Companies That Promote a Culture of Health, Safety, and Wellbeing Outperform in the Marketplace.

Objective: The objective of this research is to test the hypothesis that companies distinguished by their commitment to their workforce's health, safety, and well-being outperform in the marketplace.

Methods: To test this, we analyzed the real-world stock market performance of an investment fund of publicly traded companies selected on evidence demonstrating their pursuit of a culture of health, safety, and well-being.

Results: This fund outperformed the market by 2% per year, with a weighted return on equity of 264% compared with the S&P 500 return of 243% over a 10-year period.

The Stock Performance of American Companies Investing in a Culture of Health.

Purpose: We investigated the relationship between companies' efforts to build internal (COH-INT) and external cultures of health (COH-EXT) and their stock performance.

Design: We administered 2 surveys, which measure companies' programs, policies, and supports for improving the health of their employees and communities. We then compared the companies' stock performance to the Standard and Poor's (S&P) 500 Index from January 2013 through August 2017.

Building a Culture of Health and Well-Being at Merck.

There is increasing evidence that a healthy and safe workforce can provide a competitive business advantage. This article shares the efforts and experience of a large global employer as it builds on existing corporate wellness and safety programs to develop a corporate culture of health and well-being. Starting with a comprehensive review of the current state of employee health and culture, a small team established the business case, aligned strategic partners, created an implementation plan, and engaged the C-Suite.

Developing Two Culture of Health Measurement Tools: Examining Employers' Efforts to Influence Population Health Inside and Outside Company Walls.

Objective: The aim of the study was to develop tools that quantify employers' investment in building cultures of health (COH)-inside and outside company walls.

Methods: Two COH instruments were developed through literature reviews and expert consultation. The first focused on internal culture of health (COH-INT), that is, programs, policies, and attributes of the physical and social environments that support employees' health and well-being.

The Correlation of a Corporate Culture of Health Assessment Score and Health Care Cost Trend.

Objective: Employers that strive to create a corporate environment that fosters a culture of health often face challenges when trying to determine the impact of improvements on health care cost trends. This study aims to test the stability of the correlation between health care cost trend and corporate health assessment scores (CHAS) using a culture of health measurement tool.

Methods: Correlation analysis of annual health care cost trend and CHAS on a small group of employers using a proprietary CHAS tool.

Obesity in the Workplace: Impact, Outcomes, and Recommendations.

Objective: To conduct a comprehensive literature review to develop recommendations for managing obesity among workers to improve health outcomes and to explore the impact of obesity on health costs to determine whether a case can be made for surgical interventions and insurance coverage.

Methods: We searched PubMed from 2011 to 2016, and CINAHL, Scopus, and Cochrane Registry of Clinical Trials for interventions addressing obesity in the workplace.

Results: A total of 1419 articles were screened, resulting in 275 articles being included.

Value-Driven Population Health: An Emerging Focus for Improving Stakeholder Role Performance.

Health and health care in the United States are being jeopardized by top-end spending whose share of the gross domestic product continues to increase even as aggregate health outcomes remain mediocre. This paper focuses on a new approach for improving stakeholder role performance in the marketplace, value-driven population health (VDPH). Devoted to maximizing the value of every dollar spent on population health, VDPH holds much promise for ameliorating this dilemma and exerting a constructive influence on the reshaping of the Affordable Care Act.

The Stock Performance of C. Everett Koop Award Winners Compared With the Standard & Poor's 500 Index.

Objective: To explore the link between companies investing in the health and well-being programs of their employees and stock market performance.

Methods: Stock performance of C. Everett Koop National Health Award winners (n = 26) was measured over time and compared with the average performance of companies comprising the Standard and Poor's (S&P) 500 Index.

Tracking the Market Performance of Companies That Integrate a Culture of Health and Safety: An Assessment of Corporate Health Achievement Award Applicants.

Objective: The aim of this study was to assess the hypothesis that stock market performance of companies achieving high scores on either health or safety in the Corporate Health Achievement Award (CHAA) process will be superior to average index performance.

Methods: The stock market performance of portfolios of CHAA winners was examined under six different scenarios using simulation and past market performance in tests of association framed to inform the investor community.

Results: CHAA portfolios out-performed the S&P average on all tests.

Integrating health and safety in the workplace: how closely aligning health and safety strategies can yield measurable benefits.

Objective: To better understand how integrating health and safety strategies in the workplace has evolved and establish a replicable, scalable framework for advancing the concept with a system of health and safety metrics, modeled after the Dow Jones Sustainability Index.

Methods: Seven leading national and international programs aimed at creating a culture of health and safety in the workplace were compared and contrasted.

Results: A list of forty variables was selected, making it clear there is a wide variety of approaches to integration of health and safety in the workplace.

The link between workforce health and safety and the health of the bottom line: tracking market performance of companies that nurture a "culture of health".

Objective: To test the hypothesis that comprehensive efforts to reduce a workforce's health and safety risks can be associated with a company's stock market performance.

Methods: Stock market performance of Corporate Health Achievement Award winners was tracked under four different scenarios using simulation and past market performance.

Results: A portfolio of companies recognized as award winning for their approach to the health and safety of their workforce outperformed the market.

Quantifying the value of worksite clinic nonoccupational health care services: a critical analysis and review of the literature.

Objective: Confusion exists regarding the approach to quantifying employer value of worksite nonoccupational care. A literature review and analysis was performed to characterize and critically evaluate existing methods to quantify the value of these services.

Methods: PubMed was searched for publications describing measurement of value of nonoccupational worksite clinic services in US locations.

Impact of workplace health services on adherence to chronic medications.

Objective: To test the association between integrated workplace health and pharmacy care and medication adherence.

Study Design: Adherence rates for commonly used chronic disease medications were compared in a retrospective, non-case-controlled study of 4476 workplace-treated patients versus 13,134 community-treated patients.

Methods: Pharmacy claims data were used to compute the medication possession ratio for patients who received care in different settings for 20 therapeutic classes.

Leveraging the trusted clinician: increasing retention in disease management through integrated program delivery.

Disease management's (DM's) value largely depends on achieving and maintaining participation. Simply being enrolled in a program does not guarantee engaged participation by enrollees, a necessary factor to achieve the improved health outcomes and subsequent reduced health care costs that are the ultimate objective of DM. The objective of this study is to test the hypothesis that an integrated disease management (IDM) protocol (patent-pending), which combines telephonic-delivered disease management (TDM) with a worksite-based primary care center and pharmacy delivery, yields higher patient retention rates than traditional remote DM alone.

Using real-time simulations to make medical technology decisions.

Study how one health care organization evaluated various vendors of evidence-based content for making clinical decisions.

The "trusted clinician": an alternative approach to worksite health promotion?

A trusted primary care clinician located in the workplace and serving all employees is presented as a desirable model for delivering prevention services to employees in this edition of The Art of Health Promotion. Many of the clinical studies that support this model are reviewed by the authors and their implications are discussed. Finally, the authors call for large scale experimentation to test the potential of the model to improve health risks status, lifestyle behaviors and health care utilization and cost.

Leveraging the trusted clinician: documenting disease management program enrollment.

The objective of this study was to test the hypothesis that an integrated disease management (IDM) protocol (patent-pending), which combines telephonic-delivered disease management (TDM) with a worksite-based primary care center and pharmacy delivery, would yield higher contact and enrollment rates than traditional remote disease management alone. IDM is characterized by the combination of standard TDM with a worksite-based primary care and pharmacy delivery protocol led by trusted clinicians. This prospective cohort study tracks contact and enrollment rates for persons assigned to either IDM or traditional TDM protocols, and compares them on contact and enrollment efficiency.