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The idea behind self-insurance is that retaining and calculating health risks,<br />

as well as paying claims or losses, allows the overall process to be more costeffective<br />

than buying commercial insurance.<br />

and their families. Having healthier<br />

employees and offerings that would<br />

capture the entire university’s<br />

interest would also support the<br />

student population.<br />

Drexel comprises 3 campuses with<br />

23,000 students and 5000 employees.<br />

Although such a wellness program<br />

was a huge undertaking, the<br />

challenge excited me. At the outset,<br />

I was a 1-man band with no support<br />

staff and a small budget. I remember<br />

spending the first month or so trying<br />

to understand Drexel’s landscape,<br />

departments, divisions, campuses,<br />

colleges, and facilities — while finding<br />

a way to connect the dots and<br />

define our strategy.<br />

What I recognized rather quickly was<br />

that Drexel, and higher education<br />

institutions in general, have myriad<br />

resources to promote health and<br />

wellness. For example, the university<br />

encompasses colleges and departments<br />

with expertise in public health,<br />

nutrition, and medicine. Other obvious<br />

partners are the Office of Human<br />

Resources and Athletic Department<br />

— which operates a state-of-the-art<br />

rec center plus numerous fields and<br />

buildings dedicated to recreation/<br />

physical activity.<br />

Knowing that work in a silo wouldn’t<br />

get me very far, I immediately formed<br />

partnerships with department heads<br />

and deans, in addition to researchers<br />

and faculty members who might provide<br />

insight on how to improve the<br />

health of our population.<br />

Coordinating with these leaders was<br />

critical to developing a cohesive and<br />

multifaceted program, and they would<br />

form the core of what would become<br />

the Drexel Wellness Committee.<br />

WHAT WE KNEW<br />

When considering program structure,<br />

the employee benefits package is a<br />

great place to start. After an evaluation<br />

we were able to identify core<br />

components that could be harnessed<br />

under a wellness program umbrella:<br />

• Our healthcare provider offers a<br />

basic wellness suite with numerous<br />

tools and resources, opportunities<br />

for counseling, and smoking cessation<br />

initiatives.<br />

• The benefits also include components<br />

like an EAP and retirement<br />

plans, which fall under the emotional<br />

and financial health labels.<br />

But while programs baked into benefits<br />

are attractive on the surface,<br />

these weren’t likely to have the highest<br />

impact on our population’s health.<br />

THE HEAVY HITTERS<br />

Based on research, we know that<br />

most chronic diseases — such as<br />

cancer, diabetes, heart disease,<br />

stroke, and obesity, could be prevented<br />

if individuals exercise more,<br />

stop smoking, and eat healthier.<br />

Research also teaches that modifying<br />

policies and environments to change<br />

behaviors tends to be more effective<br />

than counseling or education<br />

because they reach wider segments<br />

of a population and are less laborintensive.<br />

Therefore, our approach<br />

needed to include:<br />

• Changes to the environment<br />

that support physical activity<br />

and recreation<br />

• Policies that promote healthier<br />

food/beverage choices and deter<br />

the use of tobacco.<br />

With this in mind, it was time to work<br />

on a strategic plan to foster a culture<br />

of health at Drexel.<br />

Stay tuned for part 2, where I’ll<br />

describe how Drexel would meet the<br />

challenge to nudge behaviors of a<br />

large population on a small budget.<br />

HOW YOU CAN<br />

CONNECT THE DOTS<br />

Whether you’re in an academic<br />

setting, corporation, or broader<br />

community environment,<br />

consider these steps to<br />

connect the dots and lay a<br />

foundation for success:<br />

• Seek out key stakeholders,<br />

colleagues, and community<br />

partners who can provide<br />

value and insight for<br />

your organization’s<br />

wellness initiative<br />

• Assess your organization’s<br />

employee benefit package to<br />

find core wellness resources<br />

• Meet with health plan<br />

representatives to explore<br />

wellness services included in<br />

your coverage<br />

• Identify policies and<br />

environmental issues that<br />

may influence health-related<br />

behaviors of your population.<br />

NOVEMBER/DECEMBER 2015 13

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