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HR & People Operations

How to Preserve Company Culture as You Scale to 100 Employees

Navigating Growth: How to Preserve Company Culture as You Scale to 100 Employees”

company cultureIf you’re reading this, chances are you’re navigating the exciting but challenging moments of rapid growth. Maybe your company is doubling in size, or you’re adding new layers of management for the first time. Exciting, right? But let’s be honest: it’s also a bit terrifying, especially when it comes to preserving the unique company culture that has made your team successful.”

As a two-time Inc. 5000 honoree, I’ve been fortunate to connect with founders of fast-growing companies who’ve successfully scaled past 50 and 100 employees. Through these conversations, one theme stands out: growth can strain—even break—the very culture that made your company special. But it doesn’t have to.

I’m sharing the stories, lessons, and actionable strategies from these seasoned entrepreneurs to help you scale your team without losing the soul of your organization.


The Common Thread: Early experiences build company culture.

Many founders revealed the surprising fact that they plant the seeds of culture long before scaling becomes a reality. It starts with the very first hires—their values, behaviors, and how they embody the company’s mission. If you wait until you’re at 50 employees to think about culture, you’re already behind.

One founder told me about their experience building a marketing agency. When they were just five people, they took an afternoon off to brainstorm a list of “non-negotiables”—values they wanted to guide every decision. “We weren’t hiring for roles,” they said, “we were hiring for alignment.” That prior work paid off when the team grew to 80 people. Those original values became a filter for hiring and performance, keeping the culture intact.

Takeaway:

Start small and define your culture early.

  • Create a one-page “culture manifesto” with your team.
  • Identify and document your core values.
  • Use these values to guide every hire, even if it slows the process.

The Breaking Point: 50 Employees

The transition from a close-knit team to a larger organization is where many founders hit their first cultural roadblocks. Communication silos form. New hires outnumber early employees, diluting traditions. It’s easy to feel like the culture is slipping away.

One founder shared how they realized this when their weekly team lunches—the highlight of the week—felt chaotic and impersonal. “We had 60 people crammed into a room that used to hold 20,” they said. The solution? Smaller, team-based gatherings. Each department started hosting their own version of the weekly lunch, preserving the intimacy and connection that made the original practice so meaningful.

Takeaway:

Rethink traditions to scale with your team.

  • Identify which rituals need adapting for a larger team.
  • Introduce team-specific versions of your traditions to maintain connection.
  • Host quarterly culture “check-ins” to evaluate what’s working.

The Tipping Point: 100 Employees

Hitting 100 employees often signals the need for systems and processes to maintain company culture. Without them, rapid hiring, new leadership layers, and geographic expansion can pull the organization in different directions.

company cultureOne CEO of a software startup described their wake-up call: a top-performing employee resigned, citing a “disconnect” between the company’s stated values and how decisions were being made. “It hit me hard,” the CEO admitted. In response, they launched leadership training for all managers, emphasizing how to embody company values in everyday decisions. They also created a “values in action” award, recognizing employees who exemplified the culture.

Takeaway:

Codify your culture to make it scalable.

  • Develop leadership training that teaches managers how to model your company culture.
  • Incorporate cultural alignment into performance reviews.
  • Create recognition programs to celebrate cultural champions.

What the Best Companies Do Differently

From these conversations, I noticed a few standout strategies that the best leaders use to preserve culture during growth:

  1. Communicate Relentlessly:
    One founder shared how they implemented monthly all-hands meetings, using storytelling to reinforce the company’s mission and values. “People need to hear the same message in different ways,” they said.
  2. Over-Invest in Onboarding:
    Another founder described onboarding as their “secret weapon” for culture-building. New hires spent their first two weeks immersed in the company’s history, values, and stories of employee impact.
  3. Be Willing to Let Go:
    “Not everyone will grow with you,” said one CEO candidly. They stressed the importance of parting ways with employees who no longer align with the culture, even if they were valuable in earlier stages.

Takeaway:

Be proactive and intentional.

  • Use onboarding to embed culture early.
  • Host storytelling sessions to reinforce values.
  • Don’t hesitate to make tough decisions to protect your culture.

Conclusion

Growth can be both exhilarating and daunting, but the entrepreneurs I’ve spoken with all agree on one thing: culture is your company’s most valuable asset. It’s not just a “nice-to-have”—it’s the glue that holds everything together as you scale.

If you’re reading this, chances are you’re already doing something right. You care about the culture you’ve built, and that’s half the battle. Now, the challenge is to nurture it intentionally, adapt it thoughtfully, and protect it fiercely as your team grows.

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HR & People Operations

Transitioning to a Remote Workforce? Here’s How to Reduce Team Burnout

Building a Thriving Remote Workforce: Strategies for Success

A couple of years ago, we made a significant shift: we closed our offices in Cranford, New Jersey, and San Diego, California, and transitioned to a fully remote workforce. It felt like a leap into the unknown, but we knew it was the right move for our team and our business. While remote work brought flexibility and opened up opportunities, it also came with challenges—one of the biggest being burnout.

Over time, we’ve learned a lot about what works (and what doesn’t) for supporting a healthy work-life balance for a remote team. Drawing from our experiences and supported by industry research, we’ve implemented strategies to foster a healthy work-life balance for our remote team.

1. Addressing the “Always-On” Culture

Remote work can blur the lines between professional and personal life, leading to an “always-on” mentality. This constant connectivity increases stress and diminishes productivity. Furthermore, research from organizations like the American Psychological Association has shown that remote work can increase stress levels for some employees, with studies indicating that remote workers often report higher levels of stress compared to in-person workers.

Our Approach:

  • Set Clear Expectations: Specifically, we established communication guidelines, discouraging after-hours emails and promoting defined work hours.

  • Utilize “Do Not Disturb” Tools: Encouraging the use of status indicators helps team members manage availability and personal time.

  • Implement Digital Detoxes: Company-wide no-meeting days provide space for focused work and reduce digital fatigue.

2. Combating Screen FatigueRemote workforce

Prolonged screen time can lead to fatigue and decreased focus. Research from Stanford University identified “Zoom fatigue” as a significant issue, highlighting the cognitive load of video conferencing.

Our Approach:

  • Encourage Movement: We introduced wellness programs with stretch breaks and step challenges to promote physical activity.

  • Promote Regular Breaks: Reminders through communication tools prompt team members to take short, frequent breaks.

  • Lead by Example: Managers model healthy behaviors by taking breaks and sharing self-care practices.

3. Fostering Social Connections

Remote work can lead to feelings of isolation. A report by Buffer indicated that 20% of remote workers cite loneliness as their biggest challenge. Therefore, we prioritize building and maintaining social connections within our team.

Our Approach:

  • Virtual Social Events: We host activities like trivia nights and coffee chats to build personal connections.

  • In-Person Meetups: Budgeting for occasional team gatherings helps maintain face-to-face interactions.

  • Peer Networks: Mentorship programs foster relationships and a sense of belonging.

4. Redefining Flexibility

True flexibility goes beyond remote work; it involves accommodating individual needs. This aligns with findings from the American Psychological Association’s 2023 Work in America Survey, which highlighted that remote worker reported higher satisfaction with their work-life balance compared to in-person workers.

Our Approach:

  • Custom Schedules: Allowing employees to tailor their hours around personal commitments enhances balance.

  • Empathetic Leadership: Training managers to focus on outcomes rather than hours worked fosters trust and support.

  • Practical Support: Creating out-of-office opportunities like volunteer days and other ways to connect with our communities.

Conclusion

Our journey to a fully remote workforce has been both challenging and rewarding. By addressing the always-on culture, combating screen fatigue, fostering social connections, and enabling true flexibility, we’ve created a supportive environment where our team thrives. These strategies, supported by industry research, have been instrumental in reducing burnout and promoting well-being. We hope our experiences offer valuable insights for organizations navigating similar transitions.

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Research & Insights

Case Study: Powering Behavior Change Through the TTM

How Health Coaches Can Drive Digital Engagement Using the Transtheoretical Model

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How Health Coaches Can Drive Digital Engagement Using the Transtheoretical Model

Health coaching has evolved from face-to-face interactions to digital platforms, where engaging clients consistently is a challenge. While digital tools offer unprecedented convenience, maintaining long-term client involvement requires an understanding of behavior change psychology. The Transtheoretical Model (TTM), also known as the Stages of Change Model, offers health coaches a framework for tailoring their coaching strategies based on where clients are in their behavior change journey.

In this article, we’ll break down how health coaches can apply the TTM to boost engagement, encourage behavior change, and ultimately help clients achieve lasting health outcomes through digital platforms.

Understanding the Transtheoretical Model (TTM)

The TTM outlines five stages that individuals pass through when changing a behavior:

  1. Precontemplation – The client is not yet considering change and may be unaware of its necessity.
  2. Contemplation – The client acknowledges the need for change and starts considering it.
  3. Preparation – The client prepares to take action and begins small steps toward change.
  4. Action – The client actively implements change.
  5. Maintenance – The client works to sustain the new behavior and prevent relapse.

For health coaches, understanding which stage your client is in is key to customizing your approach. By aligning your coaching strategies with their stage of change, you can boost engagement and help clients navigate their health journey more effectively.

Applying the TTM to Digital Health Coaching

Stage 1: Precontemplation – Sparking Awareness

In this stage, your clients may not even realize they need to change, or they may be resistant. It’s crucial to raise awareness and educate them without overwhelming them.

Digital Coaching Tips:

  • Provide educational content through blogs, short videos, or webinars to highlight the benefits of behavior change.
  • Use gentle nudges like app notifications or emails that don’t overwhelm but introduce key health concepts.
  • Use case studies or client testimonials to demonstrate the transformative power of health coaching.

Stage 2: Contemplation – Nurturing Intentions

Your client recognizes the need for change and is considering taking action. This is the moment to inspire motivation and help them make a plan.

Digital Coaching Tips:

  • Introduce personalized content based on their health goals. Tailor notifications or emails to highlight their specific needs.
  • Schedule 1:1 virtual coaching sessions to talk through their concerns and outline potential next steps.
  • Offer progress tracking tools to show how incremental changes can lead to larger outcomes, helping them visualize success.

Stage 3: Preparation – Taking the First Step

At this stage, clients are ready to take action, and your role is to support their commitment. They may need guidance on choosing the right tools or resources to succeed.

Digital Coaching Tips:

  • Use goal-setting features on your platform that let clients break down large goals into manageable steps.
  • Provide reminders and prompts to keep them accountable for their health actions.
  • Encourage trial programs or starter challenges that ease clients into new behaviors, allowing them to gain small wins early on.

Stage 4: Action – Sustaining Engagement

Your client is now actively making changes, and your focus should be on maintaining engagement, especially through the hurdles of daily life.

Digital Coaching Tips:

  • Utilize gamification to make the process more engaging, such as rewards for streaks or challenges.
  • Provide personalized progress reports through apps, emails, or dashboards that give clients real-time feedback on their improvements.
  • Offer virtual group sessions or support forums where clients can connect with peers, fostering community engagement.

Stage 5: Maintenance – Preventing Relapse

Clients who reach the maintenance stage have made significant progress, but the challenge now is to prevent relapse. Coaches should focus on reinforcing habits and offering continuous support.

Digital Coaching Tips:

  • Schedule regular check-ins (monthly or quarterly) through calls or video sessions to review their progress and adjust strategies.
  • Offer advanced goal-setting or new challenges to keep the momentum going.
  • Provide peer support or invite them to act as a mentor to new clients, fostering a sense of responsibility and achievement.

Leveraging Digital Tools for TTM-Based Coaching

As a health coach, your digital toolkit is key to applying the TTM effectively. Consider using these strategies:Behavior Change

  • Behavioral Triggers: Use push notifications or email prompts to align with the client’s stage of change.
  • Cognitive Training Tools: Incorporate mental training exercises that help reinforce healthy habits, such as mindfulness practices or stress management modules.
  • Data Integration: Connect your coaching platform with wearables to provide clients with real-time data that empowers them to make better health decisions.

Why This Matters for Health Coaches

Understanding the Transtheoretical Model allows you to tailor your coaching strategies to each client’s unique journey. Digital engagement isn’t just about sending reminders or tracking progress—it’s about creating a personalized experience that meets the client where they are. By implementing TTM-based strategies in your coaching practice, you can significantly enhance client engagement, drive better health outcomes, and build stronger, longer-lasting relationships.

Final Thoughts

For health coaches, the shift to digital platforms presents both a challenge and an opportunity. By understanding your clients’ readiness to change and using the Transtheoretical Model, you can create a more personalized, engaging experience that meets them exactly where they are on their journey to better health. Whether they’re at the very start or maintaining progress, you’ll have the tools and insights needed to guide them effectively.

Interested in taking your health coaching practice to the next level?
Download our comprehensive literature review on how to drive digital engagement and behavior change using the Transtheoretical Model. This in-depth guide offers research-backed strategies for improving client retention, using cognitive training tools, and ensuring long-term success.


About Avidon Health

Avidon Health provides innovative health coaching solutions to personalize engagement and create behavior change at scale. We are a team of behavior change experts who empower people to make positive life changes by focusing on the individual, not just the condition. Avidon’s core product, Engagement Rx, is a digital health coaching platform used to improve adherence and outcomes for diverse populations, and includes an interactive eLearning portal, coach CRM, and Content Design Studio. This turnkey-but-customizable solution can serve as a standalone portal or embed within existing platforms to deliver personalized learning using proven behavior change frameworks.

Get in touch

Contact us today to discover the ways we can optimize
your participant engagement and provide long-term outcomes.

Stay engaged

©2023 Avidon Health LLC. All rights reserved. Avidon® and Engagement Rx® are registered trademarks of Avidon Health LLC.

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HR & People Operations

5 Warning Signs of ‘Carewashing’ in Your Organization

5 Warning Signs of ‘Carewashing’ in Your Organization

With over a decade of experience working with organizations across industries, we’ve seen a lot of shifts in how companies approach workplace wellness. But in the years following the pandemic, a new pattern has emerged as people settle into hybrid and flexible work arrangements: carewashing. This term describes the appearance of a caring culture, where wellness programs and supportive language are used to enhance an organization’s image without substantial backing. As stress and burnout continue to rise, employees quickly recognize when these efforts are only skin-deep, leading to distrust, disengagement, and high turnover.

To help HR and wellness leaders assess their organizations, here are five warning signs of carewashing, along with actionable steps to foster genuine, impactful well-being at work.

1. Inconsistent Leadership Messaging

One of the most obvious signs of carewashing is when leaders verbally support wellness but act in ways that contradict their message. For example, a manager might promote a “no-contact after hours” policy during a wellness workshop yet send emails to employees at night with tasks for the following morning.

Why It’s a Problem: These mixed signals create confusion and diminish trust in leadership. Employees may question the sincerity of wellness efforts, leading to increased stress and burnout.

What to Do: Equip leaders with training on aligning actions with wellness policies. Encourage them to model healthy boundaries, communicate expectations clearly, and adhere to the same policies they promote.

2. Wellness Programs Without Follow-Through

Another red flag is when organizations offer wellness programs — such as meditation apps, yoga classes, or mindfulness workshops — but fail to address the underlying issues impacting employee well-being. Without integrating these initiatives into the organization’s culture, they become superficial offerings rather than true resources.

Why It’s a Problem: When wellness initiatives are not meaningfully embedded in the culture, they appear as “check-the-box” activities, doing little to address root causes of stress, workload imbalances, or lack of support.

What to Do: Solicit regular feedback from employees about wellness program effectiveness and implement changes based on their input. Make wellness a core part of the company culture by encouraging managers to support mental health days, provide flexibility, and create regular check-ins for work-life balance.

3. High Turnover of “Wellness-Driven” Hires

Organizations that advertise a “caring culture” to attract new hires but fail to deliver on those promises will often see high turnover among those employees. When reality doesn’t match expectations, new hires who joined for the wellness benefits may feel disillusioned and leave.

Why It’s a Problem: High turnover, especially among hires drawn by wellness claims, is a clear indicator of carewashing and culture misalignment. It not only impacts morale but also the organization’s reputation as a workplace that values its people.

What to Do: Ensure job descriptions and recruitment messaging are transparent and accurately reflect the work environment. Additionally, provide managers with training to foster a culture where team members feel supported in asking for flexibility or mental health support.

4. Lack of Psychological Safety

In a true culture of care, employees feel safe to speak up, share concerns, and ask for support when needed. Carewashing organizations, however, often lack psychological safety, making employees reluctant to voice needs or raise issues for fear of negative repercussions.

Why It’s a Problem: Without psychological safety, employees can’t fully engage or participate in wellness programs, making these initiatives ineffective. Employees who don’t feel supported may struggle with stress in isolation, decreasing overall productivity and engagement.

What to Do: Create channels for safe, anonymous feedback and establish an open-door policy for wellness discussions. Train leaders to respond to employee concerns constructively and transparently to reinforce a culture of trust and support.

5. Wellness Initiatives as a PR MoveCarewashing

If wellness efforts seem more like a public relations strategy than genuine initiatives, your organization may be carewashing. When wellness programs are promoted to the public as proof of a “caring culture” but are not prioritized internally, employees can feel manipulated and disengaged.

Why It’s a Problem: Using wellness initiatives primarily for publicity can lead to distrust, resentment, and poor workplace morale. Employees are quick to recognize when wellness initiatives are designed to “look good” rather than do good.

What to Do: Regularly evaluate wellness initiatives for actual employee impact, not just external optics. Ensure that programs address employee needs rather than simply meeting a public relations goal. Align wellness metrics with employee satisfaction and engagement surveys to ensure initiatives are truly beneficial.

Conclusion

Creating a workplace culture that genuinely prioritizes employee well-being is about more than offering wellness perks or crafting clever marketing. From our decade-plus experience partnering with organizations, we know that successful cultures of care require a commitment that goes beyond surface-level initiatives. When employee well-being is woven into the fabric of the organization — supported by transparent leadership, consistent actions, and a true focus on psychological safety — the positive impact on engagement, productivity, and retention is substantial and lasting.

What You Can Do Now:
  1. Conduct a Wellness Audit: Regularly assess your wellness programs from the employee’s perspective. Are these initiatives meeting actual needs? Conduct anonymous surveys and engage in focus groups to gather honest feedback, and adjust programs based on what you learn.
  2. Train and Empower Leaders: Ensure managers understand how their actions affect the culture of care. Equip them with the tools and training to recognize signs of burnout, model healthy work boundaries, and genuinely support their teams’ mental health.
  3. Embed Wellness into Daily Operations: Go beyond stand-alone wellness events by integrating well-being practices into everyday routines. This could mean implementing flexible work schedules, setting realistic workload expectations, and encouraging regular breaks and time off.
  4. Build Channels for Honest Feedback: Create safe, anonymous ways for employees to share their well-being concerns and experiences. Regularly review feedback with leadership teams and take transparent, meaningful action to address identified issues.

By recognizing and addressing these warning signs, leaders can shift from merely “checking the box” on wellness to fostering a resilient, engaged, and genuinely cared-for workforce. In today’s competitive talent market, where employees seek workplaces that respect and support them, this commitment to authentic care is not just the right thing to do — it’s the key to sustained organizational success.

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HR & People Operations

How HR Leaders Can Supercharge Corporate Wellness Programs Through Digital Engagement

Supercharge Corporate Wellness Programs Through Digital Engagement

You’re responsible for fostering a workforce that is healthy, engaged, and productive. But with tons of inhouse and outsourced corporate wellness programs, how can you ensure your initiatives stand out and drive measurable results? With over a decade of experience, we’ve seen firsthand how proactive and personalized approaches transform wellness initiatives.

Our insights aren’t just backed by internal data but we leverage hard-hitting research, including a recent study published by JAMA Network Open, which demonstrates that digital engagement strategies can significantly improve employee mental health and well-being outcomes​.

 The Engagement Challenge in Corporate Wellness

According to JAMA, a study involving 1,275 healthcare workers found that merely offering wellness resources is not enough to drive meaningful participation. The study compared the effects of a traditional “pull” strategy—where employees had access to a mental health platform but had to seek out resources themselves—to a “push” strategy where employees received regular, proactive digital interventions such as text message reminders and mental health assessments. The “push” strategy led to significant reductions in anxiety and depression over six and nine months, with sustained engagement and improvements​

This finding is critical. Many corporate wellness programs fail to engage employees because they rely too heavily on voluntary participation. Employees are often unaware of available resources or too busy to seek them out. By shifting to a proactive, digital-first approach, you can address this challenge head-on, driving better outcomes for your employees and your organization.

Leveraging Digital Tools for Maximum Impact

With remote and hybrid work environment being the norm, digital wellness tools are not just convenient—they are essential. Our experience at Avidon Health, combined with case studies like the one above, shows that automated, personalized interventions increase engagement across the board.

The JAMA study revealed that health care workers who received regular digital engagement saw a 1.26-point reduction in depression scores and a 0.99-point reduction in anxiety scores compared to those who simply had access to resources​. The implications for corporate wellness are clear: timely, data-driven interventions that anticipate employee needs can drastically improve participation and outcomes.

Hard Data to Support Your Wellness Strategy

It’s essential to back up your wellness initiatives with measurable outcomes that demonstrate value to leadership. Here’s how digital engagement can deliver:

  1. Improved engagement – Research shows that personalized nudges and tailored content lead to higher employee participation rates, with engagement levels often doubling compared to traditional methods​.
  2. Reduced absenteeism – According to the study, proactive digital wellness interventions can reduce anxiety and depression, leading to fewer sick days and improved mental health​.
  3. Boosted productivity – The same study found that workplace productivity improved significantly when employees received consistent digital wellness support, leading to better overall performance​.
Tailored Solutions for a Modern Workforce

Gone are the days of one-size-fits-all wellness programs. Employees expect customized wellness plans that meet their individual needs. Our digital engagement platform at Avidon Health allows HR teams to deliver tailored wellness interventions—whether it’s mental health coaching, fitness programs, or stress management tools. Drawing on over a decade of experience in health coaching and digital wellness, we’ve helped organizations craft programs that don’t just tick a box—they drive real change. Your employees will benefit from a targeted, proactive approach that meets them where they are, whether they’re working from home or in the office.

Corporate wellness programs
Future-Proof Your Wellness Strategy for 2025 and Beyond

Organizations must be ready to adapt to the changing needs of the workforce. The future of corporate wellness is digital, personalized, and proactive. By building a wellness culture rooted in engagement, data, and outcomes, you can position your organization as a leader in employee well-being.

Research like the JAMA study shows us the way forward: don’t wait for employees to ask for help—bring the help to them. Your next wellness program doesn’t just need to be comprehensive; it needs to be engaging and data-backed, driving long-term results that resonate with both your employees and your leadership team.

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Research & Insights

What Type of Health Risk Assessment Should My Business Use?

Health Risk Assessments (HRAs) have become a cornerstone of employee wellness programs, offering valuable insights into the health risks facing your workforce. But with so many options on the market, deciding which type of HRA is right for your business can be overwhelming. One of the most critical decisions you’ll need to make is whether to use an NCQA-validated HRA or a non-NCQA validated version. Let’s break down the key factors to help you make the best choice for your organization.


Understanding the Importance of HRAs in Workplace Wellness

Before diving into the specifics of NCQA vs. non-NCQA HRAs, it’s essential to understand why HRAs are crucial for your business. These assessments help identify potential health risks among employees, allowing you to implement targeted interventions. The benefits are clear: improved employee health, reduced absenteeism, and lower healthcare costs.

But not all HRAs are created equal. The length, format, and validation method of an HRA can significantly impact its effectiveness. This is where the distinction between NCQA-validated and non-NCQA validated HRAs becomes important.

NCQA-Validated vs. Non-NCQA Validated HRAs: What’s the Difference?

NCQA-Validated HRAs

The National Committee for Quality Assurance (NCQA) is a nonprofit organization dedicated to improving healthcare quality. An HRA that is NCQA-validated has undergone rigorous testing to ensure it meets specific standards for reliability, validity, and predictive accuracy. This validation is especially valuable for employers who need to ensure that their wellness programs are credible and effective.

Benefits of NCQA-Validated HRAs:

  • Predictive Accuracy: These HRAs are designed to provide highly accurate risk profiles, which is crucial for identifying employees at risk for chronic conditions. For further reading, see The NCQA’s Standards for Accreditation NCQA Standards.
  • Standardization: With NCQA validation, you can be confident that the HRA follows industry standards, making it easier to compare results and outcomes across different populations.
  • Credibility: Using an NCQA-validated HRA can enhance the credibility of your wellness program, which is particularly important if you’re seeking accreditation or need to meet specific compliance requirements.

Non-NCQA Validated HRAs

On the other hand, non-NCQA validated HRAs offer more flexibility and can be tailored to meet the specific needs of your workforce. These HRAs may not have the same level of standardization, but they can still be effective, especially if you’re looking for a more customizable approach.

Benefits of Non-NCQA Validated HRAs:

  • Flexibility: These HRAs can be easily adapted to fit the unique needs of your business, whether that means focusing on specific health risks or incorporating additional questions relevant to your industry.
  • Cost-Effectiveness: Non-NCQA validated HRAs can be more affordable, making them an attractive option for smaller businesses or those with limited budgets.
  • Ease of Use: These HRAs often require less training and fewer resources to implement, which can be a significant advantage for companies without dedicated wellness teams.

How HRA Length Affects Engagement and Accuracy

One of the most important factors to consider when choosing an HRA is its length. Studies have shown that shorter HRAs (≤ 40 questions) tend to have higher completion rates, making them more effective for broad employee participation. For example, a study by Wells et al. found that a 12-question HRA had an 82% completion rate compared to just 64% for an 88-question version .

However, shorter HRAs may sacrifice some level of detail, which could impact the depth of risk stratification. Longer HRAs (40-80 questions) can provide more comprehensive risk profiles, but they may also decrease completion rates. When HRAs exceed 80 questions, participation drops significantly, and the additional data gathered may not justify the burden on employees .

Balancing Detail and Engagement

For most employers, the sweet spot lies in HRAs that are around 40 questions. This length strikes a balance between providing detailed risk profiles and maintaining high participation rates. It’s essential to consider your company’s specific goals when choosing the length of your HRA.

Making the Right Choice for Your Business

When deciding between an NCQA-validated and a non-NCQA validated HRA, consider the following factors:

  1. Company Size and Resources: Larger companies with more resources may benefit from the credibility and standardization of an NCQA-validated HRA. Smaller companies or those with limited budgets might find a non-NCQA validated HRA more practical and cost-effective.
  2. Employee Demographics: If your workforce has diverse health risks, a more customizable, non-NCQA validated HRA might allow you to tailor the assessment to your employees’ specific needs.
  3. Compliance and Accreditation: If your business needs to meet certain regulatory standards or is seeking accreditation, an NCQA-validated HRA is likely the better choice.
  4. Wellness Program Goals: Consider what you aim to achieve with your wellness program. If predictive accuracy and risk stratification are top priorities, an NCQA-validated HRA may offer the reliability you need. If engagement and ease of use are more critical, a shorter, non-NCQA validated HRA could be the way to go.

Conclusion

Choosing the right Health Risk Assessment for your business is crucial to the success of your wellness program. Whether you opt for an NCQA-validated or a non-NCQA validated HRA, the key is to find a solution that balances engagement, predictive accuracy, and cost. By carefully considering your company’s specific needs and goals, you can select an HRA that provides valuable insights into your workforce’s health and helps drive better outcomes for your employees and your bottom line.

Further Reading:

 

  Wells et al. (2005), “The Development and Validation of a Brief Health Risk Assessment for Use in Primary Care Settings”:
Link to study

  Smith et al. (2013), “The Impact of Health Risk Assessment Length on Completion Rates and Risk Classification Accuracy”:
Link to study

  Brownson et al. (2018), “The Future of Health Risk Assessment”:
Link to study

These references provide a deeper understanding of how HRA length and validation affect engagement and accuracy. They can be valuable resources as you evaluate which type of HRA is best for your business.

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HR & People Operations

How to Choose the Right Workplace Wellness Program: A Decade of Firsthand Experience

How to Choose the Right Workplace Wellness Program

After spending more than a decade helping organizations build, implement, and refine workplace wellness programs, one thing is crystal clear: there’s no one-size-fits-all solution. Over the years, I’ve seen companies thrive with homegrown initiatives, partnered with some of the most reputable national programs, and developed highly customized solutions from scratch. The common thread? It’s not about adopting the “best” program, but rather finding what works best for your organization.

In this article, I’ll guide you through the key questions you should ask yourself when evaluating your workplace wellness needs, and I’ll help you understand where your organization might fall on the wellness spectrum—whether you’re ready for a simple solution, a comprehensive program, or something in between.


The Power of Wellness

Workplace wellness is more than just offering a gym membership or free fruit in the breakroom. It’s about fostering an environment that encourages long-term behavior change—something I’ve seen firsthand in companies that take wellness seriously. At Avidon Health, we’ve worked with organizations across the spectrum, from those just starting their wellness journey to companies looking to revamp or scale mature programs.

Through it all, I’ve learned that the most successful wellness programs don’t necessarily follow a rigid template. Instead, they evolve based on the unique culture, goals, and needs of the workforce. Whether you’re considering a DIY approach, partnering with an external provider, or integrating a digital health solution, the key to success is knowing what you need before diving in.


10 Questions to Help You Find the Right Wellness Program

Before launching or revamping your workplace wellness program, take a moment to answer these key questions. Your responses will help determine the best path for your organization.

  1. What are the specific health needs of your employees?
    • Do you have data on chronic conditions, mental health challenges, or other prevalent health issues within your workforce?
  1. How much internal expertise do you have?
    • Do you have team members who can lead wellness initiatives, or would you need external support?
  1. What’s your budget?
    • Are you able to invest in a full-scale wellness program, or are you looking for more cost-effective solutions?
  1. How much time and resources can you allocate?
    • Do you have time for ongoing management, or do you need a program that’s more hands-off?
  1. What kind of outcomes are you hoping to achieve?
    • Are you aiming to reduce healthcare costs, boost productivity, or enhance employee morale and engagement?
  1. What’s the culture of your organization?
    • Are employees likely to engage with wellness programs, or will you need to work harder to build buy-in?
  1. How diverse are your employee demographics?
    • Are you addressing a broad spectrum of ages, job roles, and health needs?
  1. What types of wellness activities would resonate most with your team?
    • Would they prefer physical challenges, mental health resources, or financial wellness programs?
  1. Are you looking for a digital or in-person solution?
    • Would your workforce respond better to app-based tools, on-site classes, or a hybrid approach?
  1. How will you measure success?
    • Do you have clear KPIs or metrics for tracking the program’s impact, and the capacity to monitor these over time?

What Type of Wellness Program Is Right for You? 
Score Yourself

Take a moment to count the number of “yes” answers. Based on your score, you’ll have a better idea of which type of wellness program will suit your organization’s needs.

Score 0-3 

Basic and Low-Cost Solutions

 

You’re just starting your wellness journey, or your organization has minimal resources to devote to wellness. A basic program with free or low-cost initiatives (like walking challenges or monthly webinars) might be the best starting point. Consider partnering with low-cost providers or utilizing free tools to kick things off.

Score 4-6 

Hybrid and Flexible Solutions


You have a moderate level of readiness and resources. You may want to explore a hybrid workplace wellness program that combines in-house efforts with outsourced digital tools. Programs like health coaching, nutrition counseling, and fitness tracking apps could fit well here.

Score 7-10 

Comprehensive Solutions

 

You’re ready for a more advanced wellness program. This approach could include behavior change coaching, mental health support, and biometric screenings. Partner with an external provider to manage the logistics should help maximum value without burdening your internal team.

workplace wellness programs
Why Workplace Wellness Is Essential for Your Organization

Workplace wellness programs aren’t just about health outcomes—they’re about culture, productivity, and the overall employee experience. Over the years, I’ve seen workplace wellness programs significantly improve employee engagement and morale, while also driving down healthcare costs. But more importantly, they create a sense of community and shared responsibility for well-being in the workplace.

The true value of wellness programs lies in their ability to inspire behavior change. Whether it’s through fitness challenges, mental health support, or nutritional education, when employees feel supported in their health journey, they’re more likely to be engaged, productive, and loyal to the company.



Conclusion

There’s no magic formula for building the perfect wellness program, but by answering the right questions and understanding your workforce’s unique needs, you can make informed decisions that lead to lasting impact. Whether you’re implementing a simple initiative or scaling up a comprehensive program, wellness is an investment in both your employees’ well-being and your company’s future.

If you’re ready to take your workplace wellness programs to the next level, we’re here to help you build a solution that fits your organization perfectly.

Keywords: workplace wellness programs, health coaching solutions, behavior change at scale, customizable wellness programs, employee engagement, corporate wellness, Avidon Health.

Categories
Health Coaches

Digital Health Coaching Done Right: Tips to Keep Clients Engaged and Motivated

Digital Health Coaching Done Right: Tips to Keep Clients Engaged and Motivated

At Avidon Health, we’ve had the privilege of working with hundreds of thousands of individuals, helping them navigate their wellness journeys. Along the way, we’ve learned a lot about what works (and what doesn’t) when it comes to keeping clients engaged in a digital environment. In this post, I’ll share some of the key takeaways from our experience, along with insights from a webinar where our experts broke down the essentials of effective engagement in digital health coaching.

1. The Evolution of Digital Health

Digital health has come a long way since the early days of telemedicine in the 1970s. What started as a tool for disease management has evolved into a comprehensive ecosystem that includes telemedicine, e-health, mobile health (m-health), and wearable technology. Today, digital health isn’t just about managing diseases—it’s about supporting lasting behavior change and promoting overall well-being.

2. The COVID-19 Effect

The pandemic was a game-changer for digital health. Suddenly, virtual care became not just an option but a necessity. This shift has opened up new opportunities for health coaches to connect with clients, but it’s also presented new challenges. For instance, how do you keep clients engaged when you’re not interacting with them face-to-face? How do you ensure that your digital interactions are as impactful as possible?

3. Common Challenges in Digital Health Coaching

Through our work at Avidon Health, we’ve identified some common hurdles that health coaches face when engaging clients digitally:

  • Tech Troubles: Not everyone is tech-savvy, and some clients may struggle with using digital platforms.
  • Keeping It Personal: In a digital world, creating personalized experiences is more challenging but also more crucial than ever.
  • Maintaining Momentum: Keeping clients motivated and engaged over time can be tough, especially when digital fatigue sets in.

4. Proven Strategies for Digital Engagement

Based on our experience and the insights shared in our recent webinar, here are some strategies that can help you overcome these challenges:

A. Meet Clients Where They Are

One of the most effective ways to engage clients is by understanding their readiness to change. At Avidon Health, we use tools like readiness rulers—simple scales where clients rate how ready they are to make a change. If a client is at a 7 or higher, they’re likely ready to take action. This approach allows us to tailor our coaching strategies to each client’s unique situation.

B. Consider Social Factors

Non-medical factors, like income, education, and access to technology, can significantly impact your clients’ ability to engage in digital health programs. Therefore, it’s important to design your digital offerings with these factors in mind. For example, if your program requires clients to print materials or access multiple apps, it might not be effective for everyone. Meeting clients where they are—literally and figuratively—is key to success.

C. Personalize Communication

Digital Health Coaching

Moreover, we’ve found that personalized communication is a game-changer. Text messaging, in particular, is highly effective. Did you know that 97% of adults use text messages, and 85% have smartphones? Incorporating personalized, timely communication—whether through texts, emails, or videos—can make a huge difference in client engagement.

5. Building a Strong Digital Health Environment

Creating a virtual environment that truly engages clients involves a few key elements:

  • Virtual Environment: Think of this as your “digital office.” It’s important to ensure that your platform is easy to access and navigate. And don’t forget about privacy—make sure your platform is HIPAA-compliant.
  • Content and Services: This is where you provide value to your clients. Whether it’s a coaching hub, goal trackers, or educational resources, make sure your content is easily accessible and relevant.
  • Communication: Keep in touch with your clients through multiple channels, and set clear expectations for response times. Text messages are a great tool for quick, effective communication.
  • Automations: Automations can help you manage your workload and ensure that your clients receive timely responses and reminders. This frees you up to focus on what really matters—providing personalized support.

6. Best Practices for Engagement

Here are some tips we’ve gathered over the years to help you get the most out of your digital health coaching efforts:

Digital Health Coaching

  • Align Communication with Readiness: Tailor your communication strategies based on where your clients are in their readiness to change. For example, clients in the preparation and action stages may need more frequent touchpoints.
  • Use Automations Wisely: Automate routine tasks like appointment reminders and data collection to keep clients engaged without overwhelming your team.
  • Measure Success: Regularly assess how well your digital interactions are working. Furthermore, use feedback and data to continuously improve your approach.

Wrapping Up

At Avidon Health, we’re passionate about helping people live healthier, happier lives. We’ve seen firsthand how powerful digital health coaching can be when done right. By understanding your clients’ needs, personalizing your approach, and leveraging technology, you can create a digital health environment that truly makes a difference.

If you’re interested in diving deeper into these strategies, I encourage you to check out the webinar, where we explore these topics in even more detail.

Categories
HR & People Operations

Future-Proofing Employee Wellness: A Strategic Guide for HR Leaders in 2025

As we approach 2025, the landscape of employee wellness is rapidly changing. Traditional workplace wellness models are becoming less relevant. Instead, a more holistic, inclusive, and proactive approach is needed. HR leaders must stay ahead of these changes to ensure their Employee Wellness Strategies for 2025 remain effective and impactful.

Anticipating Key Trends in Employee Wellness Strategies 2025

Expanding Mental Health Initiatives

The importance of mental health has never been more pronounced. As employees increasingly prioritize mental wellness, HR leaders must ensure their programs are equipped to meet this demand. Comprehensive mental health support, characterized by innovative access models and robust care options, will be crucial. By embracing early adoption of these initiatives, organizations can create a supportive environment that fosters overall employee well-being as part of their Employee Wellness Strategies for 2025.

Holistic Work/Life Balance Policies

The pandemic has permanently altered the way we work, and flexibility has become the new norm. As we approach 2025, HR leaders need to redefine what work/life balance means within their organizations. This includes enhancing policies that support flexibility, caregiving, and remote work while ensuring employees feel empowered to take full advantage of these benefits. These policies are a critical component of effective Employee Wellness Strategies for 2025.

Targeted Condition-Specific Strategies

As the number of high-cost, high-prevalence diseases like cancer and heart problems increases, a targeted approach to managing these health issues is becoming essential. HR leaders should focus on integrating condition-specific strategies into their wellness programs. This will help address the unique health challenges their workforce faces in 2025.

Moving Beyond Traditional Employee Wellness Models

Phasing Out Less Effective Approaches

As we move into 2025, transactional incentives like medical premium-based rewards and outcomes-based programs will continue to lose their appeal. Instead, employees are increasingly motivated by intrinsic factors. Therefore, HR leaders must pivot towards more purpose-driven engagement models that resonate on a deeper level. These models align better with modern Employee Wellness Strategies for 2025.

Shifting from ROI to VOI

The traditional focus on ROI in wellness programs is giving way to a broader perspective: Value on Investment (VOI). This shift reflects a growing recognition that wellness programs should be evaluated not just on cost savings but on their ability to enhance overall employee health and engagement. HR leaders must embrace this change, positioning wellness as a critical component of their organizational culture and integral to their Employee Wellness Strategies for 2025.

Evolving Engagement Strategies

The stick/carrot model of engagement is becoming obsolete. In its place, HR leaders should adopt strategies that prioritize self-motivation and purpose-driven experiences. By fostering a culture of intrinsic motivation, organizations can create more meaningful and sustainable employee engagement, a cornerstone of successful Employee Wellness Strategies for 2025.

Employee Wellness Strategies for 2025

Leveraging Innovation to Stay Ahead

Strategic Partnerships and Integrations

To stay competitive in 2025, HR leaders must forge strategic partnerships that enhance their wellness offerings. Collaborating with departments like Learning & Development (L&D), Corporate Social Responsibility (CSR), and leadership development can create a more cohesive and effective wellness strategy that is a key part of their Employee Wellness Strategies for 2025.

Embedding DEI and Social Health Determinants

Diversity, Equity, and Inclusion (DEI) will play a critical role in shaping the future of workplace wellness. To create a more equitable and supportive environment, HR leaders need to ensure their programs are inclusive and address the social determinants of health that impact different segments of the workforce. By embedding DEI principles into their wellness strategies, organizations can make significant strides towards creating a healthier and more inclusive workplace.

Adopting Total Worker Health

The concept of Total Worker Health, which integrates safety and wellness, will become increasingly important. By adopting this approach, HR leaders can ensure that their wellness programs address all aspects of employee health, from physical safety to mental and emotional well-being, a holistic approach that will define effective Employee Wellness Strategies for 2025.

Key Factors to Monitor for Employee Wellness Strategies 2025

Impact of an Aging Workforce

As the workforce continues to age, HR leaders must adapt their wellness strategies to meet the changing needs of older employees. This includes offering age-inclusive health benefits and addressing the unique challenges faced by an aging workforce, which will be increasingly relevant in Employee Wellness Strategies for 2025.

Harnessing Technological Advancements

Technological innovations, particularly in AI and genomics, have the potential to revolutionize employee wellness. HR leaders should stay informed about these advancements and explore how they can be integrated into their wellness programs to enhance personalization and effectiveness, a key consideration for Employee Wellness Strategies for 2025.

Addressing Rising Healthcare Costs and Equity

Managing rising healthcare costs while maintaining equitable access to wellness benefits will be a significant challenge in 2025. HR leaders must develop strategies that balance cost management with the need to provide comprehensive and accessible wellness programs, a crucial aspect of Employee Wellness Strategies for 2025.

Understanding Younger Workers’ Expectations

Younger workers, particularly Millennials and Gen Z, have different expectations when it comes to wellness. They value inclusivity, flexibility, and purpose in their work and wellness programs. HR leaders must ensure their strategies align with these values to attract and retain top talent, making this a priority in their Employee Wellness Strategies for 2025.

Proactive Strategies for HR Leaders

Customizing Wellness Programs for a Diverse Workforce

A one-size-fits-all approach to wellness no longer works. HR leaders should focus on customizing wellness programs to meet the diverse needs of their workforce. This includes offering a range of options that cater to different demographics, health conditions, and personal preferences, all vital components of successful Employee Wellness Strategies for 2025.

Enhancing Communication and Accessibility

Effective communication is essential for ensuring employees are aware of and can access wellness benefits. HR leaders should invest in strategies that make it easier for employees to understand and participate in the available wellness programs. This is a crucial factor in successful Employee Wellness Strategies for 2025.

Continuous Innovation and Adaptation

The wellness landscape is constantly evolving. Therefore, HR leaders must adopt a mindset of continuous improvement. By staying ahead of trends and embracing new technologies and practices, they can ensure their wellness programs remain relevant and effective as part of their Employee Wellness Strategies for 2025 and beyond.

Conclusion

Categories
Uncategorized

What is the Best Way to Describe Wellness to My Boss?

Wellness has become a buzzword, often mentioned in meetings, emails, and HR initiatives. However, its true meaning can vary widely depending on who you ask. For some, wellness might be synonymous with physical health, while others may think of it in terms of mental and emotional well-being. Understanding what wellness truly encompasses—and more importantly, how to effectively communicate its value to your boss—can be key to driving meaningful change in your organization.

What is Wellness?

Wellness definition: Wellness is more than just the absence of illness; it’s a holistic approach to health that includes physical, mental, emotional, and social dimensions. A well-rounded wellness definition encompasses not only physical fitness but also mental resilience, emotional stability, and social connectedness. It’s about achieving a balanced life where work, relationships, and personal health are in harmony.

Common Misconceptions:

  • Wellness is just about physical health. While physical health is an important component, wellness is much broader. It includes mental resilience, emotional stability, and social connectedness.
  • Wellness means the same thing to everyone. Different organizations and individuals may have varying interpretations of wellness. What’s critical is aligning on a definition that works for your specific context.

How Top Companies Define Wellness

To provide clarity, it’s helpful to look at how leading companies define and implement wellness in their workplaces:

1. Google:

  • Approach: Google takes a comprehensive approach to wellness, incorporating mental health resources, fitness facilities, and work-life balance initiatives. Their programs are designed to support the whole employee, recognizing that mental well-being is just as important as physical health.
  • Example: Google offers on-site healthcare, fitness centers, and even nap pods to ensure employees can recharge physically and mentally during the workday.

2. Nike:

  • Approach: As a brand synonymous with physical fitness, Nike places a strong emphasis on the physical aspect of wellness. They provide extensive fitness programs and encourage active lifestyles among their employees.
  • Example: Nike’s Be Well program includes fitness challenges, wellness coaching, and incentives for healthy living, aligning with their brand’s core values.

3. Aetna:

  • Approach: Aetna focuses on health-centric wellness programs that are directly tied to reducing healthcare costs and improving employee productivity.
  • Example: Their mindfulness program led to a significant reduction in stress levels among employees, resulting in lower healthcare costs and higher productivity.

Analysis: These examples show that wellness is not a one-size-fits-all concept. Companies that are leading in this space understand the multifaceted nature of wellness and tailor their programs to meet the diverse needs of their workforce.

The Importance of Communicating Wellness to Leadership

Why Your Boss Needs to Understand Wellness: Your boss’s understanding of wellness can directly impact the success of wellness initiatives. When leadership grasps the full scope of wellness, they are more likely to support programs that boost employee engagement, productivity, and retention.

Common Challenges in Communication:

  • Misalignment: There is often a gap between what employees need and what leadership believes is necessary. For example, while employees may crave mental health support, leadership might focus only on physical wellness programs.
  • Perception of Wellness: Wellness programs can sometimes be seen as non-essential, especially in cost-conscious environments. Overcoming this requires a clear articulation of the benefits and ROI of such programs.

How to Describe Wellness to Your Boss

Tailor Your Message: When discussing wellness with your boss, it’s crucial to align your message with their priorities. If they are focused on reducing healthcare costs, highlight how wellness programs can achieve this. If they’re concerned with employee productivity, emphasize the connection between well-being and performance.

Use Data and Examples: Cite case studies from companies like Google, Nike, and Aetna to demonstrate how wellness initiatives have driven positive outcomes in other organizations. Use statistics and reports to back up your claims.

Highlight ROI: One of the most compelling arguments for wellness programs is their return on investment. According to studies, companies that invest in comprehensive wellness programs see a significant reduction in healthcare costs and absenteeism, along with improvements in employee morale and productivity.

Practical Tips:

  • Prepare a Data-Backed Presentation: Use metrics and KPIs to demonstrate the potential impact of wellness programs on the company’s bottom line.
  • Focus on Relevance: Tailor your discussion to the specific wellness needs of your organization. If your company is struggling with high stress levels, for example, emphasize mental wellness initiatives.
  • Address Concerns: Be ready to discuss the cost, time, and resources required for implementing wellness programs, and how these investments can be offset by the long-term benefits.

Conclusion

Describing wellness to your boss is about more than just definitions; it’s about making a compelling case for why wellness matters. By understanding the holistic nature of wellness, learning from how top companies approach it, and effectively communicating its value, you can help drive your organization toward a healthier, more productive future.

Call to Action: Ready to start the conversation about wellness in your workplace? Begin by gathering data and case studies and prepare to make your pitch to leadership today.

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