Health Contingent Outcome Design Purpose

The purpose of Health Contingent Outcome Design is to configure your yearly biometric program campaign for awarding credits to members who reach the defined program standards for each configured campaign.

Health Contingent Outcome Design Overview

This Health Contingent Outcome Design Settings can be used to configure everything the user sees within the Biometric Dashboard. It can be used to set up a widget on the dashboard for each biometric campaign that is part of the program. 

To access this widget configuraiton, click on Admin > Settings and then click on My Credits in the green widget tile. The widget tile will appear as shown below in the Program Settings. 

Three tabs are displayed within the configuration screen: Dashboard Messages, Properties, and Program Campaigns.

The Dashboard Messages Tab may be used to configure what the user sees in the Important Information section of the Biometric Dashboard. Information here may be tailored to a specific audience (associate, spouse, etc.) as well. 

The Properties Tab may be used to manage the widget title, visibility, and tooltip. This information is seen when viewing the green biometric widget in the main dashboard after logging into the system.

The Program Campaign Tab may be used to configure each biometric campaign widget displayed in the Biometric Dashboard. Please note that a list of campaigns must be configured for each year. These are your yearly biometric campaigns. 

Adding Program Campaigns

It is important to keep program campaigns separate for each year and a list of campaigns should be created for each year.

At the top of the Program Campaigns Tab, you will see a Campaign Year drop-down menu. This menu can be used to select a year for the campaign. It will also filter the displayed program campaigns in the table for the selected year. 

To create a new campaign, complete the following steps: 

Step 1: Click on Admin > Settings > My Credits.

Step 2: Select the Program Campaigns Tab.

Step 3: Make certain the appropriate year has been selected in the Campaign Year Menu. 

Step 4: Click on Add New Program Campaign. Enter all required information. Items with an asterisk* are required.

Step 5: The Program Name is the type of program (BMI, Tobacco, Blood Pressure, Total Cholesterol, etc.) that will be used to create the campaign.

A program can only be chosen once for the campaign year. Once a campaign has been created for the selected program, it will no longer be available as a selection in the menu. 

Step 6: The Credit Amount is the number of credits the user will receive. This can be a money value or a point value. If it is a money value, then enter the money amount. If it is a credit, then enter the point value. 

Step 7: An Alternative Standard can be defined for users who do not meet the program standard (BMI, Tobacco, etc.). 

For example, let's say the program campaign is for BMI and the standard is 30, but the user has a BMI of 32.

You can select an alternative standard for them to meet, so they still have an opportunity to receive the credit amount. A good example might be select Waist Circumference as an alternative standard.

If the user does not have a BMI of less than 30, but meets the Waist Circumference alternative standard of 31 for women or 37 for men, then they will still receive credits. 

Step 8: The Wellness Goal field can be used to enter a description of the standard goal, which will be displayed on the program campaign widget within the dashboard. 

For example, if BMI has been selected, you could enter the BMI standard is less than 30. If the user has a BMI of 29, then they have achieved the set standard. 

Important: According to the law, you are required to provide a reasonable alternative standard for users who do not meet the defined wellness goal. 

Step 9: The Standard Parameters determine if credits are awarded for the selected program or for the alternative standard. Information entered here will depend on the program and/or standard alternative selections on the form.  

Step 10: In the event that the user has not met the program set standard, you an provide an Alternative Standard. This means the user can be given the option to take steps to improve this biometric item.

As an example, for BMI, the user might have the option to participate in a weight management program, their physician may place them on a restrictive diet. they are working with a dietician, or if you join another program. This can be any programs that will help reduce weight in this example. 

While both an Standard Alternate and Alternate Standard can be configured, the typical configuration is to select a program and then configure an Alternate Standard. 

Important: It is important to ensure that when you have a program, there is also an alternative standards program. Consult with your legal with your legal provider and FitLyfe on how to proceed with the Alternative Standard Notice.

When a Notice is in the Alternative Standard and the user did not meet the program standard, the notice shows a program or another action entered by the program admin that they can take to improve this biometric item (coaching sessions, weight loss program, etc.).

The law says a reasonable alternative standard can be provided for users who do not meet the program standard. According to the law, your wellness program must be:

• Voluntary to Employees
• Reasonably Designed to Promote Good Health or Disease Prevention
• A Clearly Explained Notice for Medical Examinations
• Reasonable Alternatives for the Wellness Program
• Limits on Earned Incentives

For more information on these requirements, please refer to the following EEOC government links: 

• https://www.federalregister.gov/documents/2015/04/20/2015-08827/amendments-to-regulations-under-the-americans-with-disabilities-act
• https://www.eeoc.gov/laws/regulations/qanda_nprm_wellness.cfm
• https://www.eeoc.gov/laws/regulations/facts_nprm_wellness.cfm
  
  

Step 11: The campaign Start Date and End Date defines when the campaign will begin and end. This can be annual, semi-annual, quarterly, or even for a single month. This configuration can be tailored to meet your specific company needs. 

For example, if your program year is annual, it could start on January 1st and then end on December 31st.

You could also configure the end date to November 31st to accommodate a 15-day grace period to ensure all open items are taken care of. 

Step 12: The Grace Period is the time frame the admin has to maintain the data after the configured End Date before the campaign is completely closed. 

Step 13: The Baseline Date is the date you want to reset the baseline. A user can have none, one, or several test results depending on their own personal habits. Typically users have more than one test result.

For example, if your campaign runs from January 1st to November 30th for the year with a 15-day grace period, then the baseline will be done on January 1st. 

Every single Biometric creening result prior to the start of the prior campaign, you will have a baseline. If the user has 3 results for 2018, only the last one will be counted toward the baseline. So for 2019, your BMI went from 30 to 28 and the system will compare the baselines. The user will receive a credit because they have less than the standard BMI parameter of 30. 

Step 14: It is important to set the Physician Credit Start Date before the campaign start date. This allows the users to submit their physician forms from that date through the end of the campaign. All other items involving the campaign will start from the configured campaign start date. 

For example, the physician start date may be set to January 31, 2018 and then the actual campaign will start from July 1, 2018. This allows user to submit their physician forms between January 31 to the end of the campaign. 

Step 15: The Notice End Date defines when the notice should end. For example, if your program ends on November 30th, then another 15 days may be given to make certain that when it resets in the new year it will reset the data. This means the notice and all other data will disappear. The prior year then becomes a baseline for the upcoming campaign.

Step 16: When the Can Be Waived option is checked, it means the program can be waived. If unchecked, then the option is not enabled. 

For example, if the user becomes pregnant and the program is BMI, then the individual is an exception and needs to be waived. Or if the user is on medication, then a waiver can be issued for them. In these scenarios, this option can be checked.

Step 17: Once finished, click Save to save the biometric campaign widget configuration.

These steps may be completed for as many biometric program campaigns as needed. A widget will appear within the Biometric Dashboard for each campaign set up on this the Program Campaign Tab. 

Updating Program Campaigns

Once a program campaign has been added, it will appear within the table on the Program Campaign Tab.

To make changes to the campaign, click on the Pencil Icon to the right of the appropriate campaign.

Remember to click Save once finished. 

Removing Program Campaigns

Once a program campaign has been added, it will appear within the table on the Program Campaign Tab.

To make remove a campaign, click on the X to the right of the appropriate campaign.

Click OK in the confirmation window to finish.