The World Health Organization defines burnout as: a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed and recognizes three identifying characteristics of the phenomenon:

  1. Feelings of energy depletion or exhaustion
  2. Increased mental distance from one’s job, or feelings of negativism or cynicism related to one’s job
  3. Reduced professional efficacy

Burnout has gained its status as a bona fide buzzword for good reason. A recent survey by Indeed found that 52% of workers were feeling burned out, up 9% from pre-COVID times; while a 2021 American Psychological Association study showed that 3 out of 5 employees reported negative impacts of work-related stress, such as lack of interest, motivation, and energy. The impacts of burnout go beyond an unhappy workforce. In fact, employees struggling with burnout are:

All of these factors contribute to lost productivity, a drain on both financial and non-financial resources (e.g., other team members needing to take on more from a burned-out colleague, or resources spent on replacing employees that have resigned due to burnout), and overall a workplace environment that is far from ideal. Although every industry is struggling with burnout, healthcare and higher education are industries with unique challenges. Both require a higher onsite presence than other industries and have experienced a lot of change related to the pandemic.

At this point, you have likely heard the term burnout and understand its prevalence, but perhaps don’t have a clear path forward to prevent or mitigate the issue.

What to Do About Burnout

If you notice a team member seems less engaged or enthusiastic, tangibly overwhelmed, is declining in performance, or just less present – these are all flags for burnout. Often burnout can be nipped in the bud before getting to a more extreme state if you know the signs and have tactics in place toward resolution.  Often supervisors will notice these signs early in the process, which means training related to burnout and compassion are imperative.

From a quantitative perspective, we’ve seen organizations successfully respond to employee burnout by implementing or boosting the following:

On the more tangible side, wellness tools like Headspace, Calm, and Noisli have been developed to tackle stress, focus, and productivity. There is also a range of virtual counseling and mental health platforms available for employers to provide additional support to employees. At Spring Consulting Group, we have access to a platform called Spring Health, which offers counseling services, Employee Assistance Programs (EAPs) and more.

Burnout solutions must align with your organizational goals and demographics. I mentioned that industries like higher education and healthcare have different forces at play, which need to be accounted for in a burnout strategy. It can be a challenge to know where to begin but expanding on current offerings can be an easy first step as well as surveying employees to understand what services would be considered value-add to most participants. The key is to know burnout is negatively impacting your population and if unaddressed it will compound an already burdened attraction and retention strategy. The time is now to make it a priority and find solutions.

1https://thrivemyway.com/burnout-stats/
2https://www.gallup.com/workplace/237059/employee-burnout-part-main-causes.aspx

Coming out of our COVID haze, it can be difficult to remember a time when employers could be truly strategic and proactive without priorities evaporating due to lockdowns, staffing shortages, travel bans or taking a U-turn due to pressures in other areas of the business. The time is now to pivot back to your strategic plans related to employee benefits. We recommend the road to an optimal benefits program be lined with solutions to specific pain points and cultural considerations at your organization. However, I advise at least considering the following within your strategic roadmap to see if they are a fit and can close gaps within your current program. 

1) Employee Surveys

Priorities within your workforce have likely changed considerably in the past two to three years.  If you haven’t asked employees about their priorities related to employee benefits, it is time!  Some of your more traditional benefits or office-affiliated perks that may have been linked to attraction and retention in the past are no longer a value add to employees.  It is not enough to talk about perks and flexibility; needs must be better understood to ensure you are providing something that actually attracts and retains talent, instead of the

2) Lifestyle Accounts

Financial accounts within employee benefits are not new (e.g., a Flexible Spending Account), but recently employers have started using these account-based perks in different ways to fill a gap that exists in their offering while providing ultimate flexibility.  These accounts are taxable but can be used within the parameters set by the employer.  Organizations may use them to support just about anything, but common categories today include:

– Medical procedures that may not be covered within the medical plan (i.e., infertility services, elective procedures, etc.)
– Travel expenses for medical services
– Family-focused benefits (i.e., doula, etc.)
– Legacy wellness support (i.e., fitness equipment, fitness classes)

The beauty of these services is that they can be selected based on employee needs as well as organizational culture and budget.

3) Absence Policies and Processes

Diversity, equity, and inclusion (DEI) are at the top of the list of internal initiatives, and goals are uniquely defined based on how much progress has already been made.  It goes without saying that DEI is critical to the success of all companies, but I think a key area of DEI that requires some additional attention is your corporate absence strategy.  Over the past few years, organizations have developed additional absence policies around COVID-19 and Monkey Pox, but there has also been a large push toward more family-focused leave of absences surrounding bereavement, parental leave, and the like.  It’s important that DEI initiatives within employee benefits focus not only on the services but also on the time off that may be required, and viewing this through the many lenses of your diverse workforce. 

4) Oncology Support

As benefits professionals, we have worked diligently to identify point solutions for high-cost and highly disruptive conditions.  While point solutions continue to be part of a strong strategy, most employers have or will see an increase in oncology prevalence and spend due, in part, to expensive treatments but primarily driven by disrupted or delayed care and screenings. 

Initial concerns with COVID-19 not only decreased primary care visits but snowballed, as providers later had limited appointments available due to overwhelming demand, which has translated into undiagnosed cancers.  Now as participants are getting back to their primary care physicians, many cancers have progressed further or upstaged, creating the need for more intense and complex treatment. 

In addition to the direct cost of cancer care, employee productivity is significantly less after a cancer diagnosis, even if that diagnosis is within their extended family. 

Spring encourages employers to seek a proactive and holistic approach to oncology support, including some or all the following:

– Monitor screening engagement
– Encourage prevention including reminders and other communications; consider incentives
– Educate and support initial and ongoing care decisions
– Concierge support
– Clinical support

Of paramount importance is to educate and engage employees before a diagnosis, so they know where to go for initial support.  Those first few weeks after a diagnosis are critical to setting the stage for appropriate treatment and clinical review and/or second opinions.  There are some free and buy-up options in the market provided by top-tier cancer care providers/facilities.  Those have brand recognition and are designed to provide unbiased support but, in many cases, they also funnel patients to their service centers.  Another consideration available is point solutions that are agnostic to cancer care providers/facilities and provide concierge support but do have an add-on charge, typically as a per employee per month (PEPM) or per referral model.

5) Healthcare Disparities

One of the most complex items that should be on your roadmap is to examine what healthcare disparities exist in your population. For starters, ensure multilingual communications are available to close healthcare gaps for those with language barriers.  From there, it is important to begin to stratify your population – if your size warrants – and begin to examine if health outcomes are impacted by race, location, earnings, and/or other social determinants of health.  This strategic initiative must be performed in collaboration with your insurers and third-party administrators and will take dedicated time to set a methodology and refine your findings over time.  The key is to at least get started by looking at the data and talking about how you can improve your understanding of the current state to work toward better data in the future.

Setting the strategic plan for your employee benefit package should be customized to your organization’s priorities and complexities that are identified through claims experience and survey information.  Given each organization has its own culture, demographics, and business priorities, it is impossible to set a perfectly standard list of considerations when it comes to your employee benefit strategy. But as you drive toward the best vision for your company – off in the horizon – be sure to stop along the way to check out these five hotspots of benefits planning.

Spring frequently helps employers assess different solutions, plans, and programs and build them into their roadmap. One client, edHEALTH, is currently organizing three solution committees to refine areas of opportunity and prioritize solutions based on demand and change readiness. 

Change is the only constant in life.

Heraclitus (Greek philosopher)

If what Heraclitus said is true, and I believe it is, then why is it so hard for us – both people and organizations – to accept change and realign goals and objectives? We could cite deep routed tradition at universities and colleges, pillars of success permeated from board chairs at non-profits, family values passed from prior generations at partnerships, or implanted views from shareholders.  But whatever it is, the things that once got us climbing toward the top may also be what is holding us back from reaching the next summit.

As I refine my lens as a thought leader in employee health and welfare programs, I believe traditional change philosophies may be outdated.  As organizations continue to evolve and grow, those corporate flaws that once reflected in the mirror as fine lines are becoming deeper.  Workers and customers are redefining their definition of perfection and demanding more action, transparency, and change.  Alas, our approach to organizational change requires a facelift, or maybe just a makeover. 

I think Martha Freymann Miser, PhD summarized things well in a piece called Three Myths of Change.  In that piece she highlights 3 myths of change, which reflect some outdated philosophies of change management:

  1. Change Starts at the Top
  2. Prediction is Possible
  3. Control Equals Efficiency
organizational change makeover

Myth Makeovers

Although it is poetic to think that change starts at the top, I think it’s more accurate to say that change starts with leaders. Those leaders may or may not be at the top. In addition, I think there is a healthy skepticism that exists in many corporate cultures making it necessary to find change agents within all areas of your organization, so colleagues can take inspiration from their peers as well as senior leaders.

The myth of prediction is possible resonates with me because that is how I live my personal life…plan, plan, plan, execute. My goal is to methodically plot things out and make calculations to predict the future and remove the unknown. However, planning does not remove risk, it just mitigates it – or at least that is what I tell myself. Martha says it best with, “We like to believe we can plan change and roll it out much like a new system in a factory.” Unfortunately, that is rarely the whole story, and organizations need to accept and embrace some modicum of the unplanned.

Given the recent COVID-19 landscape, organizations were forced to reconsider how they managed and regulated performance, which is a necessary lesson in the myth Control Equals Efficiency.  With all the standardization and best practices (which of course have a place), it’s possible we have removed the flexibility required to be pliable and see change as an opportunity rather than an obstacle.

More important than highlighting the myths, Martha summarizes three new approaches that hit the nail on the head after we have spent the last two years living in a world where change within our personal and professional lives was not just constant but imperative. 

These refined strategies require that we accept our organizational flaws since they are arguably what makes our organization special, human, and best in breed.  Instead of focusing on the laugh lines, focus on what got us to today…the laughter and experiences…and build from there. If we think like aging entrepreneurs going under the knife isn’t necessary, we can makeover our organizations (and ourselves) by shifting our mindset.  From there we can reap the benefits of a stronger organization with workers who know they are living their best lives because they are part of our workforce culture and mission, not in spite of it. Our client, edHEALTH, has a model based off of the need for change for its members, and is well versed in rolling with the punches it cannot control.

Women Can Have It All, If We Support Them

An industry has been created to help respond to the age-old question: “Can women have it all?”

Almost ten years ago, in 2013, we first heard Sheryl Sandberg’s self-coined phrase ‘lean in’, encouraging women to lean in to opportunities that put them in a more equitable position in their careers – to not be afraid to ask for a raise or promotion, and generally know their worth, and demand what that entails. In 2016, Paradigm for Parity was founded to get more women into the c-suite by 2030. Since then, organizations like Chief, have been founded to give C-Suite women the place and space they need to build networks and grow as leaders of their own. 

As I reflect on this on International Women’s Day, I am eternally grateful for the efforts of these women – and those who came before them – who have provided guidance, made space, and advocated to help advance other women. Few efforts are more than helping to elevate other women. 

And, while I believe women can have it all –  I know that for so many, including myself, it has come at a cost. We are on double duty all the time. 

Since my mother’s generation, women have come a long way in terms of what is available to them at a professional level. Gone are the days that the only careers available to women are teacher, nurse or secretary. Today, women are CEOs and pioneers of companies at an increasing rate, and I could not be more excited for what that means for our future, but also for my own daughter. 

 With that said, that “cost of having it all” remains high.  Even women who make similar salaries as their male partners, or who are the breadwinners in their family, often still bear the brunt of household and/or childcare duties. A successful career might mean being less present in a child’s life, or being unable to care for an aging parent, or even lacking the time to find love and nurture a romantic relationship, or simply being prohibited from doing anything for yourself. 

I want to be clear that I believe women can have it all, I am just looking forward to the day society sets women up to not only have it all, but supports them in the process. 

The COVID-19 pandemic shined a bright light on the ways in which our society has failed to provide for or support women. Within the first three months of the pandemic, 3.5 million mothers left the workforce due to childcare or caregiving responsibilities as well as layoffs and furloughs. The loss inspired a movement, the Marshall Plan for Moms, to center mothers in the economic recovery of the country, providing financial support to mothers for the labor they provide at home. And while the workforce is recovering, and a million women returned in 2021 – we are not yet where we were pre-pandemic.

I keep coming back to the resilience of women. While countless individuals quit their jobs in November of 2021, Women used this momentum to their advantage – to not only rejoin the workforce, but to ‘lean in’ and ensure they were getting what they wanted. Unlike a year ago, or in March of 2020, there are many jobs available, and most companies have taken a fresh look at salaries and benefits to gain a competitive hiring edge. Women make up 66% of the insurance industry, for example, but there seems to be a dearth of women leadership roles. 

All I can say is: now is the time. 

Now is the time to ask for that promotion, to make a lateral move that may have greater dividends in the long-term, and to advocate for yourself and for all women to get ahead.  

At Spring, we are proud to have incredible female leaders. As Managing Partner and co-founder, I faced a fair amount of adversity to get to where I am in the insurance/financial sector. Thus, I wanted to create a culture of diversity, equity and inclusion when I ventured out to start my own consultancy. 

For one, I have always fought for pay equity at Spring and fair hiring and advancement practices. Karen English, Spring’s Senior Vice President, has joined me on that journey. Karen brings in some of our biggest pieces of business and is a well-known thought leader in the leave and absence management space. She even plays an HR role within Spring, and does it all while raising two teenage kids, for whom she prioritizes basketball games and science fairs. 

Then we have Teri Weber, Senior Vice President, who is a true queen of all trades – from internal IT help, to driving our health and welfare accounts, to being a rockstar speaker, an amazing baker, and an attentive mother of two teenage girls. 

Anne Baldwin heads up our finance department and has revolutionized the way we keep our books. Christine Culgin leads our marketing. Within our broader Alera Group family, we are lucky to have many women executives, including our COO, our VP of Compliance, our Employee Benefits Practice Leader, our CHRO, and others. We even have a women’s mentorship program.

We are fortunate to be living in a time where there is so much support and advocacy for women to have it all, and I am proud to lead a company that helps to advance that effort. But so much more is needed. 

More support and networking opportunities must exist for women early on in their careers and women who cannot afford expensive membership dues. More organizations need to pledge pay parity. More organizations need to prioritize training and mentorship, with the goal of fostering honest dialogues and creating an atmosphere where employees feel supported and safe in speaking up and advocating for themselves. We need a sharper focus on communications, and employee engagement – for women and men.

As I look forward to International Women’s Days to come, I am committed to working toward a society that doesn’t just allow women to have it all, but supports them in getting there. 

Until then, let’s keep fighting the good fight! 

Brokers have had to tread carefully when discussing mask and vaccine mandates with their clients. Here is our perspective, via BenefitsPRO.

In this Boston Business Journal Q&A, Spring SVP Teri Weber shares her thoughts on how employers can meaningfully tackle mental health issues at the workplace.

Spring SVP Karen English and Alera Group’s Sally Prather are offering tips to enhance an absence management program in this BenefitsPRO article.

Our Senior Vice President, Teri Weber spoke in a panel discussion hosted by the Boston Business Journal. She discussed the importance of mental health resources during the pandemic. Check out the article here.

Our Senior Vice President, Teri Weber published an article in the Boston Business Journal explaining how organizations can better support employees who also act as caregivers. Check out the full article here.