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@travisjneuman/.claude
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Workplace health and wellness expertise for employee wellness programs, mental health initiatives, ergonomics and safety, healthcare benefits strategy, and health analytics. Use when designing wellness programs, improving workplace safety, or analyzing health metrics.

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SKILL.md

name health-wellness
description Workplace health and wellness expertise for employee wellness programs, mental health initiatives, ergonomics and safety, healthcare benefits strategy, and health analytics. Use when designing wellness programs, improving workplace safety, or analyzing health metrics.

Health & Wellness Expert

Comprehensive workplace wellness frameworks for employee wellbeing, safety, and health program design.

Wellness Program Strategy

Total Wellbeing Framework

PHYSICAL: Exercise, nutrition, sleep, preventive care, chronic disease management
MENTAL: Stress management, resilience, work-life balance, mindfulness
FINANCIAL: Financial literacy, retirement, debt management, emergency savings
SOCIAL: Community connection, team relationships, belonging
CAREER: Development, purpose, job satisfaction, growth, recognition

Program Components

Component Description Participation Target
Health Risk Assessment Annual health screening 70%+
Biometric Screening Blood pressure, BMI, cholesterol 60%+
Fitness Programs Gym subsidies, challenges 40%+
Nutrition Programs Healthy eating, coaching 30%+
Mental Health EAP, counseling, apps 25%+
Financial Wellness Education, coaching 35%+
Tobacco Cessation Support programs 50%+ of smokers

Incentive Design

PARTICIPATION-BASED: HRA ($100), Biometric ($150), Coaching ($50), Challenges ($50)
OUTCOME-BASED: BP target ($100), Healthy BMI ($100), Non-smoker ($300)
PREMIUM DIFFERENTIALS: Up to $600/year reduction, HSA contributions
COMPLIANCE: EEOC 30% limit, ADA accommodations, privacy protections

Mental Health Programs

Mental Health Framework

PREVENTION: Awareness, stress management, manager training, work-life policies
EARLY INTERVENTION: Screening, EAP, digital tools, peer support
TREATMENT: Therapy, psychiatric services, substance abuse, crisis intervention
RECOVERY: Return-to-work programs, accommodations, relapse prevention

Mental Health Resources

Resource Access Coverage
EAP 24/7 hotline, web 6-8 free sessions
Teletherapy App, video Varies by plan
Digital Tools Apps (Calm, Headspace) Free to employees
Crisis Support Text/call lines Unlimited
Support Groups ERG-led Free

Manager Training

MENTAL HEALTH FIRST AID:

RECOGNIZE:
- Warning signs
- Behavioral changes
- Performance impacts

RESPOND:
- Start conversation
- Listen without judgment
- Express concern

REFER:
- EAP resources
- HR support
- Professional help
- Crisis resources

SUPPORT:
- Reasonable accommodations
- Flexible arrangements
- Check-ins
- Return-to-work planning

Workplace Safety

Safety Program Framework

LEADERSHIP: Executive commitment, safety policy, accountability
HAZARD ID: Job analysis, risk assessments, incident investigation, near-miss reporting
CONTROLS: Elimination → Substitution → Engineering → Administrative → PPE
TRAINING: New hire, job-specific, refresher, emergency response
MONITORING: Inspections, observations, metrics, audits

Safety Metrics

Metric Formula Benchmark
TRIR (Incidents × 200,000) / Hours worked <1.0
DART (Days away/restricted × 200,000) / Hours <0.5
Lost Time Lost time incidents / Total incidents <20%
Near Miss Near misses reported Increasing trend
Training Completion rate >95%

Ergonomics Program

ERGONOMIC ASSESSMENT:

WORKSTATION SETUP:
- Monitor at eye level
- Arms at 90° angle
- Feet flat on floor
- Back supported

EQUIPMENT:
- Adjustable chair
- Monitor stand
- Keyboard tray
- Footrest if needed

BEHAVIORS:
- Regular breaks
- Stretch exercises
- Position changes
- Eye rest (20-20-20 rule)

ASSESSMENT PROCESS:
1. Self-assessment questionnaire
2. Virtual assessment option
3. In-person evaluation
4. Equipment recommendations
5. Follow-up check

Healthcare Benefits Strategy

Benefits Design Philosophy

COMPREHENSIVENESS: Medical, dental, vision, behavioral health, specialty care
ACCESSIBILITY: Network adequacy, telemedicine, geographic coverage
AFFORDABILITY: Competitive premiums, HSA/FSA options, subsidies
FLEXIBILITY: Multiple plan options, voluntary benefits, life event changes

Plan Design Options

Plan Type Premium Deductible Best For
PPO Higher Lower Frequent care needs
HDHP/HSA Lower Higher Healthy, want tax benefits
HMO Lower Lower Cost-conscious, PCP-centric
EPO Medium Medium Network-only OK

Cost Management

COST CONTAINMENT STRATEGIES:

PLAN DESIGN:
- High-deductible options
- Reference-based pricing
- Narrow networks
- Tiered cost-sharing

VENDOR MANAGEMENT:
- Competitive bidding
- Performance guarantees
- Coalition purchasing
- Carve-out programs

CARE MANAGEMENT:
- Utilization management
- Case management
- Disease management
- Centers of Excellence

MEMBER ENGAGEMENT:
- Transparency tools
- Navigation support
- Wellness incentives
- Consumer education

Health Analytics

Data Sources

Source Data Type Use Case
Claims Utilization, costs Population health
Biometrics Health measures Risk identification
HRA Self-reported health Program targeting
Engagement Program participation ROI analysis
Absence Disability, leave Productivity impact

Key Metrics

HEALTH METRICS:

POPULATION HEALTH:
- Risk distribution (low/medium/high)
- Chronic condition prevalence
- Preventive care rates
- Medication adherence

UTILIZATION:
- ER visits per 1000
- Inpatient admits per 1000
- Primary care visits
- Specialist referrals

COST:
- Per-employee per-month (PEPM)
- Per-member per-month (PMPM)
- Year-over-year trend
- Plan cost vs. benchmark

PRODUCTIVITY:
- Absenteeism rate
- Presenteeism estimate
- Disability incidence
- Workers' comp claims

ROI Analysis

WELLNESS ROI CALCULATION:

DIRECT SAVINGS:
- Healthcare cost reduction
- Disability cost reduction
- Workers' comp reduction
- Absenteeism reduction

INDIRECT BENEFITS:
- Productivity improvement
- Engagement increase
- Retention improvement
- Recruitment advantage

ROI FORMULA:
ROI = (Total Benefits - Program Costs) / Program Costs

VOI (VALUE ON INVESTMENT):
Include harder-to-quantify benefits:
- Culture improvement
- Employer brand
- Employee satisfaction
- Risk reduction

BENCHMARK:
$1.50 - $3.00 return per $1 invested (3-5 year horizon)

Workplace Health Compliance

Regulatory Requirements

Regulation Requirement Impact
OSHA Workplace safety standards Safety programs
ADA Disability accommodations Wellness design
GINA Genetic non-discrimination HRA limitations
HIPAA Health information privacy Data handling
ERISA Benefit plan requirements Plan documents
ACA Wellness incentive limits Program design

Privacy Protections

HEALTH DATA PRIVACY:

COLLECTION:
- Voluntary participation
- Informed consent
- Minimum necessary data

STORAGE:
- Encrypted at rest
- Access controls
- Separate from HR records

USE:
- Aggregate reporting only
- No individual disclosure
- De-identified for vendors

SHARING:
- HIPAA authorization required
- Business associate agreements
- Firewall from employment decisions

Program Implementation

Implementation Roadmap

Phase Timeline Activities
Assessment Month 1-2 Needs analysis, benchmarking
Design Month 3-4 Program design, vendor selection
Build Month 5-6 Systems, communications
Launch Month 7 Rollout, training
Optimize Month 8+ Measure, iterate

Success Factors

CRITICAL SUCCESS FACTORS:

LEADERSHIP SUPPORT:
- Visible sponsorship
- Resource commitment
- Role modeling

CULTURE:
- Wellness as value
- Manager engagement
- Peer support

COMMUNICATION:
- Clear messaging
- Multiple channels
- Ongoing promotion

ACCESSIBILITY:
- Inclusive design
- Multiple options
- Remove barriers

MEASUREMENT:
- Track participation
- Measure outcomes
- Demonstrate value
- Continuous improvement

See Also