Sustainable Health Index

Sustainable Health Index

Sustainable Health Index

Sustainable Health Index logo

Question / Intervention Goal / Objectives

Sustainable Health Index offers a calculator for groups to estimate the financial impact of its program which seeks to interrupt the natural flow of risk (i.e. moderate to high). The program offers participants education and interaction via an app, customized to their risk level and readiness to change.  SHI’s program applies principles and structures that have been proven successful for reducing risk level.[1]  Similar programs delivered digitally have also been shown effective.[2]


Method/ Calculation

The calculator estimates a prospective group’s risk levels, using peer-reviewed literature.  SHI uses a peer-reviewed model of the natural flow of risk.

SHI can apply the calculator’s model to a group.  The intervention uses valid methods to assess each person’s health risk and health activation.  Note: not all survey questions are from validated instruments, but the majority is.  For validated questions, SHI uses the recommended scoring methods.  SHI creates a composite score for each participant.  Each participant is then assigned a risk level, and a change in risk level is determined at baseline and at post intervention.  All participants’ changes are included, even those whose risk level increased during the intervention period.


Findings / Metric/ Outcome/ Savings

With a basis in peer-reviewed risk flow models and valid measurement of health risk, SHI can credibly estimate the overall impact of its program.



The calculator’s estimate is not a guarantee of savings or risk reduction for any particular employer.  Rather, it is a demonstration of valid measurement and reasonable estimates.


[1] White, JC, Hartley S, Ozminkowsky, RJ Association Between Corporate Wellness Program Participation and Changes in Health Risks J Occup Environ Med. 2015 Oct;57(10):1119-26

[2] Loeppke et al The association of technology in a workplace wellness program with health risk factor reduction J Occup Environ Med. 2013 Mar;55(3):259-6