly agents.

THE BEST APPROACH TO HEALTH CARE CONSUMERISM

By Employment Resources

Employers are making stronger efforts to educate their employees about health care and manage costs. However, they’ve also realized that encouragement alone is not enough to produce employees who are better health care consumers. In order to make their employees better health care consumers, employers must equip them with the incentive and tools to become what they need to be. For many companies, the answer to their problems has many facets. Health care consumerism requires education and tools for adequate exercising, eating a balanced diet, monitoring health numbers, avoiding smoking and taking the initiative to make changes when health numbers aren’t optimal. In addition to this, health consumerism involves employees being aware of the costs of health care and taking measures to lower those costs. Plan designing, communication and incentives are all important parts of the equation. There are several important issues to consider with this idea.

Helping Employees Care about Their Health. Employers are realizing that simply offering options to employees isn’t enough. They know that employees must receive incentives for doing something difficult that ultimately benefits the employer. In addition to providing employees with the necessary tools to become better healthcare consumers, employers must also give them a reason to use those tools. For example, many pharmacies have varying prices among brand-name drugs and generic equivalents. Educating employees about this difference is important. If they realize all their HSA fund allowance will be used to pay for the expensive name-brand drug, they’ll be more driven to shop smart and use the generic equivalent.

Implementing Consumer-Directed Plans. Many companies that are designing plans are using consumer-directed health plans with health reimbursement arrangements or health savings accounts. To learn how these plans work, discuss the details with us. Some employers are now offering more options for their employees. However, reaching optimal health and maintaining it is the overall goal. Many companies are realizing the importance of trying to run an active health plan to encourage a healthy lifestyle instead of just offering a sick plan to deal with illnesses.

Offering Attractive Incentives. The efforts employers have made to help their employees save for retirement with contribution plans are similar to their efforts to move employees toward better health care consumerism. The main similarity is that both plans involve a greater amount of responsibility being placed on employees. While they face more responsibilities, their employers use incentives to offer rewards for desired behavior. Just as employers use matching contributions to retirement plans to encourage participation, many are now offering contributions toward HSAs and HRAs to encourage participation and better health care consumerism.

Keeping on Track. In order to keep health care consumerism alive, employers must keep track of their efforts. This allows them to determine whether employees are changing their behaviors or not. Some companies have developed special systems for tracking progress. One company developed a helpful dashboard of metrics, which is reviewed monthly for success. It shows the progress of employees as they work toward earning incentives. It also shows interaction rates with health plan representatives through the company’s work sites. There are several ways to implement these valuable changes. To learn more, discuss the possible options with one of our agents.

GENERATION Y & BENEFITS COMMUNICATIONS ISSUES

By Employment Resources

Generation Y is filling up the workplace and the world. Employers who want to gather, engage and keep these workers must know their preferences and styles of communication. This is especially true in the aspect of workplace benefits. Employers’ ability to attract and keep these younger employees is becoming an important part of ensuring long-term success in business. The Baby Boomers are starting to retire in larger numbers and will continue to do so in the future. Since the younger generation has different needs, preferences and expectations, companies must approach benefit package designs in a different way. If employers resist these necessary changes, they could face losing employees and their competitive edge. This means they’ll be left behind in the business world, which is progressing faster each year. There are several things employers and HR managers need to consider about adapting to the new generation of workers.

Generation Y members are usually less financially stable. In comparison with older generations, the younger generation appears to be much more irresponsible with money and financial obligations. Almost half of the individuals in the younger generation pay bills late, have significant credit card debt and are not setting away money for financial emergencies. This generation also switches jobs frequently.

Generation Y prefers personal communication. While previous generations favored the traditional way of looking for benefits information in the workplace, the younger generation prefers personal communication. Although most people think this generation is constantly wired, they tend not to look online for resources. They feel that all resources and information should be brought to them. However, older workers are more likely to look for blogs, forums and other valuable sources of online information independently. The younger generation members are also more likely to ask family members or friends for such information.

Generation Y values strong benefits but they’re usually under-insured. Although most of the individuals in this generation think that benefits are the most important aspect of a job, they often have inadequate insurance. However, they’re the group of workers who are least likely to take advantage of insurance in the workplace. This includes Disability, Life, Accident insurance and major medical plans.

Opportunities for Benefits Communication

In the research for a clearer opportunity for employers to engage Generation Y workers, the research of benefits communication appeared. Workers in this generation usually rate employers unfavorably for the effectiveness of benefits they offer. There are several steps employers can take to boost the effectiveness of communication between themselves and these younger workers. The following are a few valuable suggestions:

  • Implement one-on-one counseling.
  • Employ several forms of communication.
  • Make content interactive and engaging.
  • Use the proper technology for the message.

As benefits decisions continue to shift toward employees, the workers of Generation Y will become more enthusiastic toward the information and products required to manage personal financial security. Employers have the opportunity to build a better ROI by properly evaluating the benefits they offer. They must also evaluate the methods of communication used to appeal to individuals who are part of Generation Y. By doing this, employers will enjoy a more engaged, productive and loyal workforce.

WORKPLACE FIRES: BE PREPARED!

By Risk Management Bulletin

Workplace fires and explosions kill 200 American workers and injure more than 5,000 a year, at a cost of $2.3 billion. To help keep employees safe, any business that’s required to have fire extinguishers on the premises and needs to evacuate people during a fire or other emergency must have an Emergency Action Plan (EAP) that meets specific OSHA standards. The EAP includes — but is not limited to — these required elements:

  • Evacuation procedures and emergency escape route assignments.
  • Procedures to be followed by employees who remain to operate critical plant operations before they evacuate.
  • Procedures to account for all employees after an emergency evacuation has been completed.
  • Rescue and medical duties for employees who are to perform them.
  • Means of reporting fires and other emergencies.
  • Names or job titles of persons to contact for further information or explanation of duties under the plan.

Businesses can also implement a workplace Fire Prevention Plan (FPP) that describes the onsite fuel sources (hazardous or other materials) that could trigger or help spread a fire, as well as the building systems, such as fixed fire extinguishing systems and alarms in place to control the ignition or spread of a fire. At a minimum, your FPP should include:

  • A list of all major fire hazards, handling and storage procedures for hazardous materials, potential ignition sources, and the type of fire protection equipment needed to control them.
  • Procedures to curb accumulations of flammable and combustible waste materials.
  • Maintenance of safeguards on heat-producing equipment to prevent the accidental ignition of combustible materials.
  • The name or job title of employees responsible for controlling fuel source hazards and maintaining equipment to prevent or control ignition or fires.

If you’re required to have an EAP or FPP, you must provide emergency preparation and response training for employees. Even if you’re not required to prepare such plans, it makes sense to develop and enforce them.

Our risk management professionals would be happy to help you develop and review your plans — just give us a call.

DRIVER’S ED 101: TRAIN YOUR WORKERS TO DRIVE SAFELY

By Risk Management Bulletin

You want your employees to be safe on the road and avoid accidents, whether they’re driving your vehicles or their own. The safer your drivers, the better for all concern — and the lower your exposure to litigation. Make sure that your safety meetings and training sessions include these four key elements.

  1. Collisions are common, especially at intersections, where it’s estimated that one in three two-car crashes occur. To reduce the risk of head-on collisions, drivers should keep alert and look down the road for possible problems, such an oncoming driver passing another vehicle. To avoid being rear-ended, drivers should signal intentions, slow gradually, and check mirrors for tailgaters. To avoid rear-ending another vehicle, they should maintain a two- to four-second distance from the vehicle ahead and watch for brake lights and turn signals.
  2. Passing. Train drivers to pass only in a passing zone, check oncoming traffic to make sure no one is coming, and check their mirrors to make sure someone behind them isn’t moving out to pass. Drivers should never pass unless they can see enough clear space to do so comfortably. When being passed, they should slow down if the other vehicle needs extra room to pass safely.
  3. Road/Weather Conditions. Road construction, traffic, slippery roads, bad weather, and other hazardous conditions contribute to many accidents. Under these conditions, drivers can stay safe accidents by taking precautions such as slowing down, increasing following distance, being prepared to stop, turning on headlight to be more visible, avoiding distractions, and keeping calm in heavy traffic. Drivers should also know how to handle a skid (take your foot off the break and turn in the direction you want the front of the vehicle to go).
  4. DUI. You can’t overemphasize the hazards of driving under the influence of alcohol or drugs. According to one recent report, one in five motorists admits to drinking and driving. Drunk driving kills more than 20,000 Americans a year, and injures another 50,000. Drinking impairs all the faculties that prevent traffic accidents: the ability to determine distance, reaction time, judgment, and vision.

SAFETY COSTS: A SAFE INVESTMENT

By Risk Management Bulletin

Too many businesses undervalue the benefits of workplace safety because of communication barriers between safety professionals and managers, as well as the challenge of demonstrating safety performance in financial or bottom-line terms. To turn this situation around and enhance the business value of safety programs, use these basic strategies.

Identify safety as a core business value. Obviously, profitability drives corporate value; but so do brand name, compliance risk, and worker productivity Workplace safety programs influence all of these drivers to some degree.

A few years ago, Liberty Mutual Insurance Company surveyed senior financial executives at large and medium-sized companies about their views on safety and insurance. These executives cited increased productivity and reduced costs as the top benefits of workplace safety and health. In an earlier survey, an overwhelming majority of executives believed that workplace safety had a positive impact on their companies’ financial performance. Many cited a return of investment of $3 for every $1 invested in workplace safety programs.

View safety as an investment in continuous improvement. An “investment” is a commitment to earn a financial return or gain future advantages. Safety programs correlate directly to the benefits of increased productivity and efficiency. For example, one container manufacturer reported a 20% increase in the number of boxes produced per day on an assembly line after an ergonomics consultant recommended operational changes to eliminate repetitive arm and shoulder injuries.

Combine leading and trailing indicators of safety performance. Leading indicators tell you about the future value or direction of performance. For example, your employee turnover rate can indicate future changes in productivity and/or injury rates. The number and frequency of near misses can help predict the risk of future accidents. Hours of employee safety training completed or the number of employees trained can indicate changes in productivity and safety. The number and/or frequency of completed inspections can indicate the level of compliance risk, integrity of equipment, and changes in productivity.

You can learn where you’ve been by using such trailing indicators as injury and illness reports, lost workdays, and Workers Compensation claims. Although trailing indicators can highlight past costs, they are inconsistent and often unreliable indicators of future performance.

Enhance employee involvement. It’s not effective just to tell employees what to do and judge them on how well they do it. Because they’re in the trenches, workers are more sensitive than managers to the integrity of safety and productivity data. For example, workers can see what’s really going on behind the statistics in injury and illness reports when management often can’t do so. Employee involvement should play a key role in effective safety performance evaluation.

HOW TO PLAN A SUCCESSFUL OPEN ENROLLMENT

By Employment Resources

The month of October usually marks the beginning of open enrollment for American workers who want benefits. This is the time of year when employees are able to join, change or drop their benefits. Recent research shows that 80% of workers feel that the workplace is the key source for savings products and personal insurance. American workers are enrolling in benefit plans for life insurance, long-term care insurance and disability coverage. The amount of workers signing up for life insurance is well over 75%. However, the number signing up for disability coverage isn’t much higher than 60%. The amount of workers signing up for Long-Term Care insurance is less than 25%.

One of the most important things people considering benefits should do is take the necessary time to do research and consider their options. These steps are necessary in order to make informed decisions. Workers who are considering enrolling in plans should speak to a qualified agent to discuss their options and which ones are best. It’s also important to talk to partners and family members about long-term financial needs prior to deciding on benefits. There are several online tools that are valuable for determining individual needs. Many consumers are balancing various priorities and expenses in the tough economy. However, investing time in considering benefits is a vital step in the right direction. Taking control of financial security in the future is an important part of life that every working person should take seriously. Although nearly every person is aware of the importance of selecting benefits, less than 75% of Americans proceed as far as enrollment.

It’s not surprising that employees spend large amounts of time focusing on health care benefits prior to enrolling. Since the cost of health care is constantly rising, this is an important factor. Although it is an important consideration, it’s also crucial for employees to pay attention to securing enough coverage to protect themselves from the impact of long-term care or disability in the future. Research shows that nearly 30% of employees entering the workforce today will be disabled before reaching retirement age. Employers are a vital part of helping employees understand their benefit options. They are also needed to help determine which products are best for each individual. Employers must take all necessary steps to ensure that their employees are properly informed before making such vital decisions.

Research shows that several communication methods are used for conveying choices to employees. Workplace emails take the lead as the top choice. Group meetings during work hours and regular mail are also popular choices of communication. These three mediums are also the most preferred among American employees in the workforce. It’s important for employers to evaluate their individual workplaces to determine which communication methods are best for their employees. It’s best to choose the best one in order to avoid overloading employees with information. If this happens, they’re less likely to realize the value of what they’re being offered.

PLAY SOCIAL SCIENTIST

By Your Employee Matters

I’ve coached many executives over the years. One of the questions I ask is whether they spend more time reading about other companies’ stories or creating experiments and stories of their own. More than half of the executives admit that they spend more time focusing on the outside than looking on the inside. To help executives, I encourage them to play social scientist.

  • Be a good observer. Step back and take a mile-high view of the environment. Look at the situation with fresh eyes. If you were a social scientist who walked into your company today, what would you observe about it? Simply being “present” in your situation is the best way to be an observer of it.
  • Conduct surveys. Social scientists love surveys. You can ask any question you want. Let your imagination be your guide. Consider creating a Survey Question of the Month all employees are required to answer. When this begins producing results, you might bump it up to two a month, or even one a week. Make sure that these surveys solicit ideas, as well as opinions.
  • Generate data. The next step is to translate your observations and survey results into data you can use. For example, what do your observations and survey results tell you are the 20% of critical factors that would generate 80% of the desired results? Usually this 20% consists of three things. What’s the data around it?
  • Run experiments to verify your data. Now that have some information, play with it. If employees tell you that what they want more than anything else are improved benefits, then dig deeper. Create experiments that compare the perceived value of improved benefits versus other equally attractive options.
  • Finally, publish your results. Educate your stakeholders on what you’ve learned and how using this valuable information can improve their career and the company. Of course, when you publish your results, you’ll be open to critical judgment, as well as praise and understanding. That’s what comes with sticking your neck out.

P.S. HR That Works Tools to consider using include a variety of employee surveys, HR department survey, benchmarking report, and tools.

ONLINE TIME

By Your Employee Matters

According to a Nielsen poll, here’s how Americans spend their time online:

Pie Chart

The chances are that when your employees access the Web at work, this is what they’re doing. The survey doesn’t break down the percentage of time in each of these categories that’s related to personal matters. However, you can assume that — unless you’ve encouraged or allowed your employees to go online for business purposes — most of their use is going to be personal.

As we discuss in the Social Media Training Module, this is a battleground in the workplace. Employees are demanding greater and greater freedom, flexibility, telecommuting, multitasking, etc. It’s how they were raised. Older managers who try to control this new workforce closely find themselves causing dissatisfaction and non-productivity in the process. They also have to consider that dissatisfaction can spread like wildfire through mobile devices and might be protected by the National Labor Relations Act and a variety of other laws.

Here’s the solution: Have a dialogue with your workforce about the use of the Web, social media, mobile devices, etc. Acknowledge that, although the workplace has changed, productivity remains the bottom line. This is another reason why the ability to benchmark performance results is more important than ever. Do you really care if employees spend half their day on their mobile devices, if during the other half of their day they meet or even exceed benchmarks? Although this might rub us the wrong way, is it really something that we should worry us? For example, I use a number of independent contractors through programs such as Elance. I don’t police any of them. I’m simply hiring them to produce results — which is exactly what you’re doing, or should be doing, with your employees. The question is, to what extent is that result clarified? To what degree can inappropriate use of mobile devices undermine activities that enhance your bottom line? Just as important, which employees are using mobile devices in a way that’s helping to grow your business? How can you learn from those employees?

As mentioned, the Social Media Training Module offers a one-hour webinar on this topic, as well as a shorter update video that explains NLRA constraints on social media use by employees. The personnel forms also include sample policies on the use of social media and mobile devices.