Corporate Fitness and Active Aging

Bethany Garrity

Recent Posts by Bethany Garrity:

What If: Health care providers worked together with exercise specialists to prescribe exercise?

Throughout 2015, we’ll be blogging about our dreams for corporate wellness, fitness, and aging well.  Some of the content will represent a gentle “poking fun” at the industry, but it’s all written to stimulate thought about what really could be if we put our heads together and started mapping out what’s really possible in the realm of individual wellbeing.  We hope you’ll join the conversation by commenting on the blogs, giving us additional ideas about which to write, and/or by finding us out on Twitter at #wellnesswhatif.

seniors_on_res_ballsYou’ve heard the saying, “it takes a village to raise a child”, right?  The idea is that a child needs a whole village worth of support an influence, and education, and diversity to be raised into a healthy and vibrant member of society.  If we look at individual wellbeing through a similar lens, I would say that it takes a team to help an individual be well. 

When I think about the generally poor health (admittedly, I tend to focus on physical health) for adults in the US, specifically preventable issues, I wonder how much is connected to adults simply not knowing how to choose better health and how much goes back to adults making unhealthy choices even though they know better.

Let’s face it, there are a lot of external players who influence an individual’s health.  I can’t get into all of those factors here, but I do want to focus on the potential for a better relationship between health care providers and exercise specialists.  What follows are some of the historical challenges as well as some what if ideas for working better together to take a team approach on individual wellbeing.

When I was working in corporate fitness several years ago, it wasn’t uncommon for me start talking with a new member about her goals for exercise and learn that she came to see me because their physician recommended she start exercising.  In further conversation, I would learn that either the doctor provided no guidance on how often, how much, what intensity of exercise would be best, or (sometimes worse) the physician would have provided recommendations that were not practical for the individual.

It was always so helpful, when working with individuals who had a complicated health history, to get a physician recommendation that took into account that complex health picture.  With more information from the doctor, I was able to write a more effective exercise prescription.  But more often than not, the physician is hurried and filling out one more form isn’t top on their list, so I’d get an almost blank form returned with little more than their signature.

          What if physicians had more time for discussion with patients about preventive health?

I think at least some of the barrier, though I’ve never heard anyone actually articulate this, is the image of the personal trainer.  The certifications available for personal trainers are many and varied in terms of their rigor and it leaves a lot of question about credentials.  Licensure has been debated for years in the industry and although the discussion varies by state (currently Louisiana is the only state with licensure requirements for clinical exercise physiologists), I think the reason licensure is even on the table is because the disparity among requirements for certification is so widely varied, it’s tough for even a well-educated individual to get to the bottom of what “certified personal trainer” really means.

What if all certifications had to meet a specific standard that raised the bar for education and experience?

The American College of Sports Medicine released an Exercise Is Medicine campaign years ago with the goal to have physicians make regular exercise a part of their recommendations for practitioners to their patients.  The program includes guidelines for health care providers as well as for exercise specialists to interact in the best interest of the public.  While some progress has been made on the partnership between the medical community and exercise professionals, there is much work to be done to bridge that professional relationship for the improved outcomes of the patients.

 What if health insurance supported visits with a certified exercise specialists as part of a prescription for better health? (Not unlike counseling from a registered dietitian accompanies a diagnosis of diabetes.)

 
What if general practitioner offices hired exercise physiologists to counsel patients right in their offices?
 
What if medical training provided some insight into exercise prescription and curriculum for exercise physiologists provided insight into what the doctor has to accomplish with a patient in an office visit?

We have a long way to go to build a strong village that contributes positively to individual’s health and this health care + exercise practitioner discussion is only one portion of that village.  What other areas are you passionate about?  Where do we need to build a better village to help individuals make healthier choices?

 

 

Topics: wellness exercise and health what if

Senior Living: Fitness Center Design for Current and Future Residents

father_daughterSeveral months ago, my parents were prospects in the market to relocate to a continuing care retirement community (CCRC) from their 4.5-acre home of almost 20 years. There were a variety of reasons for them making this move consideration, but age and ill health weren’t on that list. 

My parents (at the time of writing) are both 72 years old and in quite good health. My mom walks up to an hour with friends most days of the week; she’s done that for as long as I can remember. My dad is an avid exerciser and he’s the reason I’m a runner today. He gets significant cardiovascular exercise for more than an hour four to five days per week, along with rigorous strength training at least three days per week in his home gym. They are both very active in their community and in the extensive gardens and rich woods on their property.

They aren’t frail, and they don’t fit into the more typical average age of 80+ in most CCRCs. 

Checking Out a Community with My Parents

So when they started shopping and had narrowed down their list to a primary community that held their interest, they asked my family to join them for a tour. We walked through the community center building and got a great look into the typical areas including the bistro, the formal dining room, the library, the craft areas, and the fitness areas. 

After we left the community, and 100% without my prompting, my dad asked me why their fitness center had “all of that strength equipment for old people” in it. Those were his words, not mine. This comes from a man who has never belonged to a gym, who has exercised in his basement with modest equipment for decades, and who doesn’t bear an ounce of pretension. Yet he very quickly identified the “old people” equipment in his community’s fitness center.

Senior living community operators are in a tight spot when they try to cater to current residents but build space, programming, and services that they hope will appeal to future residents. The fitness center tour and post-tour discussion with my dad is no exception, and it’s exactly the reason that any operator engaging in a fitness center build—whether as part of brand new construction or as a positioning project—needs to thoughtfully and carefully establish their fitness center layout.

Design of the space and the equipment you select matters. Both elements can profoundly impact the residents’ experience in the space. And when your community is continually battling someday syndrome as a barrier to getting prospects to make the move, how you outfit the fitness center can also be a factor.

CCRC Fitness Center Equipment and Design Considerations

Here are a few things to think about with respect to senior living fitness center design and equipment that engages current residents and attracts future prospects: 

  • Create your group fitness studio and your fitness center as distinctly separate spaces. We see a lot of first-draft designs come with an accordion or partition wall between the two rooms. There is no actual utility for that design; and in fact, it may limit how both rooms can be used. 
  • Build size for the future. If your community is poised for a phase two or three that adds residential units and creates more potential fitness center members, build the initial fitness spaces for growth. 
  • Lay out the equipment with accessibility in mind. Put the equipment most likely to be used by your most frail residents nearest to your main entrance so that it is easy to access. 
  • Create clear sight lines for the fitness management staff. Design the spaces so that staff will have the greatest visibility possible for all areas. Part of the reason for having staff managing your fitness program is for participant safety. It’s tough to keep people safe when you can’t see them exercising.
  • Choose equipment that is built with an older adult in mind, but that doesn’t scream “old.” While there is currently a gap in the marketplace for a complete line of strength and cardio equipment well suited for this audience, that doesn’t mean you can’t buy beautiful and functional equipment that will work well both now and in the future. Contact me to get an operator’s perspective on the equipment that’s available

No doubt you have a lot to consider with a fitness center design project. If you’re a visual learner like me, you might get some inspiration from looking at a few of the projects we’ve been privileged to support.

Click on the button below to download a sample of our work!

Fitness Center Design

Topics: CCRC senior fitness management CCRC fitness center senior living communities fitness center for seniors nifs fitness center management senior wellness consulting

What if: Occupancy and budget were not obstacles & you could focus on improving resident lifestyles?

Throughout 2015, we’ll be blogging about our dreams for corporate wellness, fitness, and aging well.  Some of the content will represent a gentle “poking fun” at the industry, but it’s all written to stimulate thought about what really could be if we put our heads together and started mapping out what’s really possible in the realm of individual wellbeing.  We hope you’ll join the conversation by commenting on the blogs, giving us additional ideas about which to write, and/or by finding us out on Twitter at #wellnesswhatif.

seniorlivingwomentalkingWe do a lot of wellness consulting in senior living, and by “wellness”, I mean non-clinical, lifestyle-focused consulting.  For many of our clients, that consulting relationship involves a thorough review of their “activities” department; in other cases, it’s focused more on what’s happening with their exercise program.  Regardless of the original area of focus, we always arrive at the same point – building a strategy that allows the community to shift from filling a calendar toward supporting resident purpose and passion.

Often, when I talk with a client who thinks he’s interested in having us come onsite to consult, there’s a heavy discussion about cost.  And while I certainly understand a business’s sensitivity toward expenses, I often wonder:  If budget (and occupancy – the two are inextricably linked) was no obstacle, what would you be expecting from your activities department?

Leadership in senior living communities have a lot to focus on, and it makes sense that activities might not rank near the top.  In fact, it’s common for that department to be well-liked by residents and to be well rated on satisfaction surveys.  So no pain point exists because there doesn’t appear to be an issue.  The challenge with continuing to look the other way is two-fold:

  1. Your current residents may not realize what’s possible, so putting your faith in them to be your barometer for when something needs to change is ill-placed.  That is particularly true with activities because that area of your community traditionally bears out the 80/20 rule where 20% of your residents engage in 80% of the activities.  You are likely supporting the interests of a vocal minority in your community.  And the question becomes: What is your activities department developing to meet the needs and interests of the less-engaged majority? 
  2. The adult child knows better.  They are not content with bingo, cards, and trips to the theatre, and they won’t be fooled by a full calendar that lacks opportunities for them to live out passions, dreams, and purpose. 

If you think your programming is top notch and you perhaps just have an engagement challenge, take a look at our slideshare on how to get your residents to engage.

Get our Slideshare: Improve Resident Engagment

Maybe you know wellness is an important differentiator for your community, but you really feel compelled to nail down a more favorable and consistent occupancy rate before you begin fine tuning programming and other lighter elements at your community.  I can see why you’d adopt that philosophy, but before you stake your claim there, consider reading this blog on how and why wellness is an important differentiator for any community.

Think also about the long term investment of putting in some money up front on wellness consulting that breathes new life into your campus and creates a new outlook on how activities are developed and delivered.  It’s a chicken and egg debate but if a $5,000 investment could be an important step toward solidifying occupancy and thus improving your budget outlook, would that $5,000 be worth it?

Here’s our picture of what it means to do wellness better in senior living:

  • When you do wellness better, you have data your marketing and sales staff can work with to back up their stories with prospects about how fantastic it is to live well at your community. 
  • When you do wellness better, you have more diverse, robust, and life-enriching programming on your calendar that appeals to a wide audience. 
  • When you do wellness better in your community, you create natural bridges across departments for collaborative programming so that one over-worked activities director doesn’t have to do it all. 
  • When you do wellness better you understand individual resident passions and interests and incorporate those at the personal and program level to ensure opportunities where you residents can live with vitality in the ways that are true for them. 
  • When you do wellness better, you do so much more than fill a calendar.  You map out a program and service strategy, informed by data, resident interests, and past successes.

If you think your community may be falling short in one or more of those areas, check out what we have to offer in the way consulting to help you do wellness better.

Are you ready to do wellness better? Learn more about wellness consulting.

Topics: senior wellness senior living senior living community wellness consulting what if resident wellbeing senior wellness consulting

How to Evaluate the Quality of Your Resident Wellness Program

In this blog, I want to run through a handful of questions that often come up when I have an initial call with a possible client who is interested in doing wellness better at their senior living community. But before I get too far into that information, I thought I should start by offering my definition of wellness so that we’re all on the same page for that terminology. 

When I say wellness, I’m talking about multidimensional, active programming that can span the continuum and that fosters maximal participation throughout the community. It is not just fitness, or activities, or dining, or chaplain-based services, and it certainly isn’t clinic-based or born from a healthcare model. Wellness incorporates a very broad range of program and event types, and it’s built to provide purpose for the participant.

The other element to defining wellness that might be confusing is the distinction I make between wellness and activities. It is my opinion that building a true resident wellness program requires more than simply renaming your traditional activities program. You’ll need to consider existing personnel in your community and whether/how they can collaborate for improved offerings under a different strategy. You will also need to formulate a plan around changing how programs are developed, executed, and evaluated. 

So with that context established, let’s get on to the questions and answers that you can use to benchmark where you are now with resident wellness and how to do wellness better. 

Do you have dedicated staff who plan and execute a variety of activities for residents in the community?

In many communities, it’s common to hear that there is a resident wellness program, when in reality there’s an activities program, a fitness program, chaplain services, etc., all functioning in their own silos with limited collaboration. 

For your wellness program to truly be robust, you need to have a leader at the helm of program/event development. There are a lot of ways to do this; sometimes it’s the activity director who assumes this role; and in other cases, this position is given to the fitness coordinator or social worker. You want to make sure you’re tapping the right person who can effectively lead a team, who has strong capacity for strategic thinking and collaboration, and who has a better-than-high-school understanding of human health. 

Do you have dedicated fitness personnel who manage your exercise programming?

Even in 2015, the fitness “room” (if you will) still comes in all shapes and sizes. It is consistent to see some space dedicated to exercise equipment within most communities, and typically group exercise classes are held in other areas of the building. Pools are still very hit-or-miss in established senior living communities. 

Best-in-class services for your residents demand a dedicated fitness professional (or team, depending on the size of your community and the desired scope of services) who can manage the exercise program for your community. That individual should have at least a bachelor’s degree in a health-related field with strong expertise in prescribing exercise for seniors. He or she should also be quite skilled at teaching a variety of basic group exercise classes. And that fitness manager absolutely needs an outgoing, approachable personality to go along with the technical expertise.

In most cases, we see a hodgepodge of group fitness instructors and personal trainers floating in and out of the community to support exercise activities for residents. While this approach will allow you to have some staff support in your exercise room as well as maintain your class schedule, you are failing to build a strong service that includes 1:1 attention for the residents as well as community-wide programming and data that can inform how the exercise program should evolve. 

activeaagingWhat percentage of your community events/program are active (up, moving, interacting with others, learning, growing, doing) as compared to passive (sit-and-listen)?

Just because the residents are retired from their careers does not mean that they are retired from life. Providing opportunities for participants to learn new things, meet new people, discuss new concepts, and see new places builds a purpose-oriented lifestyle in your community. If more than 50% of your activities calendar includes routine programs like cards and sit-and-listen offerings, it’s time to take a fresh look at how you can build more person-centered offerings on a regular basis.

What percentage of your residents participate in the activities offered at your community?

In most cases, activities for senior living fall into the Pareto principle, where 20% of the residents are engaging in 80% of the activities. Often, we see this phenomenon in place because your activities and events planners have slipped into an order-taker role. Their ears are tuned to the vocal minority and they fill the calendar with ideas offered by the residents who are already participating. To get out of this order-taking mode and to start moving toward programming that attracts more than the same 20% who have been participating for years, you’ll have to try something different with your team and your expectations. This is where a strategic, multidisciplinary plan steps in.

How is programming developed and executed at your community?

When I talked about personnel in one of the earlier questions, I mentioned the individuals working in silos so that events happen independent of each other throughout the community. A more strategic approach to programming is warranted if communities are committed to engaging more residents in lifestyle on their campuses and appearing more attractive to hesitant consumers. This type of practice requires planning activities well in advance with input from a team of experts. It requires thinking that moves away from the one-and-done offerings and toward layered, multidimensional, inviting programs that have the members talking, connecting, participating, and learning. 

It also requires a thoughtful approach to gathering data for the programs. Each offering should be created with an intended purpose that is measurable. Program plans should be built with that goal in mind, and tactics designed to help achieve that goal should be identified. When the program is complete, the team should evaluate whether and how they achieved their goal, as well as identify what they learned in the process that can be used for more effective programming in the future.  

So, now that you’ve finished all the questions and answers, where does your community stand? If you’re ready to do wellness better, we have some tools that might be helpful. See the list below for those additional resources:

Not sure how to start evaluating your resident wellness program?  Contact us below.

Contact Us >

 

Topics: senior wellness programs corporate wellness staffing program planning nifs fitness center management

How NIFS Staff Spend Their Time In Senior Living Fitness Centers

4399_KF_3163

We are often asked by prospective senior living clients how NIFS staff spend their time in senior living fitness centers mangaging the fitness program. Using our monthly report data and through some Q&A with our staff, we pulled together the data below. The information is based on several client settings where we provide one full-time employee to manage the client’s fitness program.

IL Occupancy

# of Group Fitness Classes/Week

Hrs of Group Fitness Class Instruction/Week

Exercise Prescriptions/Month

Senior Fitness Test/Month

Other Appts/Month 

328

13

7.5

64

2

87

158

8

4

8

3

62

307

10

5

5

50

39

268

17

10.5

17

4

39

493

8

5.5

11

5

71

265

5

4

58

0

41

260

8

6

9

23

87

238

5

2.5

54

2

14

Average

9.25

5.5hrs

28

11

55

The following points of clarification provide more information about this data:

This data set does not include the one to two additional classes per week that many of our staff are teaching in AL/health center environments. That could easily represent an additional one to two hours each week excluded from the time outline above.

We don’t typically recommend classes that are longer than 45 minutes for this audience, both from an endurance standpoint (for some) and from the perspective that the lifestyle calendar is typically really full and we don’t need to take up more time than necessary when members have many other things to be doing. We want exercise to be as attractive and as easy to fit in as possible, and it’s quite appropriate to expect a solid, effective workout from a 30-minute class.  

At most of these locations, there is at least one outside instructor teaching a specialty format class like Zumba Gold, tai chi, etc. These above figures represent what our staff teach as part of their 40-hour work week.  

Here’s how the math breaks down on hours per week for all of the services above for NIFS fitness management (as averages):

  • 5.5 hours per week teaching.
  • 28 exercise prescriptions per month = 7 per week at 90 minutes per appointment = 10.5 hours per week.
  • 11 fitness tests per month = 2.75 per week at 60 minutes per appointment = 2.75 hours per week.
  • 55 other appointments per month (orientations, blood pressure checks, etc.) = 14 per week at 15 minutes per appointment = 3.5 hours per week.
  • Roughly 20 to 25 hours per week spent directly providing these kinds of services, allowing another 15 to 20 hours per week for program development, recreational activities like Wii Bowling, coordination/collaboration with other departments, meetings, and reporting or other administrative tasks.

How does this compare to what your fitness staff is doing? Maybe your senior fitness program could use a boost in productivity to draw in more residents. 

If you’re in that place where you’re trying to decide whether it’s beneficial to staff your fitness program with a full-time employee, consider watching our staffing webinar by clicking below. 

10 Benefits to Adding Quality Staff Webinar

 

Topics: senior living communities productivity senior living fitness center nifs fitness managment CCRC Programs and Services

What If: Your Corporate Fitness Center Was Free of Intimidation?

Throughout 2015, we’ll be blogging about our dreams for corporate wellness, fitness, and aging well. Some of the content will represent a gentle “poking fun” at the industry, but it’s all written to stimulate thought about what really could be if we put our heads together and started mapping out what’s really possible in the realm of individual wellbeing. We hope you’ll join the conversation by commenting on the blogs, giving us additional ideas about which to write, or by finding us out on Twitter at #wellnesswhatif.

To build this “What If” series of blogs, I polled our staff about their desires and dreams for their members and clients, and I have to admit, I was a little surprised that so many of our staff gave me feedback about building a corporate fitness center that their members could visit without guilt and intimidation. Apparently corporate shaming is still alive and well, and we as health and fitness professionals have a long way to go toward building member confidence in the fitness center.

So for this blog I’m going to run through the things that lead to perceptions of guilt as well as what we can do to build corporate environments that support the individual who takes care of his health. I’ll also be breaking down that intimidation factor to look at ways we can provide better support to our less confident members.

stern_bossManagement Doesn’t Support Staff Taking Their Break Time to Work Out

Somehow, we still have managers who think that butts in the seats all day long is the best way to get employees to be productive. Science would tell us otherwise, and I offered three different studies on this very topic in an earlier blog (3 Reasons to Add a Corporate Fitness Center to Your Wellness Program).

I understand there are quotas to be met, and I’m not saying companies should throw those to the wind. Absolutely, the business runs on meeting those goals, and no, the goals can’t be met when employees are working out and not working. But there’s a break point, for all of us (yes, even for you), where we start to lose focus and where we no longer do our best work. The managers who are still looking down their noses at employees who need an activity break should ask themselves which employee is a more effective partner in reaching the quota:

  • An employee who stays put and decreases in effectiveness throughout the course of the day, or
  • The employee who takes the company-allowed break to clear his head while lifting weights or walking on the treadmill and returns to his seat refreshed and ready to continue working?

Businesses have very little policy in place on how an employee uses a designated lunch or other break time, so why would management offer disdain for the employee who chooses to take a group fitness class at lunch?

And here’s the other consequence of unsupportive management: Not only do employees feel guilty for using their time (yes, it’s their time) that way, but they realize that maintaining good health is not important to their boss. Thus it becomes increasingly difficult for the employee to keep that as a personal and professional priority.

So how do we turn this cultural challenge around? I wish I had all the right answers. But I think the fixes for this situation are as unique as the client environment, and your ability to nudge this kind of change requires creativity and tremendous amounts of persistence. Cultural change is indeed slow, and very hard. But when an organization figures out its priorities for the business, and they include supporting wellbeing for the employees, you have a lot of opportunity to creatively help individuals move more.

We worked hard in one client setting with a high percentage of call-center employees to turn around middle management’s image that the employees absolutely and without exception HAD to be on the phones. Through a program that, ironically, was not based in their corporate fitness center, we were able to help employees get up and moving on a more regular basis. In fact, in the first four months of this program, 33 percent more participants reported walking at work at least five times per week. We had such fantastic results with this program, we wrote an eBook about it called The Cure for Sitting Disease.

Employees Who Most Need to Use the Corporate Fitness Center Are Often the Most Intimidated by It

This intimidation issue is at the heart of what NIFS does. We’re a fitness center management organization that specializes in placing amazing staff in our clients’ corporate fitness centers to run the operation. The first step to breaking down a barrier of intimidation is having the right people on board to assist any of your employees. Your fitness staff needs to possess a unique blend of compassion and desire to work with everyone, along with technical expertise for prescribing and teaching exercise.

Why You Might Be Wrong About Outsourcing Fitness Center Management

 

And then, with the right motivated fitness specialists in your fitness center, you can start to build programs that work. Personal Fitness Quest is a positive example of such a program opportunity geared toward individual members who need the most support. We call it our alternative to personal training, and it continues to be one of the most popular offerings we have across our client sites. Skeletone is another successful program, though unlike Personal Fitness Quest, it’s geared more toward the whole membership audience as we set up stepwise inspiration for them to be more active in the fitness center. For the duration of this program, we increased monthly visits by 23 percent over the previous month and saw a whopping 40 percent increase in active members who attended the fitness center at least eight times or more compared with the preceding month.

Another strategy for overcoming the intimidation issue is to understand it better, and surveys can be a helpful information-gathering tool for this purpose. Sometimes, members will simply offer their feedback, but you probably have a whole crew of employees who haven’t come through the doors in a while (some of whom stay away because they feel intimidated) and who aren’t likely to walk right in offering why they’ve stayed clear of the fitness center. Surveys—when used carefully—can be a great tool for continuous feedback about areas for improvement.

Guilt and intimidation aren’t easy issues to tackle, but they clearly get in the way of employees’ success with exercising regularly at work. What have you tried with success at your office to break down these typical barriers? I’d love to hear about your experiences with these concepts (personally and professionally) because we can all learn and do better with dialog that is truthful and solution-based.

Topics: corporate wellness corporate fitness centers productivity what if

75 year old resident with Parkinson's steps up to the challenge

This is the story of a man, who by all accounts, has received a challenging diagnosis, and who, by any standards, could have slowed down years ago.  But he hasn't, and instead, he's overcoming his health challenges to help patients at Lurie's Children's hospital through the Aon Step Up For Kids fundraiser.

Larry Pirovano, a resident at The Clare, in downtown Chicago has been working with his NIFS personal trainer, Zach DeCoster to accomplish the stair climb challenge that required more than 1,600 steps.  We've got his amazing stats below as well as a video from a local NBC affilate who profiled his inspiring story.

  • On January 25, 2015, Larry and Zach climbed 80 flights of stairs in the Aon Center in 50 minutes and 15 seconds.  
  • Larry placed 2nd in his age bracket.
  • He raise the most money of all individual participants and was 16th in total fundraising including all teams and individuals.

 stepping_up

Topics: active aging senior living communities personal trainers

What If: We Did Corporate Wellness FOR Our Employees, Not TO Them?

Throughout 2015, we’ll be blogging about our dreams for corporate wellness, fitness, and aging well. Some of the content will represent a gentle “poking fun” at the industry, but it’s all written to stimulate thought about what really could be if we put our heads together and started mapping out what’s possible in the realm of individual wellbeing. We hope you’ll join the conversation by commenting on the blogs, giving us additional ideas about what to write about, or by finding us on Twitter at #wellnesswhatif.

There is a growing swell of chatter online these days about where corporate wellness is headed. Outcomes-based programs seem to be the flavor of the day regardless of the profound lack of data about their effectiveness. Similarly, the battle of numbers continues between those who promote data about the effectiveness of wellness that is, at best, questionable, and those who strongly object to that potentially flawed data.

Underneath all of the banter is a concept, originally put forward by Al Lewis in his book, Cracking Health Care Costs, that wellness should be something done FOR employees, not TO them. I’m not going to be coy about this—we sit squarely on the side of doing wellness FOR employees. What follows are (1) my observations about common corporate wellness program elements done TO employees, along with (2) what if ideas that speak to our continued quest toward wellness that is FOR employees.

Health Risk Assessments

I have never been a fan of the much-praised Health Risk Assessment (HRA) for a variety of reasons, not the least of which is that the survey tool is one of many done TO the employee. There is very little personal and intrinsic value for the employee when he fills out an intrusive online survey. Sure, employers tack on financial incentives for the employee who follows their rules—and sometimes the incentive is substantial. But there isn’t really any answer for the employee’s question, “How will this help me change my health?” because an online survey (and the results) don’t move any health needle for any sustained amount of time.

What’s worse is that in some cases, flawed HRA recommendations are pointing employees toward unnecessary follow-up medical care that is in direct conflict with U.S. Preventive Services Task Force recommendations. And let’s not discount the harmful effects of employers hacking off their employees by doing what feels like invasive questioning about personal issues, only to leave employees with yet another reminder about their likely substandard health.

Does an employer really need aggregate HRA data to learn that their employees are representative of the adult U.S. population with high rates of overweight and obesity, risk for diabetes, and heart disease, and lack of physical activity? How much did it cost the employer to administer an HRA that provided an employee health profile that was already understood?

Biometric Screenings

And then there’s the bloodletting (oops, I mean screenings). I won’t belabor the issue here because the challenges with finger stick/venipuncture screenings are much the same as what I outlined with the HRA above. When was the last time employees walked away from their screening session feeling enhanced loyalty to the employer—as if the employer was genuinely interested in their health and had their back on taking whatever steps were necessary to improve their health? (If you have that warm-and-fuzzy story, I’d love to hear it.)

The Carrot (or the Stick, Depending on Your Perspective)

carrotstick

Incentives come in carrot and stick varieties, and really, it’s just two sides of the same coin. Whether the employer is offering an incentive or a disincentive is a matter of which side of the message you’re standing on. Frankly, there is little evidence to indicate that financially prodding employees leads to any sustained behavior change. But you don’t have to take my word on this; check out this joint position paper published as a partnership among the American Cancer Society, the American Diabetes Association, and the American Heart Association. And yet, employers put piles of cash into these financial offerings.

All of these tools—if truly helpful to the employer such that they must stay in the corporate wellness toolkit—could be repackaged so as to be an actual benefit to the employee. The employer would need to send a message that clearly indicated a desire to help the individual employee improve his health, and then they would need to back that up by putting their money, policies, environment, and productivity expectations where their mouth is.

The Alternatives

In my opinion, the current wellness program pillars outlined above are flawed—very flawed. So how do we get back to this idea that wellness should be done FOR employees, not TO them? Our staff, largely practitioners through managing corporate fitness centers, took a moment to dream about the possibilities for shifting the current wellness paradigm to one that might actually support and inspire individual health. Here are some of our what ifs:

  • What if the five-minute walk break throughout the day was supported, encouraged, team-driven, even required? We’ve been beaten about the head with the research that shows the harmful effects of sitting. But now, new research from Indiana University has demonstrated that walking as little as five minutes on three different occasions during a three-hour sitting period can reverse some of the harmful effects of prolonged sitting.
  • What if there were no unhealthy options available in your vending machine or cafeteria? Is this the pendulum swinging too far in the other direction? Most of the clients we work with have shifted to healthful subsidized options with unhealthy choices at full cost. I can’t think of a client who has made a 100% change in their worksite food/snack option, though.
  • What if management at ALL levels in the organization supported employees working out during the day? There are a lot of corporate policies that keep employees in their seats, and even for those with more flexible schedules, there is a pervasive management message that work comes first and there is not time for a workout, a walk, a mental health break, etc.
  • What if paid-time-off policies provided bonus time off based on the number of minutes an employee spends exercising in the company fitness center? In a similar vein, what if employees who choose to spend their 30-minute lunch break exercising could be given another 30 minutes to still eat lunch, away from their desk? (Gasp…compensated workout time!)

None of these ideas is a complete pie-in-the-sky kind of concept. And just like outcomes-based wellness programs, none of these ideas has been tested for long-term effectiveness (or harm), validated, or assigned an ROI that means anything. They do, however, require a shift in workplace policy, and they require fresh thinking about how organizational wellness money is allocated. These what ifs fit squarely into the “doing FOR employees” camp, and I’m sure there are many more ideas like this out there. Comment below on your own “FOR employees” what ifs or share your successes with these and other ideas. 

Like what you just read? Subscribe to our blog.

Topics: corporate wellness employee health corporate fitness employee wellness exercise in the workplace corporate wellness success what if

Senior Living Activities: Bring the Putting Green Indoors

If you follow our blog, you know we like to post about the cool stuff our fitness management staff are doing for the members at our client locations.  For example, in this blog, we talked about some popular National Senior Health and Fitness Day activities that were a huge hit in one senior living community.  In fact, we've dedicated an entire series to some of our active aging staff best practice programs and services.  

This blog post fits right in with our practice of sharing the programming love.  

Our manager saw a need to bring the golf course to residents who were no longer comfortable going to the local course for a round of golf.  On a tight budget, she creatively used mostly pool noodles to build a course in the multipurpose room.

Check out the pictures below to see how she brought the putting green indoors.  

The Course

NIFS manager, Lindsay Knox, laid out a collection of pool noodes to create an indoor mini-golf course at the community.  She marked each hole, gave the residents score cards, and set them out to putt away.

senior living indoor putting course\

The Residents In Action

In the picture below, you can see some of the obstacles set up in various holes.  The residents who participated were thrilled with Lindsay's creativity (and so were we!).  

residents on indoor putting course

 

For more great ideas from NIFS that you can bring to the lifestyle programming at your community, subscribe to our best practice campaign.

New Call-to-Action

Topics: active aging best practices nifs best practices

Adding group fitness classes to your corporate wellness menu

Lack of time and lack of access are two key reasons that adults report when asked why they don’t get enough exercise.  You can put a stop to those excuses when you offer group exercise classes at work. While this is a fairly simple service to get started, there are some important steps you want to take to ensure you have a successful and safe group class program for your workforce.  Ask yourself the questions below and you’ll be on your way to providing a valued and well-attended wellness offering.

What space do we have available?

NIFS corporate group fitness classes.jpgMost businesses have some kind of space available to host a group fitness class.  You don’t have to have dedicated group exercise space with a suspended hard wood floor to get started.   An open conference room can work at your site for both mid-day and after work classes.

Take a look at the space you have to run classes and make some choices based on what you have available. For example, a smaller space might better accommodate a mind/body class like pilates or yoga.  A larger room might make it possible to have a cardio-focused or high movement class like cardio kickboxing or bootcamp.  Keep in mind that many class formats can be done with little to no equipment.

What am I willing to spend?

While providing group exercise classes onsite won’t be your most expensive wellness initiative, it does require some financial resources.  How you spend those resources is up to you.  Consider the list below:

  • While many class formats can be taught with little to no equipment, you may want to invest in some basics to broaden the offerings available for your employees.   For less than $500, you can purchase some stability balls, exercise tubing, a small stereo, and a few exercise mats.  Remember that those supplies will occasionally need to be replaced, so plan for some annual supply costs.
  • Group exercise instructor fees also need to be considered.  We see these costs handled in one of three ways:  (1) the employees pay the instructor, (2) the employer and the participants share the cost, or (3) the employer pays the full cost of the instructor.  Wages will vary by class format and by geography. 

What do my employees want?

Finding out the most popular choices among your workforce can be as simple as offering a quick survey. Consider asking about the following:

  • Preferred time(s) of day
  • Preferred day(s) of the week
  • Preferred format(s)
  • Willingness to pay a small fee (and how much)

We also suggest that you start small by testing the waters with short sessions.  Popularity for specific instructors, formats, and times of day will give you a clear indication what will work for your site. Once you’ve determined a pattern, you can begin to grow your program. 

Lastly, make sure you’ve covered all your legal bases with your risk/legal team before you begin.

NIFS does all this and more for our corporate clients.  We're providing group exercise classes for businesses of all types throughout Indianapolis, so if you want to work with a professional team who has more than two decades of experience and more than 100 instructors ready to teach, connect with us today to find out more.  

Contact Us >

Topics: corporate wellness