Exercise & Wellness Program Matt Jacobs, MA, RD/LD, NSCA-CPT February 8th, 2008

1. Exercise & Wellness Program Matt Jacobs, MA, RD/LD, NSCA-CPT February 8th, 2008

2. Goal • Bring an exercise component to the already comprehensive OWLO program • Employee Wellness Program (EWP)‏ • Online Personal Training Program (OPT)‏ • Fitness Facility for Patients and Employees (2009)‏

3. Literature Review • McCullough et al., Chest 2006 • 109 patients prior to lap Roux-en-Y • Measured complication rate (death, angina, stroke) compared to VO2 max • 16% (6 of 37 patients) with VO2 < 15.8 mL/kg/min • 2.8%(2 of 72 patients) with VO2 > 15.8 mL/kg/min

4. Literature Review • Kerrigan et al, Medicine & Science in Sports & Exercise, 2005 • rate of weight loss after (3 and 6 months) bariatric surgery for 3 groups: • 1) clinic based, supervised exercise program • 2) self-reported regular exercise • 3) self-reported no regular exercise • Supervised group lost greater absolute weight than the other two groups at both 3 and 6 months • There was no difference in weight lost between groups 2 & 3

5. Who will this program benefit? • Patients • Less risk of complications after surgery • Improved weight loss after surgery • Employees • Decreased absenteeism due to illness, depression, stress • Increased job satisfaction, morale, productivity • Decreased weight, blood pressure, stress • OWLO • Increased revenue stream • Increased patient satisfaction • Decreased work site stress • Employee buy in to OWLO program

6. Divisions of Program • Employee Wellness Program (EWP)‏ • Online Personal Training (OPT)‏ • OWLO Fitness Facility (2009)‏

7. Components of the Employee Wellness Program (EWP)‏ • Provide access to cardiovascular and resistance exercise equipment at the workplace • Provide education related to nutrition • Basic and advanced exercise instruction • Topics related to health and wellness • Employee set goals (weight loss, blood pressure, percent body fat, etc)‏ • Nutrition supplement use

8. How EWP works... • Employees enroll in wellness program as part of a benefit package from OWLO • 30 minute confidential RD consultation • Medical evaluation from a RN • Exercise evaluation from a CPT • Employees will meet weekly in a group setting during non-business hours (before or after work, noon)‏ • Incentives offered for employees that meet goals

9. Goals and Incentives of EWP • Employees set a 12 week goal • Employees that meet goals would be eligible for incentives as long as they continue with the program • Discounted health insurance premiums - OR - Reimbursement for copays • Reimbursement for gym memberships • Monetary rewards • Paid time off

10. Costs of EWP • Employee costs • $5 per month for initial evaluations and weekly group meetings • $1 per 15 minute session of exercise • $25 individualized exercise plan • Monthly supplements • OWLO Costs • Equipment (cardio, pedometers, mats, education materials, stability ball)‏ • Office Space • Incentives • Program facilitator time

11. Anticipated revenue from EWP • Employee Enrollment • 10 employees x $5/month x 1 year = $600/year • Time Reservation • 15 minute blocks of time x $1/session • 10 employees 3 sessions/ week = $1560/year • Employee purchased Supplements • $120/month or $1440/year • Individualized Exercise Program • $25 x 10 employees = $250 x 4 = $1000/year • Total revenue for 10 employees enrolled = $4600/year

12. On-Line Personal Training Program (OPT)‏ • Website devoted to the exercise and fitness needs of OWLO patients and employees • Trainerforce.com • Online personal training program used by fitness professionals to provide an additional service to their clients • Can be linked to existing website

13. How the OPT program works.... • Patients log on the the OPT website linked directly to owlo.com • Pay monthly fee • Gain complete access to site • Site monitored by CPT

14. Benefits of OPT program • Patient Benefits • Customized exercise plan complete with animation • All exercises are able to be performed at home with proper equipment • Discussion forum, newsletter, emails • Support system • OWLO Benefits • Increased revenue • Increased patient satisfaction and care • Trainer Benefits • Instant clientèle • Increased revenue

15. Costs of OPT program • Patient costs • $30 per month- patients gain complete access to entire website and services • OWLO costs • Advertisement costs (brochures etc)‏ • 30% of subscription costs for website • $30 x 30% = $9/month • Trainer Costs • 70% of subscription costs for website • Time and effort of maintaining website

16. Compensation to Trainer • Trainer will receive 70% of income from OPT program • Trainer is responsible for maintaining all tasks associated with website and any service offered • If trainer is also an employee of OWLO, any work performed for the OPT will be on downtime, evenings, weekends etc

17. Anticipated Revenue from OPT program • After 3 months: • 10 users x $30/month = $300 x 30% = $90 x 3 months = $270 - $27 (website) = $243 • After 1 year: • $243 x 4 = $972 (before advertising costs)‏

18. OWLO Fitness Facility • Provide a facility in new hospital for staff and patients of OWLO • Provide exclusive “bariatric specific” wellness facility

19. Benefits of Fitness Facility • Enhances the already comprehensive OWLO program • Provide additional service to patients and staff • Increased revenue for OWLO • Initial exercise assessments

20. OWLO Fitness Facility • Cardio Equipment • Free Weights • Machine Weights • Bariatric specific equipment

21. Costs of Fitness Facility • Numerous Factors • Size • Type of equipment • Brand of equipment • Staffing • Utilities

22. Anticipated Revenue from Fitness Facility • Monthly Memberships • Personal Training • Walk in visits • Initial patient assessments

23. Next Steps of Action • Space and equipment for EWP & Initial Assesments • Development of EWP curriculum (Balance)‏ • In service of EWP • Begin development of online personal training website • Develop promotional materials for OPT • Begin plans for Fitness Facility

24. Thank you • McCullough PA, Gallagher MJ, deJong AT, et al. Cardiorespiratory fitness and short-term complications after bariatric surgery. Chest. 2006;130:517–525. • Kerrigan, DJ; Keteyian, SJ; Thompson, T et al. Post Surgical Weight Loss In Bariatric Patients Who Self-Select Supervised Exercise. Medicine & Science in Sports & Exercise. 37(5) Supplement:S286, May 2005.