Heat Illness: Nothing to Fool Around With!

Thursday, May 24, 2012 3:00 AM
by Chris Kilbourne

Source: https://safetydailyadvisor.blr.com

Yesterday, we featured information about heat-related risks and strategies for reducing those risks as the thermometer rises. Today, we talk about symptoms of heat illness and first aid.

Not everyone reacts to heat to the same degree and not every work situation poses the risk of heat illness. Factors that increase an employee's risk of heat illness in addition to ambient temperature include:

  • Amount of exertion required to do the job
  • Not being acclimated to working in the heat
  • Age (older people have less body water and lower sweat gland efficiency)
  • General health condition
  • Weight (overweight people are at greater risk)
  • Heavy protective clothing that traps heat
  • Medications that can interfere with normal body reactions to heat

Heat Stroke

Heat stroke occurs when the body no longer sweats and holds so much heat that body temperature reaches dangerous levels. Heat stroke is life threatening. Without prompt identification and treatment, an employee could die.

Symptoms of heat stroke include:

  • Dry, hot, reddish skin
  • Lack of sweating
  • High body temperature
  • Strong, rapid pulse
  • Chills
  • Confusion

First aid for heat stroke includes:

  • Act immediately, and call for emergency medical help.
  • Move the victim to a cool place while awaiting the ambulance.
  • Cool the victim down as much as possible, using a hose or soaking clothes in water and fanning the body.
  • Monitor breathing.
  • Don't give fluids if the person is unconscious.

Heat Exhaustion

Heat exhaustion occurs when the body can't replace fluids and/or salt lost in sweating. Though not as severe as heat stroke, untreated it can quickly get worse and become heat stroke.

Symptoms of heat exhaustion include:

  • Weakness, dizziness, and sometimes nausea
  • Pale or flushed appearance
  • Sweating, moist and clammy skin

First aid for heat exhaustion includes:

  • Move the victim to a cool place immediately.
  • Loosen clothing and place cool wet compresses on the skin.
  • Have the victim drink water or an electrolyte beverage slowly.
  • Elevate the feet 8 to  12 inches.
  • Monitor for improvement. If condition worsens, call 911.

IMPORTANT: Make sure both supervisors and employee can recognize symptoms and know first aid for heat illness.

 

 


Are You and Your Workers Ready for the Summer Heat?

Wednesday, May 23, 2012 3:00 AM
by Chris Kilbourne

Source: https://safetydailyadvisor.blr.com

Every year, thousands of workers become sick from exposure to heat, and some even die. But your people don't have to suffer. These illnesses and deaths are preventable.

With summer just around the corner and heat and humidity on the rise, many employers need to start thinking about and planning to prevent employee heat-related illness.

Although OSHA doesn't have a specific standard that covers working in hot conditions, under the General Duty Clause of the OSH Act, you nevertheless have a duty to protect workers from recognized serious hazards in the workplace, including heat-related hazards.

This means right off the bat you need answers to three very important questions.

What Is Heat Illness?

 

The body normally cools itself by sweating. During hot weather, especially with high humidity, sweating isn't enough. Body temperature can rise to dangerous levels if precautions are not taken. Heat illnesses range from heat rash and heat cramps to heat exhaustion and heat stroke. Heat stroke can result in death and requires immediate medical attention.

Who Is Affected?

Workers exposed to hot and humid conditions are at risk of heat illness, especially those doing heavy work tasks or using bulky protective clothing and equipment. Some workers might be at greater risk than others if they have not built up a tolerance to hot conditions.

How Can Heat Illness Be Prevented?

Remember these three words:

  • Water
  • Rest
  • Shade

Drinking water often, taking breaks, and limiting time in the heat can help prevent heat illness. Include these prevention steps in worksite training and plans.

Additional steps can also help prevent heat-related illness on the job whether employees are working outside or inside in a hot environment:

  • Gradually increase workloads and allow more frequent breaks during the first week or so of hot weather for all heat-exposed workers.
  • Pay special attention to workers who are new on the job or have been away from work for a week or more when the weather is hot. Make sure supervisors acclimate (or reacclimate) them properly to working in the heat.
  • Also make sure employees and supervisors know the symptoms of heat illness and look out for these signs in themselves and others during hot weather.
  • Plan for heat-related emergencies, and make sure everyone knows what to do. Acting quickly in heat illness emergencies can save lives.

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Using the Heat Index

Workers become overheated from two primary sources:

  • Environmental conditions in which they work (whether hot weather outside or hot conditions inside)
  • Internal heat generated by physical labor

To make sure workers keep safe as the heat rises, review this table, which matches temperatures, risk levels, and protective measures for high temperatures:

Heat Index

Risk Level

Protective Measures

Less than 91ºF Lower caution Basic heat safety and planning
91ºF to 103ºF Moderate Implement precautions and heighten awareness
103ºF to 115ºF High Additional precautions to protect workers
Greater than 115ºF Very high to extreme Triggers even more aggressive protective measures

For lower caution risk level, encourage workers to:

  • Drink plenty of water (make sure it is available).
  • Wear a hat and sunscreen.
  • Take rest breaks in an air conditioned or cool, shaded area.
  • Acclimate if new or returning to work and performing strenuous work.

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For moderate risk level, encourage workers to take all of the precautions above, plus:

  • Watch for signs of heat stress (be sure to review signs in a safety meeting and instruct supervisors to watch for symptoms).
  • Drink at least 4 cups of water every hour (make sure it is available).
  • Report heat-related symptoms immediately and seek appropriate first aid (explain who to call and review first aid for heat illness in safety meeting).
  • Call 911 if a worker loses consciousness or appears confused or uncoordinated.

For the high risk level, you should take these additional precautions to protect workers:

  • Increase rest periods.
  • Designate a knowledgeable person (well informed on heat-related illness) at the worksite to determine appropriate work/rest schedules.
  • Reduce the workload, and pace strenuous work tasks.
  • Make sure cool, fresh water is available, and remind workers to drink plenty of water every 15 to 20 minutes.

For very high and extreme risk levels:

  • Reschedule all non-essential outdoor work to days when the heat index is lower.
  • Move essential outdoor work to the coolest part of the work shift.
  • As much as possible allow for earlier start times, split shifts, or evening and night shifts.
  • Prioritize and plan essential work tasks carefully. Strenuous work tasks and those requiring the use of heavy or non-breathable clothing or impermeable chemical protective clothing should not be conducted when the heat index is at or above 115°F.
  • Stop work if essential control methods are inadequate or unavailable when the risk of heat illness is very high.

 


Taking the Long View of New Hires

By Mark McGraw

May 22, 2012

Source: Human Resource Executive Online

Don't be too quick to measure the impact of new hires, experts say. Even though many companies are "concerned" about the way they appraise new professional and managerial-level hires, it's important to allow them to develop and grow before determining their worth to the organization. It's also important to establish meaningful metrics.

Professional football franchises are big businesses that depend on frequent injections of new talent to remain successful.

Look at the recent NFL draft, where each of the league's 32 clubs carefully selected a handful of college athletes they hope will lead their organizations to success for the next decade or so. These pro prospects are poked, prodded and closely scrutinized for months leading up to draft day, and teams have become increasingly thorough in testing the physical and mental capabilities of these young men before making sizable investments in them.

Still, predicting a just-drafted player's career trajectory is an inexact science. Highly touted players with big-name college pedigrees don't always pan out at the pro level, while unheralded, under-the-radar picks from smaller schools sometimes blossom into superstars.

And NFL teams and their highly paid talent evaluators are left to contemplate their methods for measuring the potential impact of these skilled, but unproven, new employees.

Sound familiar? There's an almost 50/50 chance it does, if findings from theFuturestep Global Talent Impact Study 2012 are any indication.

The survey of more than 1,500 HR professionals in five continents finds that 40 percent of respondents report they "are concerned" about the metrics and measurements they have in place to assess the impact of new professionals and managerial-level recruits on their organizations.

There is no one-size-fits-all approach to measuring a new hire's potential impact, says Byrne Mulrooney, CEO of Futurestep, a global recruitment company with U.S. headquarters in Los Angeles.

More than half (52 percent) of survey respondents say they rely on two to five metrics to assess a new hire's potential value within the organization, he says.

Measurement tools will vary based on the industry and type of position, but there are broader measurements that an organization can use to assess the possible worth of a new hire, according to Dave Ulrich, professor of business at the Ross School of Business at the University of Michigan and a partner at the RBL Group, a Provo, Utah-based consulting firm.

For example, he says, "there are some generic metrics such as perceived performance (perceptions of those that work with the person), behavior (the extent to which the new hire's time is spent on the appropriate business issues) and 'time to productivity,' which is the time before the new manager or hire is fully productive in the new job."

Ideally, these essential processes should be in place before hiring a candidate for a managerial-level position, adds Ulrich, "then those expectations can be the standards to determine if someone is doing the right job."

A new hire's impact will evolve over time, and companies and their HR leaders should rely on a combination of metrics to assess value in the short-, medium- and long-term, says Mulrooney.

"There are three distinct dimensions to a new hire's impact," he says. "First is the immediate impact, when a candidate with the right skills arrives to get the job done. The consequential impact is when an individual's contributions transition from the actions within their own role to influencing others. The third dimension is when additional value is brought to the organization over time, and an employee shows potential to be promoted and grow within the company."

A key reason many companies wind up questioning their assessment tools is that they place too much weight on short-term results as a predictor of future, rather than more long-term success, says Mulrooney.

He notes that about two-thirds (67 percent) of respondents identify the immediate performance of a new professional and managerial-level employee as a critical indicator of a successful recruitment process.

"Our study unearthed an alarmingly short-term approach, with one-in-three respondents (35 percent) measuring impact within a new hire's first six months. Although it's encouraging that measurement is taking place, it's essential that a meaningful process is engaged to maximize impact in the long-term and retain staff," he says.

Indeed, HR leaders should take the long view when evaluating new managerial-level employees, says Keith Strodtman, research fellow of HR strategies at HfS Research, a research-analyst organization with U.S. headquarters in Boston.

"Most would acknowledge that it's more important to hire a quality employee than it is to hire a poor employee quickly," says Strodtman. "Yet, when it comes to hiring metrics, speed-of-hire or cost-of-hire are much more commonly measured than quality-of-hire. Speed and cost are important, but don't forget the big picture."

In the grander scheme, HR must be instrumental in defining the processes and measurements of the recruiting process that are meaningful to their organization and industry, and can often find reliable predictors of new hires' performance within their own organizations, says Strodtman.

"Profiling existing successful employees will provide the key indicators required to assess the potential value of a new hire," he says.

"HR leaders must also work with line-of-business hiring managers to define the metrics and processes that provide insight into the success of a new hire. The metric will vary depending on the goals of the business and the type of role being filled," he says.

"Companies may want to consider a global metric to measure overall quality-of-hires and specific metrics for key roles in the organization. A key is to focus on business outcomes and how successful employees deliver against the desired outcomes," he says.

Ultimately, HR professionals are "like architects who design the processes that capture the desired meaning within the company," says Ulrich. "And, like architects, HR professionals need to listen carefully to the desires of their clients -- in this case, line managers -- so that they can design the right systems."

 


Job Gains by Demographic

May 21, 2012

By Michael J. O'Brien 

Despite the weakening jobs data of late, signs of an economic recovery abound. But is the rising tide lifting all demographic boats equally? 

Economists continue to argue about the overall significance of jobs-report figures released by the U.S. Department of Labor, but debates notwithstanding, data from earlier this year shows that older workers -- those ages 55 and older -- may be making a better argument for their employment than their slightly younger competitors.

According the Labor Department's March 2012 figures, those older workers gained 2.8 million jobs since March 2010, compared to a net job loss of 258,000 for workers between the ages of 45 and 54 during that same time period.

Such figures should not come as a surprise, says John Challenger, CEO of Chicago-based Challenger, Gray & Christmas.

"The 55-plus population is expanding rapidly and, whether by choice or by necessity, many of these older workers plan on working beyond the traditional retirement age of 65," he says.

Some of these older workers are continuing in the occupations and industries where they spent most of their careers, he says, but many others are starting entirely new career paths.

"Because they may be more willing to work fewer hours or accept lower pay in exchange for better health benefits," Challenger says, "employers are welcoming these older job seekers.

"The older worker's experience makes it more likely that he or she can hit the ground running with little or no training and, in many cases, can do the job of two younger workers, simply by knowing the 'tricks of the trade,' " he says.

But, despite the advantages that many older workers offer to employers, Challenger says, recent college graduates should be stepping into a labor market that is more positive than in the recent past.

"Each year, we continue to see improvement in the college-graduate job market," he says. "Last year was slightly better than 2010, and this year should be slightly better than 2011."

Challenger points to two surveys to support his theory: one from the National Association of Colleges and Employers that finds employers plan to increase hiring of spring graduates by 10 percent over last year; and a survey from Michigan State University's Collegiate Employment Research Institute, which finds that employers are planning to hire bachelor-level graduates at a 7-percent higher clip than last year.

Indeed, according to DOL data from March, workers ages 20 to 24 gained 939,000 jobs during that same March 2010 to March 2012 period -- second only to the 55-plus segment.

Challenger says that, while the slowly improving economy is creating more opportunities for all job seekers, many companies have started looking beyond recovery toward expansion, and those organizations have to make sure they have started to develop the talent they will need to fuel the next period of growth.

"That means beginning to build the entry-level ranks now," he says, "so that, over the next five or six years, it is possible to identify and cultivate the high potentials who will drive the company forward."

There is also new data confirming that the economic recovery is impacting passive candidates.

According to the Corporate Executive Board, for the first time in five years, the ranks of passive candidates -- or employees who aren't actively looking for a new job -- shrank in the first quarter of 2012.

While still below pre-recession levels, active job seekers now make up 27 percent of the employed workforce, which the Board calls "another sign that the job market is recalibrating."

"Overall, this is a positive trend," says Christopher Ellehuus, managing director of the Washington-based Corporate Executive Board. "It means candidates in the labor market are feeling more bullish about job opportunities in the labor market and are more willing to take risks and move to another job with better career opportunities or better pay."

Ellehuus says the Board's new data also finds that employees who left their old companies in the second half of 2011 received 10-percent higher pay with their new employer, up from 8.5 percent in the first half of the year.

"While the global downturn provided organizations with selective opportunities to 'trade up' on talent for bargain prices," he says, "that opportunity appears to be fading quickly as the market begins to re-equilibrate in favor of candidates."

But one demographic that is not enjoying any effects of a revived economy is disabled workers, according to a new study based on DOL data analyzed by Allsup, a Belleville, Ill.-based provider of Social Security disability representation.

The Allsup Disability Study: Income at Risk finds that the unemployment rate for people with disabilities was nearly three-quarters (74 percent) higher than for non-disabled workers during the first quarter of 2012: 15 percent for disabled workers versus 8 percent for non-disabled workers.

And compared to the first quarter of 2011, the figures show no positive movement for either group: 13 percent for disabled workers versus 8 percent for non-disabled workers.

Allsup has been tracking such figures since the first quarter of 2009.

"People with disabilities often face a much greater challenge in securing employment," says Paul Gada, personal financial planning director for the Allsup Disability Life Planning Center. "Their health condition may make it difficult to continue to work for extended periods, or it worsens so they are forced out of the labor market entirely."

With all this data, it's no surprise many HR executives are unsure of their next step, says Challenger.

"This is complex time for HR executives," he says. "HR has to manage staffing demands for the next six months without losing sight of what will be needed over the next six years.

"Unfortunately," he says, "those expecting a rapid turnaround and sudden burst in hiring will be disappointed."

 


Obesity declining...Fat Chance!

Number of U.S. adults who are obese to increase by 9 percent by 2030, according to forecast.

LAURAN NEERGAARD, AP Medical Writer

Source: Timesleader.com

WASHINGTON — The obesity epidemic may be slowing, but don’t take in those pants yet.

Today, just over a third of U.S. adults are obese. By 2030, 42 percent will be, says a forecast released Monday.

That’s not nearly as many as experts had predicted before the once-rapid rises in obesity rates began leveling off. But the new forecast suggests even small continuing increases will add up.

“We still have a very serious problem,” said obesity specialist Dr. William Dietz of the Centers for Disease Control and Prevention.

Worse, the already obese are getting fatter. Severe obesity will double by 2030, when 11 percent of adults will be nearly 100 pounds overweight, or more, concluded the research led by Duke University.

That could be an ominous consequence of childhood obesity. Half of severely obese adults were obese as children, and they put on more pounds as they grew up, said CDC’s Dietz.

While being overweight increases anyone’s risk of diabetes, heart disease and a host of other ailments, the severely obese are most at risk — and the most expensive to treat. Already, conservative estimates suggest obesity-related problems account for at least 9 percent of the nation’s yearly health spending, or $150 billion a year.

Data presented Monday at a major CDC meeting paint something of a mixed picture of the obesity battle. There’s some progress: Clearly, the skyrocketing rises in obesity rates of the 1980s and ’90s have ended. But Americans aren’t getting thinner.

Over the past decade, obesity rates stayed about the same in women, while men experienced a small rise, said CDC’s Cynthia Ogden. That increase occurred mostly in higher-income men, for reasons researchers couldn’t explain.

About 17 percent of the nation’s children and teens were obese in 2009 and 2010, the latest available data. That’s about the same as at the beginning of the decade, although a closer look by Ogden shows continued small increases in boys, especially African-American boys.

Does that mean obesity has plateaued? Well, some larger CDC databases show continued upticks, said Duke University health economist Eric Finkelstein, who led the new CDC-funded forecast. His study used that information along with other factors that influence obesity rates — including food prices, prevalence of fast-food restaurants, unemployment — to come up with what he called “very reasonable estimates” for the next two decades.

Part of the reason for the continuing rise is that the population is growing and aging. People ages 45 to 64 are most likely to be obese, Finkelstein said.

Today, more than 78 million U.S. adults are obese, defined as having a body-mass index of 30 or more. BMI is a measure of weight for height. Someone who’s 5-feet-5 would be termed obese at 180 pounds, and severely obese with a BMI of 40 — 240 pounds.

The new forecast suggests 32 million more people could be obese in 2030 — adding $550 billion in health spending over that time span, Finkelstein said.

“If nothing is done, this is going to really hinder efforts to control health care costs,” added study co-author Justin Trogdon of RTI International.

 


Cultivating Leadership

By Julie Davidson

May 16, 2012

Source: Human Resource Executive Online

Even though federal-sector leadership scores are improving, more employee engagement is needed to prevent turnover. In particular, a recent report cites the inability of many managers to motivate worker commitment and creativity, encourage integrity, provide development or fairly manage people. 

As the saying goes, "employees don't leave their jobs, they leave their bosses."

And a new study by the Partnership for Public Service in Washington shows the federal government still has a lot of work to do to cultivate leaders who make employees want to stay.

Even though leadership scores based on the Federal Employee Viewpoint Survey have been steadily increasing over the past few years, leadership is still one of the lowest ranked out of 10 workplace categories, the Partnership noted in its recently released study, The Federal Leadership Challenge .

"On the bad-news side ... our government's leaders, and in particular senior leaders, received low ratings from federal employees on a range of issues, including the ability to generate worker motivation and commitment, encourage integrity, manage people fairly and promote professional development, creativity and empowerment," the report states.

"But, on the good-news front ... while the leadership shortcomings pose challenges for our government, there is compelling evidence that dedicated efforts by senior management to engage employees, improve communications, and respond to their concerns can make a significant difference in the attitudes, job satisfaction and, ultimately, the performance of federal employees."

Overall, federal employee satisfaction with their supervisors increased from 59 out of 100 in 2003 to 64 in 2010, and satisfaction with senior leaders has increased from 43 to 49 during the same time period.

When compared to the private sector, the largest gap relates to employee satisfaction with the information they receive from management about what's going on in their organizations. Employees in the private sector also feel they are more involved in decisions affecting their work.

In order to turn things around, the report states, agencies can learn from experiences at the U.S. Mint, which was able to dramatically improve its leadership scores. That organization recorded a score of 69 out of 100 in 2011, up from 57 in 2010.

The improvement is the "result of a concerted effort by top management to increase communication with employees, to work more cooperatively with the unions and to more fully explain the challenges faced by the organization and the reasons why decisions were being made," according to the report.

"Executives from the Mint said they have been empowering employees and giving them greater flexibility to do their jobs," it stated. "They have held regular town hall meetings, and visited all of the Mint's facilities outside Washington, D.C. to hear and respond to employee concerns."

 


Think Alexa Rank was the key to blogger success and notoriety?

Bye Bye Alexa Rank!

Wait? How could a guy be happy about a drastically declining Alexa Rank? I thought Alexa Rank was the key to blogger success and notoriety? (I’m being facetious here.)

I think when most bloggers, (well, the ones who blog about blogging) get started, there is highly competitive nature to stand out amongst the crowd. There are typically 3 tell-tale signs that clue us in on our progress: Subscribers,Comments, and last, but not least, Alexa Rank.

Alexa is a company that offers a proprietary tool bar that web users download to report their web usage. Ultimately, with millions of worldwide users using this toolbar, Alexa ranks the most popular sites based on everyone’s usage data. Remember though – no Alexa Toolbar download means that your visit is not conveyed to Alexa and does NOTHING for your Alexa Rank!

The Importance Of Alexa Rank In The Blogging Community?

In my opinion, as an indication of your blog’s statistical performance on Alexa, your blog being in the top 75,000 sites worldwide is pretty good, Top 50,000 is great, and top 25,000 is awesome. In Source Blogger’s heyday (which is funny because I have been breaking personal records in pageviews and visits this year), my highest Alexa Rank was like 52k. — As of right now, my rank is 310k.

Before I go on, let me explain to you the importance of Alexa Rank (or what it was perceived to be back then). When blogging truly took off, a few bloggers were fortunate to have some financial backing (investors), a few corporate sponsorships, and got some media attention. The word got around that one of the easiest methods for a blog to show up on some company’s radar was Alexa Rank.

So, about 6-8 years ago, an explosion of blogs claiming how to make money online, how internet marketing and affiliate marketing was performed, even how to quit your day job and make blogging a careerhit the scene. And as these blogs began losing steam, social media arrived and breathed new life into these blogs with the opportunity to write new content.

Surprisingly, there’s only so much you can write about these topics, before they get a little redundant and stale. Plus, everyone is copying and pasting each other’s content. It’s not a surprise to see elements of the same original post on 3 or 4 different blogs! You have to remember, as bloggers we are supposed to be RULED by Search Engine Optimization, anyway – not content.

Alexa Rank does not put money in anyone’s pocket, nor reflect traffic accurately (since only certain blog niches, like tech blogs,  have a lot of Alexa Toolbar users) – which is why more and more bloggers abandoned it .

The Winds Of Change 

Part of your growth as a blogger, is to to take chances and explore new topics. It’s a natural progression, that your content should elevate over time.

As a blogger who blogged about blogging, I began to feel confined by my choice. How important was the statistical trappings of subscribers, comment count, and Alexa Rank, when I felt like I could be doing more? So much more!

Many bloggers would advise you to start a new blog if you were covering new topics since it would confuse your current subscribers. I disagree. Keep your costs down. Keep it all on the same blog. Your blog is not written as a continuous piece of literature, it’s read through random content and image keyword searches. (But, realize that unless there is some consistency on your site, there will not be any motivation from readers to read similar articles you have written on the same topic!)

Oh, how did I destroy my Alexa Rank? Well, it’s easy. I stopped writing content for what I thought an Alexa Toolbar user would read and began to want to have a greater impact on society. Blogging about blogging, internet marketing, and social media marketing is too competitive and too self-indulging anyway. I began writing content about Sales & Marketing, Human Resources, and Employment. Ironically, my traffic nearly doubled as the transition came… while my Alexa Rank was flushed down the toilet!

I never really felt part of that “crowd” anyway. So, why pretend? Why not write about what moves and excites you? As a matter of fact, if you go back and read some of Source Blogger’s articles in its first year, it was a always a contra-philosophy to the perceived “norms” in the industry (blogosphere). But, I was OK being the rebel. …and still am.  I consider that part of the reason I am still here putting out some of the best independent content on the net.

No, Source Blogger is not a personal blog serving as an outlet to my emotions, but it has become my pulpit to share my unique views and ideas onto the world.

What are you doing with your blog? 

 


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Fitness in Middle Age Lowers Medical Costs Later: Study

By Ellin Holohan
HealthDay Reporter

THURSDAY, May 10 (HealthDay News) -- Subsidizing exercise and fitness-related lifestyles in middle age could significantly reduce the ballooning cost of health care in later years, a new study of more than 20,000 people suggests.

The study, slated for Thursday presentation at an American Heart Association meeting in Atlanta, found that fit middle-aged men and women had significantly lower medical expenses later in life compared to people who failed to stay in shape.

The more-fit study participants had 38 percent lower medical costs many years later, measured by Medicare and other insurance claims from 1999 through 2009.

"We wanted to determine if higher levels of physical fitness in middle age are associated with lower costs later in life," said study author Dr. Justin Bachmann. "We found that fitness confers dividends later in life even when other risk factors such as smoking, high blood pressure and obesity are controlled for."

The implications of the findings give "credence to efforts like Michelle Obama's 'Let's Move' campaign," he said. The First Lady has initiated a project aimed at reducing childhood obesity through exercise and proper nutrition.

Levels of fitness were determined by a treadmill test measuring metabolic equivalents (METs), Bachmann said. The higher the METs, the more fit a person is. People who exercise regularly perform better on the test because they have greater aerobic capacity, which translates into better cardiorespiratory health and lower costs later in life, he said.

The study was a collaboration between the University of Texas-Southwestern Medical Center and the Cooper Institute, both in Dallas.

Researchers screened participants for previous heart attacks, strokes and cancer. Of the 20,489 given a "healthy" designation, 16,186 were men and 4,303 were women, with an average age of 51. When Medicare costs and other insurance payments were compared, the average age was about 72, Bachmann said. The study participants were drawn from the Cooper Center Longitudinal Study, a repository of health-related data from close to 100,000 patients collected over the past four decades.

Many of the study participants were business executives who went to the center for physicals and represent "an unusually healthy cohort," reducing the effect of confounding factors, Bachmann said.

The analysis controlled for health risks, such as smoking, diabetes, high blood pressure, cholesterol levels and body-mass index (BMI). Body-mass index, used to measure the impact of obesity, is based on a combination of height and weight in adults.

Even in the presence of risk factors, better fitness in middle age predicted lower medical costs later.

The least-fit group at the study's onset had higher risk factors across the board. For example, 31 percent of the most out-of-shape men smoked, compared with 9 percent of the most-fit men. About 5 percent of the least fit men had diabetes, vs. less than 2 percent of men in the best condition. A similar pattern existed for women in the study.

Average annual claims for medical costs for the least-fit men, at $5,134, were about 36 percent higher than the average of $3,277 a year for the most-fit men. The average medical claims of $4,565 for the least-fit women were about 40 percent higher than the $2,755 average for the most fit.

Another expert called the study "quite compelling" and connected the results of the treadmill tests to regular exercise, promoting it as a path toward fitness.

"Exercise is the best medicine we have," said Dr. Suzanne Steinbaum, a preventive cardiologist at Lenox Hill Hospital in New York City. Noting that exercise has an impact on blood pressure, diabetes and even mood, she said "the positive effect of exercise on the body is powerful and it's empowering."

Exercise affects "so many chronic conditions leading to major health care costs," said Steinbaum, who also is the hospital's director of women and heart disease. "We should have financial support for people to go to gym facilities."

People who are more fit should "get some benefit" from insurers, Steinbaum said. Society should "give them the ability to become fit," and then "give people a reward when they demonstrate" fitness, she added.

Because the new study was presented at a medical meeting, the data and conclusions should be viewed as preliminary until published in a peer-reviewed journal.


Read why flexible benefits don’t always have to be online

By Steve Hemsley

Whether it is reading books on a Kindle or buying groceries online, the technology industry has long proclaimed we are heading for a paperless society.

When it comes to communicating and then administering something as important as flexible benefits, HR directors can find it hard to resist the temptation to switch to an online solution.

From a time-saving point of view, changing to a web-based system should make perfect sense, because one of the reasons for dumping paper is to shift some of the back office admin work onto the employee. And why wouldn't someone want to spend some of their free time looking at an online benefits portal? After all, 85% of employees rate benefits as 'important' or 'very important', according to the CIPD.

Yet any benefits program is only successful if it engages staff by making it clear what is being given, why, how benefits will work and when new ones will be introduced.

Charles Cotton, adviser for performance and reward at the CIPD, says at first glance technology may appear to make schemes easier to administer and communicate - and in some cases cheaper. But, he argues, HRDs must think carefully before committing to what could be a hefty, long-term investment.

"Ultimately, an employer must consider how having flexible benefits supports what it is trying to achieve and what it needs from its employees," says Cotton. "If the benefits scheme is relatively simple, then paper is perfectly fine and the HR team will not gain anything from switching to online. In fact, data can go missing or be incorrectly inputted and the HRD must decide if he or she is happy for the information sent electronically to be accessed by a third party." Even when paper folders are consigned to history, there still remains an administrative burden. The HR team must study and respond to the data reports being generated, for example.

Traditionally, HR has worked closely with the payroll and the internal communications teams to communicate flexible benefits.

A switch to online can complicate the working relationship, because the IT department and a third party technology provider become involved.

HRDs can also underestimate how long it will take to implement a technology solution (up to six months) and the ongoing costs involved during the length of a web-based contract (often three years or more).

Claire St Louis, HRD at digital marketing agency Essence, whose clients include Google and eBay, agrees with the CIPD and urges HRDs not to rush into technology for technology's sake.

She says technology can be a barrier to some staff understanding and engaging with the benefits on offer, especially in companies where employees do not work in front of computers, are on the road, on the shop floor or in various manual roles.

"Many companies wrap themselves up in HR processes, ultimately forgetting the reason why they are doing them," says St Louis. "Benefits are there to retain, motivate, attract and maintain competiveness and, in many cases, people-based internal communications and paper administration is still the right way to go."

Kuljit Kaur, head of business development at the Voucher Shop, says organizations must certainly not ignore the importance of internal communications and the power of having HR staff and specialists available to explain how and why particular benefits exist.

"People are naturally cynical and think there must be a catch when it comes to benefits. A more 'people-based' approach allows you to communicate why this is not the case," says Kaur. "Using real people as advocates of particular benefits to talk to other staff face-to-face works better than just sending an email telling people to log on to a website to view benefits. Technology assumes people will make the effort to find out more."

Even Matt Waller, CEO at online provider Benefex, accepts that for some organizations a paper system can be cheaper, remove reliance on involving third parties and enable more control internally. But, he points out that an online option allows data to be centralized and makes it easier to communicate benefits to large numbers of employees.

"For businesses that want a flexible benefit or total reward scheme to reach as many people as possible in the most time- and cost-efficient way, technology has to be the way forward," he says. "Benefit selection errors can be corrected more quickly and paper document hell is avoided when informing payroll and benefit providers."

Matt Duffy, head of online benefits at Lorica Consulting, backs him up, although he agrees that technology is not right for every organization. "Online is a simpler solution for an increasing number of companies, although when setting up a flex scheme there is less of a build phase with paper," he says. "However, what actually takes the time is devising the rules and working out who is eligible and what the rules are. Companies still have to do this, even with a paper system."

In reality, this is not a black and white issue between paper and internal communications or online. Most organizations now adopt a multi-channel approach, supporting an online system with various forms of offline communication.

Even at technology giant Telefónica O2, paper has not been abandoned completely. It supports its tailored online benefits system with leaflets posted to an employee's home address. There are also benefits roadshows.

Telefónica rewards manager Kirsty Read says offline communication uses simple messaging to draw people into the website, where they can discover more detailed information on complex areas such as salary sacrifice and tax.

"We have actually re-introduced the paper leaflet after a five years' absence," says Read. "Staff told us they wanted a range of different communications relating to benefits. If they receive a leaflet at home, they can start to think about their benefits and discuss them with their family."

A multi-channel approach is supported by Thomsons Online Benefits' MD, Chris Bruce. "This is about ensuring that even with an online solution, staff can still talk to real people at workshops and clinics and read paper benefit guides alongside the online content," he says.

While it can make sense for larger employers to move online, many SMEs are concerned about the cost of the technology and perceive it as complex."

Julia Turney, head of benefits management at Jelf Group, says a flexible benefits system can certainly work without technology, particularly in small companies that have simple salary exchange benefits without complicated calculations.

"The administration side of things tends to be the deciding factor for companies moving to an online system, but technology alone will not engage staff with benefits, even if it makes the HR department's job easier," says Turney.

Benefits consultancy Mercer has teamed up with software firm Sage Employee Benefits to develop packages for organizations with fewer than 100 staff. SMEs are offered an online portal, but employers still have access to Mercer's specialist advisers.

"Technology is not always the answer," says Matthew Forrest, head of services at Sage UK. "Many SMEs want to offer benefits and can do so with paper-based and telephone support. This product allows owners of small businesses to manage a flexible benefits package at an affordable price, shaped to their needs."

The technology providers' message that online is best does seem to be winning over SMEs, with an increasing number ditching their paper systems. This trend is likely to accelerate as benefits packages become more complex and employers prepare for the phased introduction of auto-enrolment pensions this year.

Law firm D Young has 180 staff in London and Southampton and switched from paper to a predominantly online system in June 2011, with the help of Thomsons Online Benefits. An employee survey in December revealed staff are more aware of the benefits available to them now than they were under the paper system.

"In the first year, we used paper-based marketing to communicate the online benefits system, but in year two we will do this online with an e-brochure," says D Young HR manager, Jennifer Mead.

One company in the process of switching to online is Sumitomo Electric Wiring Systems, based in Staffordshire. Its HR manager, Liz Brown, says the move from paper will take place on 1 April.

"We are introducing flex benefits and felt online was a more efficient and flexible option, as we wanted something people at our different UK sites could access easily," she says. "Until now, a paper system has been adequate for the salary sacrifice and other benefits we offered our 230 staff, because there was not much data to deal with."

The technology companies will vigorously fight their corner to demonstrate that organizations running benefits programs can miss out by not moving online. Savvy HRDs, however, will only switch from paper when the time is right.

Northern Rail: paper trail

Should Northern Rail retain the franchise to run train services across the north of England, it will look to move from a voluntary to a flexible benefits system, but it won't ditch paper.

This 50:50 joint venture between Serco Group and Abellio, formed in 2004, has 4,800 staff scattered across the north, and most employees are drivers, conductors or engineers and do not have access to company computers.

An employee survey in 2009 discovered a low satisfaction rate regarding its benefits scheme, which is a combination of voluntary benefits and an employee assistance plan (EAP), as well as salary sacrifice, free travel and a final salary pension.

Northern Rail compensations and benefits manager Paul Stephens(pictured left) says communication was an issue, so the company introduced a benefits booklet and increased coverage of the scheme in its staff magazine, Your Northern, sent to every worker's home address. There is a telephone helpline and benefits roadshows are held at different depots.

"The culture of our business is paper-based and people still like to receive hard paper copies of anything to do with their job," says Stephens. "The difficulty with a booklet is that things can change and the content can become out of date quickly, but staff like to get paper copies of their total rewards statements, for instance."

Despite its traditions, Northern Rail appreciates the advantages of moving some of the administration online when the flex scheme is introduced and it is working with benefits provider, Personal Group.

Stephens wants to encourage staff to check the internet at home, but many paper aspects - such as the magazine coverage as well as the telephone helpline - will remain.

"We fear we will lose the engagement levels we have generated since 2009 if we move everything online - and we cannot afford to do that," Stephens says.

Hilton Worldwide: engagement online

Sean Thomas, cluster HR director at hotelier Hilton Worldwide, says he could not run the company's benefits scheme without technology. In fact, he says it would be "a nightmare".

He is convinced paper-based schemes will die out within a few years and everything relating to employee benefits will be online, especially in large organizations.

Many of Hilton's thousands of staff globally are young and have an expectation of a technology solution. For the HR team, it makes administration simpler and the reports the online platform generates mean the scheme is more effective, according to Thomas.

"We can see from the click through rates what things people are interested in and what is not so popular and react to that in a timely fashion.

"I believe that without technology, communicating when the benefits window is open would be harder. We send regular emails, although we do support this with posters around the offices."

He says that, as a US-centric organization, the whole group has to adapt to ideas and technology coming out of the US designed to help the business.

"Without this technology, I do believe it would be much harder to communicate our benefits to staff and they would be much less engaged with them."

There can be confusion among employers about whether a flexible or voluntary benefits scheme is right for their organization. A flexible scheme lets employees choose the benefits package that best suits their lifestyle and personal circumstances. They may prefer tax-efficient benefits such as childcare vouchers or to make salary sacrifices to boost their pension.

Flexible or voluntary?

Flex is a good way to bring consistency across a group of companies, as part of a harmonization process, or to tailor benefits to staff if a workforce is diverse.

Staff can usually change their core benefits once a year, during what is known as a 'benefits window' and, whether it is a paper or an online solution, employees can see a menu of benefits and the price of each. They usually receive a 'total rewards statement' outlining their total remuneration.

An employer can make a scheme as flexible as it wants to, so staff feel valued. Ultimately, a well thought out flexible benefits package can help to retain and attract talent.

Companies often add additional voluntary benefits, which are products and services staff can buy, at a discount. The main difference between voluntary benefits - such as retail discounts or gym membership - and flexible benefits is that they are paid for by an employer allowance or benefits pot, or their own salary, through payroll.

Many employers use the tax and national insurance savings gained from introducing salary sacrifice benefits to fund the cost of administering a voluntary benefits discount program.