Corporate Fitness and Active Aging

Physical Activity and Exercise Help Seniors Stay Independent

senior exercisePhysical activity and exercise are two different terms that have similar concepts. Physical activity such as gardening, walking the dog, mowing the lawn, shopping, and taking the stairs gets your body moving. Exercise is a form of physical activity that is specifically planned, structured, and repetitive, such as strength training, yoga, or aerobics class. Both physical activity and exercise are great for seniors to keep up the daily activities they enjoy.

Is Your Physical Activity Decreasing?

It is common that the amount of physical activity we perform declines as we age. For instance, how many times have you heard, seen, or even said the following:

  • “I just can’t shop at the mall like I used to. It just seems so big!”
  • “Let’s take the elevator; the stairs are too strenuous for me now.”
  • “I hired the neighbor to mow my lawn once a week; it is just too difficult for me anymore.”
  • “My daughter comes over to help me with my housecleaning once a week; it has just gotten too difficult for me to do everything.”
  • “I gave up gardening; it just got to be too much.”

These phrases are all examples of common physical activity that may decrease in volume with age. Does any of these phrases sound familiar to you or maybe a family member or friend? If so, and you do not feel that you are getting enough physical activity in your life; it is beneficial, if not critical, for you to start an exercise program.

It’s Never Too Late to Start an Exercise Program

Good news! Exercise programs can be modified and designed to fit the needs of everyone, no matter the age, ability, or level, and it is never too late to start. So whether or not your physical activity level has decreased, there is always an exercise program out there for you! More good news! Once you start an exercise program, some of those physical activities that were “too much” before may be worked back into your life!

Check out these tips from the American College of Sports Medicine, “Starting a New Exercise Program and Sticking With It.”

Staying physically active and starting an exercise program can improve your balance, help manage and prevent disease, help reduce feelings of depression and improve overall well-being, and improve your ability to do things you want to do!

Do you feel like your amount of physical activity has declined? If so, what have you done to stay active? Maybe it is time to start an exercise program today!

Topics: exercise active aging disease prevention balance senior fitness physical activity

Corporate Fitness: Free Workout Friday - Training Ropes

free workout fridayYou walk into your weekly boot camp class, see this big rope on the floor and start to panic. You might be thinking what on earth are we going to do with this big rope that almost weighs more than I do? Originally designed for contact sports like football, training ropes are becoming more popular and visible in fitness facilities. Ropes aren’t just for the fit & strong. I think it’s an excellent way to add some variety and increase muscle endurance.

Rope workouts can be done anywhere. You can even go to a hardware store and purchase a large sturdy rope to put around a tree in your back yard, or something strong enough to handle the waves from the rope.

If you concentrate on contracting your abdominals, you can get a “hard core” workout while getting your heart rate up as well. Perform 2-3 sets of 30 second intervals, on for 30 seconds then rest for 30 seconds. Be sure to use your entire body (lower, upper, & core) during all exercises.  Check out our video for demonstrations of the following exercises:

  • Double Arm Slam
  • Alternating Arm Slam
  • Power Slam
  • Oblique Twist (change grip)
  • Arm Circles (both directions)
  • Rope Jacks
  • Plank Slams (using both arms)

You could even use the rope for line jumps to finish off your workout!

“Must-Do” Responsibilities for Retirement Community Fitness Managers

senior fitnessIf you have residents who want to use the fitness center at your community but aren’t sure how to get started safely, you may have given some thought to adding a fitness center manager who can provide that individual attention for your residents. Perhaps you’re unsure about where to start looking for your fitness center manager and what types of things they should be doing while they’re on the job. Read on to learn about four key job responsibilities we think your fitness center manager should be executing often and well.

Providing Value-Add Services to the Members

The whole idea of providing consistent staffing in the fitness center is to get more residents to use the amenity along with other services to live well, right? Consider these types of opportunities to communicate value to your residents:

  • Equipment orientation: There’s a good chance you have residents who have never used a treadmill, a NuStep, or other fitness equipment before. They need at least a basic overview of how each piece works to grow confidence in using the equipment. In truth, NIFS views the orientation as a required piece to “join” the fitness center—it's one of several elements in our risk-management protocol. To read more on how to manage you community’s liability related to your fitness center, download our whitepaper: Managing Your CCRC Fitness Center Liability.
  • Senior fitness assessment: This testing tool is an important opportunity to get some baseline data on the level of fitness for a resident. Starting with an assessment before moving into writing an exercise prescription (described below) is a good way to truly customize the exercise program and assess the resident’s progress over time. This assessment data can also offer compelling messages for your marketing and sales staff on how effective your community’s exercise program is for residents.
  • Exercise prescription: After a resident has gone through the equipment orientation and (ideally) a senior fitness assessment, they can move into an exercise prescription appointment with the manager. In this service, the manager works with the resident to create an exercise plan that is tailored to meet the resident’s needs and goals. The manager then walks the resident through the program on a few different visits to increase the resident’s understanding and confidence about having success with the exercise program.

Protecting the Residents’ Safety and Managing the Community’s Liability

Your fitness manager can take several steps to advocate for resident safety while also decreasing your liability. Implementing a membership process for your fitness center is one of those steps. Consider the following elements.

  • Waiver/release of liability: A handful of states do not recognize waivers/releases of liability, and the language in them is really critical where they are recognized for protecting your community. You should work carefully with your counsel to draft an appropriate release for your circumstances.
  • Health history questionnaire: The fitness manager can initiate a dialogue with residents about the impact of an exercise program on their wellbeing when he or she has a basic health history from residents. In truth, it’s challenging (at best) and possibly negligent for a fitness manager to prescribe any type of specific exercises to a participant, or assess a resident’s fitness level, without the health history information.
  • Medical release: For the active aging population, involving an individual’s medical provider (physician, nurse practitioner, physician assistant, etc.) in the process of developing an exercise program is crucial. In almost all cases where an individual has a complicated medical history involving past surgeries, current medications, and so on, a well-trained fitness manager will not have a robust understanding of an individual’s medical history without the support of the clinical community. The medical release notifies the medical liaison that he or she is engaging in exercise and provides an opportunity for the clinician to make specific recommendations about the exercise program for that individual.

Collaborating with Other Department Directors to Cultivate Community Wellness

This seems like a no-brainer, but from our experience working in a variety of retirement community settings, collaboration is anything but seamless. I’ve talked about this in other blogs, so I’ll spare you my soapbox here. Suffice it to say that your overall community wellness programming will be more rich and balanced when you include the expertise of your fitness manager for a creative twist on more traditional offerings.

Evaluating Program Success

I can’t emphasize enough how important it is to evaluate what you’re doing in resident wellness. In our two-part blog on gathering wellness data you can actually use, I outline some specifics on how to set up your initiatives for simple but effective evaluation as well as how to evaluate the program when it’s complete. Read those blogs for more information on program evaluation.

The other element of data gathering and evaluation that we often see missing from fitness programs is program attendance. All too often, communities are not capturing resident attendance in group exercise classes or in the fitness center. Your onsite manager should be keeping track of who has joined the fitness program and how often they are using the amenities. This data allows the manager to report to the community personnel about utilization trends. It also informs decisions about what group classes and other services to keep on the schedule and which should be evolved into new opportunities.

If this leaves you with more questions than answers about what your fitness center staff should be doing, contact me to learn what’s on our job descriptions and how we work with our senior living clients.

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Topics: nifs fitness management NIFS senior center solutions senior fitness management CCRC fitness center senior fitness

Corporate Fitness: Free Workout Friday - Mini Boot Camp

free workout friday

If you have ever thought about trying out a boot camp, but are intimidated by the name, you aren’t alone! Boot camps will typically rotate between high intensity intervals of both cardio and strength. They also add in elements of speed, agility and power. Many boot camps will take place outdoors and use elements like natural hills, sidewalks and park benches to make for more interesting workouts. Other boot camps can make use of fitness equipment such as agility ladders, parachutes, and small hurdles. To sum it up, these classes never have a dull moment, and you can be assured you will leave having had an exhausting total body workout that challenged you at your individual level.

To give you a taste of what kinds of exercises might take place in a boot camp, try the workout below. Then, take the next step and to sign up for a boot camp class at NIFS! Remember that many instructors are able to give individual modifications to exercises to take the intensity up or down, depending on participant needs.  

Begin with a warm-up including 30 seconds of each:

  1. Jog in place
  2. Arm crosses
  3. High knees
  4. Shoulder rolls
  5. Butt kicks

Then, for the workout, complete 30 seconds of each exercise. Return to the beginning, and complete again for a second round. As your body becomes conditioned, work up to completing 45 seconds of each exercise, 3 rounds through. 

  1. Burpees
  2. Crabwalk
  3. Cone jumps
  4. Walking lunges
  5. Plank row
  6. Power jumping jacks
  7. Pike push-ups
  8. Wall taps

Yoga in the Workplace for Employee Health and Productivity

workplace yogaTwenty years ago, would you have ever thought you would be checking out the break-room bulletin board and coming across a yoga class being offered in the office or onsite gym? Chances are it would have been highly unlikely, not to mention overlooked because it did not have the buzz or trendy reputation it does now.

Hopefully, most of us now know that the benefits of yoga practice in a chair, studio, or corporate fitness center go beyond meditation, headstands, flameless candles, thin sticky mats, and soothing music. I have seen yoga become an increasingly positive influence in workplaces all over the country with a melting pot of populations. You might even see children and pets taking advantage of the yoga inspiration.

The interest in increasing productivity and improving employee health has weighed heavily on corporate America. Long hours at a desk, aching back, neck pain, burnout, and emotional discontent are all repetitive stressors corporate employees face each day. Did you know that this, in turn, amounts to less productivity? What is your company doing about it?

Think about this, as an employee: What would you do with an extra 15-minute mandatory stress break built into your day?

Offering free stress-relief options such as yoga is a simple and convenient way to help employees find stress relief in the office. True, it’s up to each individual to start their practice, but I promise once you start you won’t stop. The great thing about yoga at work is that it’s a time to take a break from your desk and relieve stress. It’s convenient, and it feels good!

Chair yoga is becoming popular among executives as a boardroom break; this is a great alternative to unit meetings or exercising at your own desk. That’s the greatest benefit of yoga: it can be done anywhere and it doesn’t have to take a lot of time!

Yoga won’t cure all, nor will it be chosen by all. But it sure has shown to be a great addition to corporate wellness offerings. Many of the yogis tell me they love doing yoga at work because they can practice in a noncompetitive and nonjudgmental atmosphere and experience it with coworkers. Many of the participants enjoy the multiple benefits. After final relaxation, it helps guide them to a calmer state of being as they return to work. It also helps improve core stability and balance, and helps increase total body strength. We try to make sure all energy is left at the door. Each person is focused on their own practice of the day.

Get your groove on with NIFS group fitness classes

Topics: corporate wellness exercise at work employee health stress productivity yoga stress relief

Free Workout Friday: Indy 500 Endurance Workout

Free Workout FridayLadies and Gentlemen: Start your engines! As the whole town of Indianapolis gears up for the Indy 500, you can test out your endurance abilities with this 500 workout!

Start by completing the following exercises for the designated amounts of time. At the end, you will have completed 500 seconds of strength exercises! Choose weights that are light to moderately heavy, because you will be doing most of these exercises for a full minute.

  1. Basic squats: 60 seconds
  2. Rows: 60 seconds
  3. Alternating lunges: 60 seconds
  4. Chest press: 60 seconds
  5. Crunches: 60 seconds
  6. Alternating shoulder press: 60 seconds
  7. Hammer curls: 60 seconds
  8. Wall sit: 60 seconds
  9. Plank: 20 seconds

Finish with a 500-second (8 minutes, 20 seconds) run around the track! Take “pit stops” when you need to by walking for 30 seconds or stopping for a quick water break. 

After you’ve made it to the finish line of your workout, make sure to refuel with more water and a healthy snack, like a banana with peanut butter or whole wheat crackers and string cheese!

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Topics: exercise at work healthy workforce exercise Free Workout Friday fitness

How to Combat Sitting, a Workplace Health Crisis (Part 2)

woman using exercise bandIn part 1 of this blog, I went on a bit about the dangers of sitting and then began to describe NIFS’s Fit-It-In program offered by Kathy, one of our managers at a client site. We’re proud to share that Kathy’s initiative, a collaboration with her client, was a large part of the reason her client was able to win the American Heart Association’s Fit-Friendly Company Platinum Designation and the Workplace Innovation Award in 2013.

Fit-It-In was conceived to help her associates combat sitting disease. While the program itself is creative and well thought out, the most compelling element (and probably the single biggest contributor to the program’s success) was Kathy’s effective outreach to mid-level managers for their support of the initiative.  

We knew Kathy was successful at achieving supervisor support when we got this data back from a participant survey: The pre-program survey revealed that 70% of associates felt they had the support of their immediate supervisor to participate in programs that would improve their health; however, by the end of the program that number had improved to 96%.

Below I outline some of the key elements of Fit-It-In as well as some important lessons learned. I also share the compelling data that screams “effective employee health program.”

Bringing Fit-It-In to the Masses

After Kathy garnered the support she needed from executive leadership and mid-level managers at her client location, she set about launching Fit-It-In. With the help of the wellness team at her site, she was able to purchase a fitness band with handles for each associate in that office. Then she started educating the masses on how to use their new band. Through one-on-one meetings in the fitness center, speaking at department meetings, hosting exercise breaks (“flash mobs”), and providing handouts and other literature (which was regularly changed and updated throughout the program) in strategic areas of the building, she was able to reach most of the associate audience more than one time.

Following an educational blitz, Kathy continued her efforts to be routinely visible for the associates both in the client’s onsite fitness center promoting short, 15-minute workouts, and at department meetings. She facilitated stretch breaks, walking groups, and other simple opportunities for associates to infuse some physical activity into their otherwise sedentary day.

Capturing Health Promotion Success in Numbers

If you read part 1 of this blog, you’ll recall that I described this program as “conceptually simple.” It is. The elements I’ve mentioned are the types of services being offered by corporate health professionals all over the country on a regular basis. What is unique about Fit-It-In is the level of managerial support Kathy garnered as well as the rigorous data she kept throughout the program.

Kathy started with a pre-program survey that captured information such as this:

  • How many hours per day are you sedentary?
  • Have you maintained consistent workouts in the past month?
  • Do you feel that you have the support of your manager to maintain your health through amenities and services available at work?

As the program progressed, she surveyed associates monthly to find out if they were participating in Fit-It-In activities, and if so, how often they were engaging in specific elements of the program. Here’s what we learned:

  • Within the first four months of launching Fit-It-In, the percentage of associates participating in any activity over the course of the month increased 34%.
  • The percentage of associates who completed the Fit-It-In band exercises at their desks three to four days per week increased 42%.
  • In the first four months of the program, 33% more associates were walking at work at least five times per week.

The data goes on, and on, and on. As I said, Kathy surveys participants monthly to track progress and to continually evaluate opportunities to fine-tune and improve the program.

Program Costs and Lessons Learned

It’s important to note that while this was an uncomplicated program, it wasn’t free. I’ve outlined basic program costs here:

  • Fitness band for 600 associates @ $5/band = $3,000
  • Monthly prize @ $200 per prize = $2,400
  • Monthly stairwell challenge @ $50 per month = $300
  • Presentation board, prepping walking routes, and other miscellaneous supplies = $200
  • Estimated 12-month total = $5,900

Every well-executed program comes with some lessons learned. When I talked to Kathy about this, here’s what she told me:

  • Providing associates with multiple quick exercise/activities, not just one option, was integral to reaching the needs of a varied workforce. Some activities, like the fitness band use and stairwell challenges, worked well for call center associates, while outdoor and indoor walking routes were popular for those who could take more time.
  • We can’t say it enough: middle management buy-in is essential to changing culture. Without the rally meeting sponsored by human resources where management could hear Kathy make the case for the importance of this initiative and provide their feedback, she would not have had the success we saw with the year-long offering.
  • One key subtle difference between this program and others like it is that Kathy incentivized associates reporting their activity instead of offering prizes for completing the activity. Ongoing self reporting required associates to log into a survey tool and answer questions. By doing so each month, they were eligible for a valuable (typically around $200) monthly prize drawing.

Contact us to learn more about this program or the other services NIFS provides to our clients. If you’re looking for key strategies to engage your workforce, check out our whitepaper on the topic.

 

Topics: corporate wellness exercise at work employee health corporate fitness worksite wellness corporate fitness managment corporate fitness centers; return on investement

Two New NIFS Clients with Two Different Service Angles

Active Aging LogoNIFS was thrilled to begin fitness management services at two new retirement community client sites in April. Furthermore, we were honored to be able to tailor our staffing services for the unique needs of each location. Community fitness and wellness programs can’t be addressed with a cookie-cutter approach. Read on to learn how NIFS is supporting the unique needs of each location and their residents.

Peabody: 20-Hour-per-Week Fitness Manager

Peabody is a CCRC in North Manchester, Indiana. Although Peabody did not have a fitness center for its residents until the grand opening of the brand new Billie Jean Strauss Wellness Center in April, NIFS has been supporting this community since early 2012 through consulting and equipment recommendations. NIFS provided recommendations for the fitness center and aerobics studio, including everything from treadmills to strength equipment to balance-training tools and space layouts. When the build was complete, NIFS was able to support the equipment installation and helped the community prepare for the grand opening celebration.

Because Peabody residents are not accustomed to exercising in an onsite fitness center or having group fitness class options in an aerobics studio, the community began staffing services at 20 hours per week with a NIFS Fitness Manager. As NIFS’s best-in-class fitness programming sparks resident engagement and enthusiasm, they anticipate growing the manager position to full-time to add more opportunities and services for residents. So far the launch of the program has been a great success and residents have been very eager to learn about the new equipment and program. NIFS is excited to expand the possibilities for Peabody residents and grow with the community.

Sandhill Cove: 40 Hour-per-Week Wellness Director

Sandhill Cove is a CCRC in Palm City, Florida. The community has a fitness center, pool, and contracted group fitness and personal training services. NIFS visited the community for a consulting arrangement in the fall of 2012 and provided a variety of recommendations to unify their program offerings in creating a stronger wellness brand. Following those recommendations, community leadership felt that NIFS could best lead this movement for the community and began staffing services with a full-time NIFS Waterfront Wellness Director.

The community had strong elements of a wellness program in place for its residents. The Wellness Director will be leading the initiative at the community and helping to pull in the various programs, services, and personnel under a unified vision for the program. In addition, the Wellness Director will be providing NIFS’s traditional best-in-class fitness programming and management services.

NIFS launched at the community in early April and we are thrilled with the progress made with increasing resident awareness of new and existing services available at the community and with the turnout at the Waterfront Wellness Open House. Residents received a passport to guide them on a tour of different booths. The booths highlighted different programs and service offerings around the community and educated participants on the different dimensions of wellness. Eighty-nine percent of residents who participated in the event submitted a completed passport indicating that they visited every booth. This was a great first step in helping residents identify the various programs and service offerings available at Sandhill Cove under the Waterfront Wellness Program.

Download NIFS Benefits of Staffing Webinar

Topics: NIFS senior center solutions senior fitness management CCRC fitness center senior fitness

Free Workout Friday: Partner Workout

Free Workout FridayIn celebration of National Employee Health and Fitness Month, be a healthy trendsetter in your company by inviting a co-worker to join you for a workout at your corporate fitness center! Not only will working in a group help keep you motivated, you can push each other to strive for a better workout.  Here are some ideas that are featured in the video below for partner exercises that are great for any level of fitness!

  1. Partner squat with med ball toss
  2. Partner sit-ups with med ball pass
  3. Partner plank w/ high five
  4. Partner band  core twist
  5. Partner band rows

Your workouts don't have to be stressful.  If you find you struggle with fitting exercise into your routine, take ten minutes at a time to go for a walk, stand up at your desk to stretch, perform exercises at your desk, anything that can help you FIT IT IN to your schedule. 

Stop reading... Get up and Move! 

Talk to your corporate fitness staff about Deskercise and how you can fit exercise into your routine from your desk!

 

 

Topics: exercise nifs fitness management Free Workout Friday fitness Fitness Center exercies at your desk

How to Combat Sitting, a Workplace Health Crisis (Part 1)

sittingWe sit. Frankly, we sit a lot. We sit at home, we sit on our commutes, we sit at work, we sit during our child’s after-school activities. Sit, sit, sit. And it’s not doing us any favors, either. In fact, recent startling statistics indicate that sitting may be a significant threat to our overall wellbeing.

Before you write this off as one of those “it can’t be that bad” indicators, consider these statistics. There are even more (if you need more convincing) in this compelling infographic.

  • Sitting six hours a day increases your risk of death by 40% over someone who sits less than three hours.
  • Between 1980 and 2000, exercise rates remained the same, but sitting time increased 8% and obesity doubled.
  • People with sitting jobs have twice the rate of cardiovascular disease as people who stand for work.

And to those of you who say that sitting disease is really a problem only for people who don’t work out, think again. Data shows that prolonged sitting can negate some of the benefits you receive from regular exercise. Let me just say it one more time: How often we sit is a problem.

NIFS’s Fit-It-In Gets Results in Combating Sitting

So there it is: sitting is our great nemesis. If you’ve been wracking your brain for strategies that actually combat the gravitational pull to a chair, look no further. Below is an outline for one of NIFS’s award-winning programs, Fit-It-In, with real results that can be implemented in any worksite health setting.

But before I get into program specifics, I need to say that if you don’t have built-in strategies for evaluating your programs, you’ll want to be sure you establish that basic infrastructure in order to determine whether your efforts at combating sitting disease are actually working. For more on how NIFS evaluates our programs, read this blog. After all, without effective evaluation strategies, you can’t get fantastic data like this: Before Fit-It-In started, 100% of associates polled indicated they were sedentary at least four hours per day. By the end of the program, only 8% of associates polled indicated that they were sedentary four or more hours per day.

In the Beginning

This conceptually simple and highly effective program, called Fit-It-In, is the brainchild of one of NIFS’s managers, Kathy Douglas. Kathy manages a corporate fitness center for NIFS at a client where there is a lot of sitting. She, like most of us in worksite health promotion, had been following the news coming out in the last few years about the dangers of sitting and felt compelled to address this for the associates she serves.

She knew that if she could just get them into the fitness center, she could help them, even with small breaks in the day, to feel better and to gradually improve their health. But she was up against (1) individual inertia, and (2) a corporate culture for productivity that kept associates in their seats.

After much research, discussion with leadership at her client location, and careful outlining of the program’s goals and objectives, she launched Fit-It-In. The primary goal of the program was to help improve associate health and engagement by providing them with an efficient and convenient method of fitting in more physical activity throughout their workday.

Fighting Inertia to Improve Employee Health

Kathy knew she had a lot of work to do to reach the 500+ associates at her location with a message about moving more, and she was certain that focusing on getting them into the fitness center was going to be met with significant resistance. So she brought exercise to the associates and incorporated a variety of simple opportunities/events through which associates could engage in movement-oriented activities without having to truly work out.

Program features included the following:

  • Fitness bands to all associates
  • Online workout and stretching documents
  • Indoor and outdoor walking routes
  • Motivational stairwell challenges
  • Fitness band exercise challenge of the month
  • “15-2-Fit” 15-minute workout cards available in the fitness center
  • 5-Minute Flash Mob fitness band exercise events
  • “YES You Can―Fit-It-In” informational kiosk
  • Monthly grand-prize drawing

Pretty great list of services in the initiative, right? Well, here’s the thing: Kathy knew (she’s been with this client for five years) that unless she was able to get support from mid-level managers, this initiative would flop, no matter how creative, relevant, simple, or potentially impactful it was.

Engaging Managers to Support Employee Exercise

Truly, this is what sets this program apart from others. Kathy spent a significant amount of front-end time with managers in the organization talking with them about Fit-It-In: how it would benefit their productivity goals as well as the health of their department members. She also sought buy-in from the executive leadership in her location so that the mid-level managers would know they had the support they needed to get Fit-It-In off the ground in their division.

Easy enough. On to the next steps, right? Unfortunately, it took a lot of effort on Kathy’s part to overcome managers’ resistance to allowing their employees to move for five minutes during a meeting, or at each hourly bell. There were significant concerns in some areas about productivity and department goals being compromised because employees would not be 100% focused on work 100% of the time.

It’s a common hurdle, but it’s not commonly overcome. Kathy was able to gain a lot of traction with these supervisors by presenting Fit-It-In jointly with Human Resources. She engaged the managers in conversation at the end of the presentation to listen to their concerns and other feedback. Kathy added elements to the initiative in response to those discussions and ultimately was able to remove most of the identified barriers to generate a win-win message.

If you want to read about how Kathy was able to go from 100% of associates reporting that they were sedentary for four or more hours to just 8% indicating that they were sedentary for four or more hours each day, you won’t want to miss part 2 of this blog. We’ll dig into the data, as well as offer an overview on how the program was implemented. I’ll also outline some of our key lessons learned.

 

Employee Engagement
Topics: corporate wellness exercise at work employee health corporate fitness worksite wellness NIFS corporate fitness centers corporate fitness managment corporate fitness centers; return on investement business fitness solutions