Monthly Archives: August 2010

Organizational Readiness for Prevention

Interview with Dr. Joel Bennett

Question: What do you mean by “organizational readiness” or “prevention readiness?”

Answer: My quick answer is real behavioral change is Incremental, not Seismic. Readiness refers to the capacity of the organization—especially relevant key players (leaders, wellness coordinators, health champions)—to listen to and proactively respond to the unique health needs of its members. Such responsiveness is driven by the climate of the organization and its openness to change.

There is a  great deal of theory and research on organizational change and, during the 1980s, a whole field of “change management” specialists and consultants came into being and grew. At their best, change strategies are systematic and intentional “planned changes” that enhance or preserve the well-being of a company (efficiency, profits, AND employee health). One insight that came from these efforts is that “off the shelf” programs (learning, training, or otherwise) that come from one company or vendor may be less effective in another setting unless the program is modified or adapted to best fit the new setting.

Put another way, some workplaces are more ready to change than others and, subsequently, more ready to receive, implement, and benefit from wellness program. Your “best fit” is enhanced when you match the program to the readiness level and incrementally “nudge” well-being.

Question: Why is it important for workplaces to consider their level of readiness as part of their workplace health promotion efforts?

Answer: It makes little financial sense to throw money at a problem that is not ready for help. Changes occurs gradually, incrementally. The time you take to understand readiness now will save money later. You think more carefully about where you are spending your money.

Let’s use the analogy of a cigarette smoker but you can refer to any addictive process. (By the way, most of the healthcare costs employers face are due to addictive processes: overeating, tobacco, alcohol, and workaholism). If the smoker is using tobacco at a high rate, say two packs a day, you will have a hard time convincing them to quit completely than if you (a) help him/her identify when and how they can reduce their use, and (b) ask them to tell you why (costs/benefits) they should reduce use—i.e., help them to motivate themselves.

To do so, you – as a coach or therapist – have to discover their own interest in stopping an old (unhealthy) behavior or starting a new (healthy) behavior. This discovery depends upon your ability to listen to their interest in stopping—their needs, desires, values, hopes, etc. If they are in denial, your response (your strategy) will be entirely different than if they are eager to change.

Similar, when it comes to the entire workplace, you run a financial-risk if you just give everyone the same program because it is new, fancy, web-based, colorful, etc.. Many workplaces are realizing that there is no magic bullet. You have to listen to worker needs and motivate them where they are. Readiness levels tell you where they are.

Question:  So, is readiness assessment only useful for those who are just beginning programs?

Answer: Planning is always good. First, workplaces are dynamic; they keep changing. Your readiness can actually change—move forward or backward or follow a cycle.

Remember the change theory I spoke about earlier? Organizations can sometimes “freeze” in their readiness and the best investment is helping them to be more open (“unfreezing”) to receiving programs than in just giving them programs.

We call that capacity building. Second, the workforce is heterogeneous or diverse. Some groups, worksites, departments, stores are more ready than others. In fact, some organizations have a “best practice” unit in wellness that has just naturally evolved without any outside vendor or program. It is always better to tap your own internal resources.

You may have a diamond in the rough. So your assessment should be done on different units. Third, whether you are new or old it is always good to refresh. We sometimes make assumptions that the ways things are are the “way things are” and fail to test our assumptions.

Question: What are the core features of readiness?

Answer: We have identified five core cultural features that we think pertain to any workplace. There are other important features concerning the wellness champion or internal advocate as well, but these five have to do with factors inside the work setting.

First, and most basic, what kinds of resources and materials do you have? This includes budget, space, and communication capacity.

Second, what kind of internal support do you have from leadership and administration? Companies can make the mistake of allocating budget to program materials before they gain senior support as well as coworker attitudes for the program.

Third, is the climate at work proactive or reactive? This goes back to the “change management” ideas and “resistance to change.” Your program will look much different if you already have effective policies in place (e.g., safety, drug-free workplace) that are respected and you face problems head on.

Fourth, adaptability. This is my favorite and it has to do with a willingness to grow, to face challenges, and to experiment.

Fifth, and this ties into the learning and training function: Do supervisors, co-workers, and policies make your workplace a learning organization?

Question: How will assessment benefit the business from an economic perspective? Does this have anything to do with return-on-investment?

Answer: Remember the smoking analogy and where to best leverage your communications. A readiness assessment can help you maximize your return-on-investment because you think more carefully about your current risks and strengths.

If your spending more time and money on materials and resources when you tend to be a very routine-oriented and reactive organization, you may want to re-think where your budget should go and create a phased approach. Spend more time talking to managers about the program, get them on board, have retreats, ask for their input into the program. This could yield a better return in the long-run.

Question: What do you need to do to be most successful with the data you collect in an assessment?

Answer: Action planning and Follow-up. Don’t just leave the data on the shelf. Come back to it 6- and 12-months later. Review the information with leadership and the key players I mentioned earlier.

Ask for their input and create a plan TOGETHER. This is key. If you focus on “meeting folks where they are” and plan accordingly, success will come. This will be more effective than just blindly launching a campaign.

In fact, campaigns can hurt you because workers may feel you are not really paying attention to their needs and feel you are coming “form left field.” You can generate more resistance. So, success comes from care and attention paid to “what is” – your current level of readiness.

Editor’s Note:  Joel B. Bennett is President of Organizational Wellness & Learning Systems, Fort Worth, Texas, 76107  817.921.4260 www.organizationalwellness.com

Dr. Bennett will present an educational program “Organizational Readiness For Workplace Wellness: Are You Ready? Thursday, August 19, 2010, from 1:30-2:30 p.m. EDT

For details on the program visit: http://www.healthresourcesonline.com/edu/Organizational-Workplace-Wellness.htm

The program has been organized by the Wellness Management Information Center.