travisjneuman/.claude/health-wellness

PHYSICAL: Exercise, nutrition, sleep, preventive care, chronic disease management
MENTAL: Stress management, resilience, work-life balance, mindfulness
FINANCIAL: Financial literacy, retirement, debt management, emergency savings
SOCIAL: Community connection, team relationships, belonging
CAREER: Development, purpose, job satisfaction, growth, recognition

PARTICIPATION-BASED: HRA ($100), Biometric ($150), Coaching ($50), Challenges ($50)
OUTCOME-BASED: BP target ($100), Healthy BMI ($100), Non-smoker ($300)
PREMIUM DIFFERENTIALS: Up to $600/year reduction, HSA contributions
COMPLIANCE: EEOC 30% limit, ADA accommodations, privacy protections

PREVENTION: Awareness, stress management, manager training, work-life policies
EARLY INTERVENTION: Screening, EAP, digital tools, peer support
TREATMENT: Therapy, psychiatric services, substance abuse, crisis intervention
RECOVERY: Return-to-work programs, accommodations, relapse prevention

MENTAL HEALTH FIRST AID:
 
RECOGNIZE:
- Warning signs
- Behavioral changes
- Performance impacts
 
RESPOND:
- Start conversation
- Listen without judgment
- Express concern
 
REFER:
- EAP resources
- HR support
- Professional help
- Crisis resources
 
SUPPORT:
- Reasonable accommodations
- Flexible arrangements
- Check-ins
- Return-to-work planning

LEADERSHIP: Executive commitment, safety policy, accountability
HAZARD ID: Job analysis, risk assessments, incident investigation, near-miss reporting
CONTROLS: Elimination → Substitution → Engineering → Administrative → PPE
TRAINING: New hire, job-specific, refresher, emergency response
MONITORING: Inspections, observations, metrics, audits

ERGONOMIC ASSESSMENT:
 
WORKSTATION SETUP:
- Monitor at eye level
- Arms at 90° angle
- Feet flat on floor
- Back supported
 
EQUIPMENT:
- Adjustable chair
- Monitor stand
- Keyboard tray
- Footrest if needed
 
BEHAVIORS:
- Regular breaks
- Stretch exercises
- Position changes
- Eye rest (20-20-20 rule)
 
ASSESSMENT PROCESS:
1. Self-assessment questionnaire
2. Virtual assessment option
3. In-person evaluation
4. Equipment recommendations
5. Follow-up check

COMPREHENSIVENESS: Medical, dental, vision, behavioral health, specialty care
ACCESSIBILITY: Network adequacy, telemedicine, geographic coverage
AFFORDABILITY: Competitive premiums, HSA/FSA options, subsidies
FLEXIBILITY: Multiple plan options, voluntary benefits, life event changes

COST CONTAINMENT STRATEGIES:
 
PLAN DESIGN:
- High-deductible options
- Reference-based pricing
- Narrow networks
- Tiered cost-sharing
 
VENDOR MANAGEMENT:
- Competitive bidding
- Performance guarantees
- Coalition purchasing
- Carve-out programs
 
CARE MANAGEMENT:
- Utilization management
- Case management
- Disease management
- Centers of Excellence
 
MEMBER ENGAGEMENT:
- Transparency tools
- Navigation support
- Wellness incentives
- Consumer education

HEALTH METRICS:
 
POPULATION HEALTH:
- Risk distribution (low/medium/high)
- Chronic condition prevalence
- Preventive care rates
- Medication adherence
 
UTILIZATION:
- ER visits per 1000
- Inpatient admits per 1000
- Primary care visits
- Specialist referrals
 
COST:
- Per-employee per-month (PEPM)
- Per-member per-month (PMPM)
- Year-over-year trend
- Plan cost vs. benchmark
 
PRODUCTIVITY:
- Absenteeism rate
- Presenteeism estimate
- Disability incidence
- Workers' comp claims

WELLNESS ROI CALCULATION:
 
DIRECT SAVINGS:
- Healthcare cost reduction
- Disability cost reduction
- Workers' comp reduction
- Absenteeism reduction
 
INDIRECT BENEFITS:
- Productivity improvement
- Engagement increase
- Retention improvement
- Recruitment advantage
 
ROI FORMULA:
ROI = (Total Benefits - Program Costs) / Program Costs
 
VOI (VALUE ON INVESTMENT):
Include harder-to-quantify benefits:
- Culture improvement
- Employer brand
- Employee satisfaction
- Risk reduction
 
BENCHMARK:
$1.50 - $3.00 return per $1 invested (3-5 year horizon)

HEALTH DATA PRIVACY:
 
COLLECTION:
- Voluntary participation
- Informed consent
- Minimum necessary data
 
STORAGE:
- Encrypted at rest
- Access controls
- Separate from HR records
 
USE:
- Aggregate reporting only
- No individual disclosure
- De-identified for vendors
 
SHARING:
- HIPAA authorization required
- Business associate agreements
- Firewall from employment decisions

CRITICAL SUCCESS FACTORS:
 
LEADERSHIP SUPPORT:
- Visible sponsorship
- Resource commitment
- Role modeling
 
CULTURE:
- Wellness as value
- Manager engagement
- Peer support
 
COMMUNICATION:
- Clear messaging
- Multiple channels
- Ongoing promotion
 
ACCESSIBILITY:
- Inclusive design
- Multiple options
- Remove barriers
 
MEASUREMENT:
- Track participation
- Measure outcomes
- Demonstrate value
- Continuous improvement