Dr. Blocks Wellness Program

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Q: how does a program that sounds like it costs a lot end up saving money. When you incorporate these culture change ideas into an organized and structured wellness program you will improve employee health and reduce healthcare costs. The nerves of the facet joint can also be numbed using a medical branch block to reduce pain signals. If you're interested in joining the saudade wellness program, . Initially when i first been aware of dr. , says its program didn’t really take off until its committee got involved in the process. The senior executive indicated that playing the wellness card was one of the smartest things they ever did. “this is the first time a vendor’s data actually showed that a wellness program has gone over the bright red line of harming employees, and raises questions about how effective workplace wellness programs are when the industry’s top award goes to one like this. Dr trindade is also up to date on the most current medical research and is continuously applying her knowledge into your treatment plan. Program participants, he said in an announcement this month, “showed improvements in health behavior,” helping boise save money on medical costs. When critics say the program caused harm, they mean not only the drop in self-reported health and the overall worsening of systolic blood pressure, cholesterol, and bmi. It also suggests that shift workers and night owls could perhaps protect themselves if they wore eyewear that blocks blue light. To paraphrase the senior executive, “the brokers in our firm who facilitate a wellness solution during the sales process compared to those who do not are absolutely crushing it. The illness-wellness continuum is the first of dr. Our medically supervised programs are based on this philosophy – this style of eating. Once they realized that their wellness program had made a noticeable impact on employee health and on health care cost trends, they naturally wanted to share the good news with their customers.  they knew they were walking the wellness walk. Thankfully, there are now some great (and even trendy) blue light blocking glasses. Kellie wirth, a boise wellness consultant who was involved in the district’s program before it hired wellsteps, called the biometric data “indeed disappointing. How one broker got lower insurance rates playing the wellness card. This creative response continues with the introduction of the “family matter’s program” including the first onsite childcare facility, ‘building blocks’ for their construction employees. If the outdoor trail lies on the company’s property, you can post up maps along the trail as well so the employees don’t get lost while trying to come back to work. However, due to soil depletion, even the best organic foods no longer contain enough nutrients to provide those building blocks. Most analyses of workplace wellness programs focus on hard-dollar returns: money invested versus money saved. Employees in the wellness program that won in 2015, for instance, collectively achieved a lower reduction in smoking than the national average. Log in to your personalized wellness website to get started and see your screening results. I wanted to learn, from a brokers perspective, what the motivation might have been to launch an internal wellness program when so many brokerage firms had not yet done so. Wellness programs have often been viewed as a nice extra, not a strategic imperative. – this 10-week exercise and healthy eating program will get you started on the path to achieving and maintaining a healthy weight, along with a healthy lifestyle. Finally, here is a comprehensive program that will give you. When we see high use of medication for antidepressants, low std [short term disability] for mental health and high eap [employee assistance program] use, what does that mean. 15 per dollar from its employee health and fitness program. As outlined by our observations on statistical sales information from the clickbank, dr. “for example, at medavie blue cross, our ceo is a committed runner who often speaks about the importance exercise plays in overall wellness. It’s easy to find employees who don’t participate in wellness programs. “when someone actually has a problem, they have no idea of the support that is available because we call the programs by their names. Simply by making some key diet and lifestyle changes under the care and guidance of experts at the wellness program. Unintentionally neglected their own health and well-. ” managers also have a responsibility to invest resources wisely, and all the companies in our study emphasized the importance of measuring a wellness program’s success. ‘building blocks’ raises the bar in employee wellness program. Block, she discovered it was a problem with my neck and was able to correct the problem in just 2 visits. Com that you feel will support you in your personal health and well-being. – this self-monitored, medically supervised exercise program is aimed at helping you develop lifelong exercise habits while reducing medical risks. Share information about wellness with your staff – through email links and articles posted in staff areas of the office. After creating his breakthrough wellness model, the illness-wellness continuum (below), dr. Wellness is a process, never a static state. There are actually many degrees of wellness, just as there are many degrees of illness. How to start a wellness program: assess your needs. It would be easy to think that wellness benefits are only available to large, self-insured groups. Nerve blocks and trigger point injections. It is important to make healthy choices for both your physical and mental well-being. But many small brokerage firms have experienced substantial benefits from wellness programs. Remember that wellness is not the absence of illness or stress. A nerve block injection is used to target a specific group of nerves. So, in a way, medial branch block is a temporary and diagnostic procedure. Jennifer moore, director of hr and organizational development with dufferin child and family services, says her organization’s wellness committee is made up of employees in each department. Blocks wellness program user review:. In honeywell’s program workers and their spouses are asked to undergo a biometric screening that includes drawing blood to test cholesterol levels and a determination of body mass index by measurement of height, weight and circumference. "those kind of programs are really great for starting up a program, seeing how engaged your employees are going to be," campbell says. Wellness in the workplace is easier when you have help from vendors. Campbell helped one small company in san diego to create a "health points" program for its employees at almost no cost. Take a team approach to wellness. Although it would be great if every company could install a gym onsite and hire a full-time wellness coach, there are less expensive ways to make a difference in the health of employees. We asked middle managers about the on-the-ground management advantages and challenges of the program. The program allows your employer or plan to offer you premium discounts, cash rewards, gym memberships, and other incentives to participate. “we have a wellness month with different activities each day, and there is also a wellness fair. The wellness dentistry network was founded on the belief that together, we can change the approach to how we interact with our patients, collaborate with each other to share information, and more effectively integrate with other areas of the healthcare model. The best wellness managers connect their expertise to the culture and strategy of the organization. The eight dimensions of wellness are:. When asked about why the program, still in its infancy, is meeting with such success, he explains, "our patients are presented with scientific evidence of this diet's powerful effects during our four-hour wellness program. If you are identified as high risk for heart attack or stroke, our team can develop a tailored prevention and treatment program to help you reach your goals safely and effectively. The return on investment of implementing a wellness program for your employee is extraordinary. "if i had a manager who was maybe overweight and i knew that he smoked five packs a day and was a heavy drinker and yet he was telling me that i need to start this wellness program, it just doesn't flow very well. The wellness program will bring your body back to balance. According to vicki banks, biltmore’s director of benefits and compensation, “employees who participate in our wellness programs do not leave. ” to overcome challenges with funding, fernandes says dot integrated financial runs activities—such as paying $2 to dress down on a friday—to raise funds for programs. This can be for that reason undoubtedly well worth a test. Key concept #3: wellness energy system. High participation plus a comprehensive hra instrument enables j&j to tailor its wellness programs from business to business: one may focus more on cancer prevention, another on diabetes, and so on. As the medical director for ppg industries globally, i would like to take this opportunity to provide a recommendation for dr. "but if you do the same thing year in and year out, after year two or three, people are going to get bored with the online program. Ultimately, this deeper realm helps to determine whether the tip of the iceberg, representing your state of health, is one of disease or wellness. "it has been rewarding to watch some of the more dubious patients discover some new favorite foods after tasting the dishes served at our program. The smedley wellness center provides:. Yes, we know about lots of other wellness providers, but every company’s strategy and product positioning are different, and the way their customers think is different. Blocks wellness program reviews mention. Travis based the wellness inventory, in part, on the efficient flow of energy essential to wellness. ® - this 8-week comprehensive lifestyle and weight management program provides mindfulness and cognitive-behavioral tools, in addition to fitness and nutrition education, to guide you toward sustainable, healthy lifestyle changes. For a more detailed discussion on these and other successful brokers have helped their clients implement a wellness program, please check out this blog. How to find blue light blocking glasses. An individual can move beyond the “neutral” point to increasingly higher levels of wellness. Well, the secret has been discovered. Please help us continue to improve the hearts of many by making a tax deductible gift to the cardiac wellness program. Healthy eating should always be part of employee wellness. They initially tried to leverage expertise from carriers by encouraging their customers to use carrier wellness solutions. The initial year of the program was devoted to the employee population. Lourdes wellness center opened the little portion of lourdes wellness center, a satellite healthy-living center that housed massage services and the spirituality center. To understand the business case for investing in employee health, we examined existing research and then studied 10 organizations, across a variety of industries, whose wellness programs have systematically achieved measurable results. If your business asks us for help generating leads or marketing your programs, the first thing we’re going to ask you are questions like these:. How did wellness impact employee health. The avma believes “that each state (should) organize, develop, and fund a veterinary wellness program,” and we’ve created a model program for wellness to assist in that process. Give your employees mediterranean wellness through the principles delivered as a part of our classes, lunch-n-learns,. Invite your employees to talk jointly about what your staff members would most like to have included in your wellness program.

Dr. Blocks Wellness Program

Dr. Blocks Wellness Program

Companies in a variety of industries have included all six pillars in their employee wellness programs and have reaped big rewards in the form of lower health care costs, greater productivity, and higher morale. “just sending out the survey asking what employees wanted was a big morale booster. There he developed an innovative program for personal lifestyle change that focused on self-responsibility and engaged the whole person — body, mind, emotions, and spirit. Strategies for talking about your lifestyle changes with family and friends, as well as how to deal with specific challenges such as holidays, family traditions, loneliness, vacations, and celebrations, provide coping strategies that work with busy lives while still eating healthfully. When md anderson initiated its wellness program, president john mendelsohn took walks throughout the building with wellness coach bill baun. The content is presented through an intuitive dashboard, and below is an overview of some of the most import tools we have developed. During registration, applicants must upload official proof of full-time student status (at least 9 current credits at the undergraduate level, or at least 8 current credits at the graduate or doctoral level) to qualify for the student rate. 3) a long term study revealed that after 10 years, no one in the study had an improvement of vision. Randy mcglynn, ceo of the ontario teachers insurance plan (otip), says participation in the wellness events is a measurement that his team uses. Coordinate a “healthy snack of the month” club. I think it’s probably the most important statistic that our ceo looks at. The excitement and commitment dr. – this module allows the opportunity to unravel the social, emotional, relational complexities of changing eating lifestyle. As a member, you can expect to be asked to deliver a wellness dentistry program overview in your area. “in looking at our wellness program, the feedback i’ve received through these lunches is that 100% of the people say the wellness initiative is what engages them. When there is interference at any point – the input, the output, or in between – you may feel empty, confused, pressured, or blocked. Here's some steps you can take toward starting your own wellness program. Select the option to book "dr. ” this information is shared confidentially with each participant to help him or her track wellness progress and, when appropriate, receive company-provided assistance in an area such as nutrition counseling. Youth development programs at the wellness center. Sandy wargo, 57, a retired counselor and assistant principal, considers herself healthy and active and loves the boise wellness program (which is open to retirees), especially the informational packets about chain restaurant menus and the team competitions that encourage exercise. Such cases reinforce a growing recognition among experts that wellness programs — which constitute an $8 billion a year industry — “don’t lead to any visible results,” stanford’s emma seppala recently wrote  in harvard business review. To reinforce the mantra that healthy workers are safer workers, chevron has developed a strong wellness program that includes a comprehensive cardiovascular health component, a 10k-a-day walking activity, fitness centers, a repetitive-stress-injury prevention program, and work/life services. For others, the battle with chronic pain will result in unnecessary suffering, sleeplessness, hopelessness, sadness, financial hardship, and divorce. Travis created one of the earliest computerized hras, but soon realized that this approach failed to address the attitudes and beliefs underlying high-risk behaviors that determine wellbeing. There’s no requirement that employees partake in the biometric screening program and those who opt out face no risk of dismissal for doing so, michael burkhardt, a honeywell attorney, told montgomery today. Tricia griggs, rn, manager health and wellness. If the ceo makes time for exercise, for instance, employees will feel less self-conscious about taking a fitness break. Illness and health are only the tip of the iceberg. Many of our patients are more comfortable starting the phase two diet because they find it more feasible with their lifestyle. The break room is the place where employees gather to eat their packed meals or snacks. This is a ketogenic diet; carbohydrate intake is set low enough to achieve nutritional ketosis patients have abundant energy and feel good on this program, often better than they have in years. He spoke recently with khn’s jenny gold about johnson & johnson’s program and how corporate wellness could be incorporated into the current effort to overhaul the nation’s health system. Getting the recommended amount of physical activity can add years to your life, make your feel better and improve your quality of life. Many of the roundtable attendees agreed that if the culture of the organization is not aligned with the program, it won’t work. Not all customers began a wellness program because some individual brokers did not understand the powerful marketing impact of wellness and neglected to introduce wellness in the sales discussion. In addition, our guiding principles for state veterinary wellness programs can guide veterinary organizations in developing and implementing wellness programs. This is a program designed for you - and follows our "person-based" approach to health care - guiding you to information tailored to your personal needs. Because personal health is such an intimate issue, investment in wellness can, when executed appropriately, create deep bonds. Electronics and artificial lighting emit blue light, which only occurs in nature during the brightest part of the day. Illness-related absenteeism is an obvious factor in productivity. Communication services provider comporium, for example, has an on-site health and wellness center staffed by an independent medical practice including nurse-practitioners (nps), with a physician available as needed. It’s also a good practice to support your employee data with public health research, says casselman. Another option is to conduct an interest survey, where you list every initiative you are willing to offer as part of your wellness program and have employees rank what they would find most valuable. Bloomberg lp offers such a program. Find a good therapist or support group to help guide you through this time. If you’re so underfunded that you can’t even manage a small free pilot, you need to free up funds or rethink your business altogether. All benefits of an individual membership, at a significant discount for full-time students. Registering for the cardiac wellness program. 'corporate wellness works' proactively cultivates sustainable workplace wellness that improves employee health, reduces absenteeism, boosts productivity and moral while decreasing soaring health and benefits costs, ultimately leading to a better bottom line for your business. Ideally, a wellness program should be a natural extension of a firm’s identity and aspirations. Employers want evidence that your program is well-put-together and likely to be helpful to their employees. You’re one step closer to creating a world of wellness. Blocks wellness program proves to work, it is actually a quite effective guide that guys around the world have used substantially to their advantage and contains helped them considerably. Yet, we may feel powerless to change them. They also point to the annual screening the program requires regardless of someone’s health care needs and whether medical guidelines say such screening is recommended. These particular symptoms occur most often when a person goes from a higher carb processed food diet to a real food diet that is naturally lower carb. In 1986, the program expanded its offerings, as the wellness center, to include massage and other wholistic modalities. As accessible and inexpensive as implementing a wellness program was for buffalo supply, the company is part of the minority of small businesses who offer such programs. It’s clear that despite the potential value corporate wellness programs create for both employees and companies, there are a number of challenges to creating a strategically planned initiative. The sexual wellness program kit contains interdependent professional-grade, non-controlled medications to address and support the specific sexual wellness needs of women. All employees are treated the same. That would be very advantageous. Your home skin care program should consider your skin type, lifestyle, skin improvement goals and budget. For jackson, the effects of his program are best quantified in his company's tenure rate, which averages about 10 years. Without a master plan or major investment, harold jackson, the ceo of colorado-based medical equipment company buffalo supply, established a wellness program for his 18 employees. Q: describe what the wellness program looks like. If there is one wellness benefit that will save you the most money, helping employees become non-smokers is it. Corporate wellness programs: healthier employees, lower costs. Hen idaho’s boise school district receives the workplace wellness industry’s highest award wednesday at a celebration in atlanta, it is expected to be applauded for helping its 3,000-plus employees and their families improve their health and reduce their risk of illness. The mediterranean approach is the healthiest lifestyle on earth. Montgomery was asked to decide whether the wellness program, which honeywell said was enacted in furtherance of president barack obama’s affordable care act, conflicts with other federal laws. Recipes, audio, and video coaching. I just put on my blue light blocking glasses when the sun goes down and take them off when i go to bed. Engagement rates, focus groups and program participation are all valuable tools for measurement. I had pretty much given up, and then i heard dr. Therefore, there is some discomfort involved. With the sexual wellness program, there are ways to enhance sexual performance and muscle memory so that men of all ages are still able to enjoy an active sex life. A: you would participate in the health risk assessment. Family or friends usually react to your responses in two manners-both of which can be unhealthy. First hospital in southern new jersey to develop and offer a wellness program for its employees and the community. Blocks wellness program, i had been considering it may be only a scam that is equivalent to a lot of failures i’ve met. How did wellness impact marketing and sales. Blocks wellness program by clicking on the download link, you will be eligible for a bonus exclusive to reviewcritical visitors. Cmpa articles on physician wellness. The act of stimulating these protein hormones in very low levels appears to help the body sustain lean body mass while dieting. Getting a group of people in a room to ask questions and get really specific feedback around wellness initiatives provides you with things that you can actually take back and work on,” she says. As a mom of two young children, dr. Failure may trigger fear and depression. ” that movement, he continued, “reflects changes in health risks that occur naturally,” making it possible that some high-risk people become low risk “even though your program didn’t do anything. Can join in from anywhere through this online program and you will have access to videos, recipes and stress management tools as well as a supportive group of health conscious women. All of that is linked to a discount. Pain specialists use x-rays, they can avoid accidentally hitting any bony structures to reduce the risk of complications. By shaping minicultures in the workplace, middle managers can support employees’ wellness efforts. With tax incentives and grants available under recent federal health care legislation, u. At our core we all want to live our most authentic lives, but fear tends to get in the way and create energetic blocks. Keep on monitoring your ph so it stays in the normal range, and than you can reduce everything to once per day. That's probably why you're giving the wellness dentistry network a look. We have created a package that teaches you how to prepare for and present your practice at health fairs and health related trade shows. Blocks wellness program through the official site. Honeywell blocks eeoc move to halt wellness penalties for now. So it’s time to get off the diet roller coaster, and time to start living the lifestyle. Md health & wellness exclusively offers to the st louis area dr. Comprehensive wellness program includes a 3. Simply reminding employees to get cancer screenings and supplying them with information can be an effective way to improve their health. Women's heartcare – this comprehensive cardiovascular program is designed especially for women by women. Many concerns with regard to sexual health can come to light for women approaching menopause. But the company turned that around, and now the experienced nps enjoy a loyal following of employees, spouses, and eligible retirees. More than thirty years later, the program has more than 80 percent of employees participating. Blocks wellness program pdf free download. Turns out, there is a simple way to reduce most of the blue light we see at night: blue light blocking glasses. The programs promote leadership development and positive role models as a means of reducing health risk behaviors among teens. You may be able to apply for reimbursement from your insurance plan, please check with them for details. Severe back pain and other types of. Health care is a monumental issue for employers, and too much is at stake to be reactive. How you deliver it can make all the difference. Even so the close friends about me have been all discussing how amazing this way functions and exactly how fortunate they were meeting this technique. To understand all that creates and supports your current state of health, you have to look below the surface of your wellness state. Sam guarnieri - wellness dentistry network member. The program offered human-wholeness retreats and prenatal classes. Robyn becker, john moriarty and solomon snyder. The award “represents a troubling new precedent, a precedent that threatens the credibility of the entire industry,” said longtime wellness industry skeptic al lewis, ceo of employee health care literacy company quizzify. Coca-cola reported saving $500 per employee every year after implementing a wellness program, even with only 60% of their employees participating. Internal partnerships help wellness programs gain credibility. Health-related services are, by nature, personal. Corporate wellness initiatives have moved beyond simply providing discounts to gyms and offering healthy options in the cafeteria. For example, if you’re a smoker, we would offer you an online digital media smoke cessation program. Travis opened the first wellness center in the united states in 1975, the wellness resource center (mill valley, ca). Participants in the program can expect to:. If your company holds office parties or holiday parties then you should recommend healthier foods to the caterers of those events as well. At a restaurant recently, a waiter asked me if my orange glasses were actually blue blocking glasses and said he had some too. What’s the hard return on employee wellness programs. Patients will be scheduled to attend the four-hour educational session that arms them with the information they need to adopt a plant-based lifestyle. The experience of pain is a complex event, involving an interaction between our physical state-nerves, the brain, and body chemicals-and our psychological state–our thoughts, attitudes, and history. , encourages clients to get employees talking as a way to measure a program’s success. It started with the question, why offer a wellness program, and what happened as a result. Blocks wellness program is quite detailed outlining everything that you have to know inside a simple and successful manner. But employees’ wellness needs vary tremendously. The decision on which employees cooks the recipes will be from the pick of a hat. Travis’ continuum became an immediate success, an easy way to illustrate what this newly emerging wellness concept was all about. The eeoc filed its first-ever legal challenge to such a program under the ada in august, targeting orion energy systems inc. And you definitely shouldn’t hire outside sales and marketing help until you’ve tried selling your programs and services yourself. Sign up for the pilot qpr training program, available to avma and savma members on a first-come, first-served basis. Over a period of 5 years, dr. Once published in 1975, the dr. Wellness committees appear to be a critical part of starting a health strategy in an organization. Participants receive a beneficial onsite health screening and learn ways they can improve their. For jackson, however, implementing a wellness program was less a question of roi (which according to the studies is about $5. A few workplace practices stand out as basics for any wellness effort. 82 per employee after implementing their corporate wellness program. With more than 500 site-specific and nine regional wellness champions, the company hosts monthly conference calls for the wellness leaders, sponsors training webinars, and maintains an online wellness-resource center. Nerve blocks are commonly used to treat back and neck pain that is caused by herniated discs or spinal stenosis. With some 70 percent of large employers offering a workplace wellness program, that means the reviewers selected from a minuscule percentage of them. It was the best attended wellness event we’ve had so far. That way, employees won’t have to waste any time guessing on what they’re going to order when they get there. 88 after one year of the program. Alison cocking, manager, organizational wellness, with the university health network (uhn), agrees that engagement scores are hugely important to her organization. A high-profile, high-quality initiative within a broader wellness program can foster employee pride and involvement. You don’t have to force it on them, but just make it readily available to all employees in case they do want to quit. Body, mind and spirit to an optimal level of wellness. G’s has found the secret to not only help reduce your appetite, cravings and portion size but also increase your inherent ability to burn what you eat. Working with rats and genetically transformed mice, hopkins scientists found that after an initial burst of nitric oxide from nerve endings triggers erection, blood vessels release more nitric oxide to harden and maintain the erection. If you are looking for a program that will change your life and the lives of your employees for the better then this is the program to go with. For many companies, medical costs can consume half of corporate profit or more. For optimal health a healthy person’s ph should be between 7. After employers get through their own challenges, they must address the barriers that employees run into when trying to participate in a wellness program. Variations of the diets described above have been prescribed by obesity medicine specials successfully for over 60 years and continue to be the foundation for safe, effective medical weight loss programs. (hey, let’s be honest here. But now we know, that is just not true. Keep the mixture in the fridge. Quan campbell, the president of a corporate wellness consulting firm called the lifewellness institute in san diego, california, has seen  companies successfully begin wellness programs using free or low-cost websites in which employees can take hras, read articles, take quizzes, or log their steps from their pedometers for a competition. The biggest indicator of the power of wellness is that since they started presenting their prospective customers with wellness solutions, their new business sales has doubled. Why should i consider new treatments instead of surgery, injections or medication. If you are a broker and you already know everything there is to know about wellness, you can stop reading now. Muscle pain from spreading through the body. Initially, the program faltered because quality was not perceived as high. Employee participants spoke about what they considered to be the most successful parts of the program, how it could be improved, and why they thought nonparticipants had opted out. The number one answer: the wellness program. The benefits of blocking blue light (at night). They include a questionnaire-based health risk assessment, a biometric screening (basic things such as blood work, height, weight, and blood pressure), activity reports, and a smoking-cessation program. A: we have shown that we are impacting the bottom line-the cost of health care delivery. More energy than she has had in years and will tell you it's all because of dr. If employees feel confident about riding a bike to work, then more of them will do it. Fad diets are one of the worst weight-loss programs many people fall for. Encourage your employees to use the stairwell if they are only traveling between one to three floors. Today employees embrace nelnet’s wellness culture: 90% participate in health risk assessments (hras); about three quarters of those engage in wellness activities. Pictured above right: alexandra williams, who works at fkg, has her little one in the building blocks childcare service. A wellness program should be a natural extension of a firm’s identity and aspirations. Here are 18 more great wellness program activities and wellness tips for the workplace any company can do. Well, my practice is interested in providing you with all the options you have available to you to heal your vision challenges…so you can make an educated decision on which path to follow. Take the opportunity to integrate a few special events that will make them healthier. It’s no ordinary management job. Scientists believe these people, who had the same genes we have today, were lean, fit, and rarely obese. I decided at 65 i had it in me to lose that weight one more time and keep it off. Proteins are important for a variety of roles. , a wisconsin-based high-efficiency lighting company. Protein - the building blocks of wellness. Companies can use wellness programs to chip away at their enormous health care costs, which are only rising with an aging workforce. The wellness program is so easy and works for so many things, like aids. High-level wellness simply defines choices we can make over things we can control in our life, including our behaviors. Some of these discounts are fairly substantial as well. Karolev knows her programs are working through engagement scores and participation rates, but also through anecdotal evidence. To run a successful wellness program, hr teams must first overcome a number of challenges, including adequate resources, buy-in from senior management and how well a program matches company culture. A verifiable payback isn’t certain, and the journey can be arduous.