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Case17.1 on Page 505

Aligning Strategy and Diversity at L’Oreal

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1. Describe how this organization aligned Diversity with Strategy on a Global Basis.

2. How do you believe this will bring value to the organization?

3. What metrics might you suggest to measure progress in this new alignment?

Article on P.505, please check pdf for reference only!

Don’t just answer the questions by using the information from the case on textbook. Each response must reflect the criteria and lessons in the text. Also show the number of the page from which you sourced your answer.

Example: on your answer, if you talk about “The Results for Diversity Interventions” you should put page 503 after the answer.

**again, you can’t just answer those questions from the case information. You must use the chapter information from the whole chapter.

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17

Workforce Diversity and Wellness

learni

ng

objectives

Examine human resources management interventions related to
workforce diversity.

Understand and evaluate the effectiveness of employee wellness
interventions.

This chapter presents two additional humanresources management interventions in or-ganizations. Increasing workforce diversity
provides an especially challenging environment for
human resources management, and an attractive
opportunity for line managers looking for a source
of innovation. The mix of age, gender, race, sexual
orientation, disabilities, and culture and value
orientations in the modern workforce is increas-
ingly varied. Management’s perspectives, strategic

responses, and implementation approaches can
help address pressures posed by this diversity
and leverage this resource for organization effec-
tiveness. In addition, wellness interventions, such
as stress management programs and employee
assistance programs (EAPs), are addressing several
important social trends, such as the relationship
and interaction between professional and personal
roles and lives, fitness and health consciousness,
and drug and alcohol abuse.

17-1 Workforce Diversity Interventions
Several profound trends are shaping the labor markets of modern organizations.
Researchers suggest and managers confirm that contemporary workforce characteristics
are radically different from what they were just 20 years ago. Employees represent every
ethnic background and color; range from highly educated to illiterate; vary in age from
18 to 80; may appear perfectly healthy or may have a terminal illness; may be single
parents or part of dual-income, divorced, same-sex, or traditional families; and may be
physically or mentally challenged.

Workforce diversity is more than a euphemism for cultural or racial differences.
Such a definition is too narrow and focuses attention away from the broad range of
issues that a diverse workforce poses. Diversity results from people who bring different
resources and perspectives to the workplace and who have distinctive needs, preferences,
expectations, and lifestyles.1 Organizations must design human resources systems that

497

account for these differences if they are to attract and retain a productive workforce and
if they want to turn diversity into a competitive advantage.

17-1a What Are the Goals?
Figure 17.1 presents a general framework for managing diversity in organizations.2

First, the model suggests that an organization’s diversity approach is a function of
internal and external pressures for and against diversity. Social norms and globalization
support the belief that organization performance is enhanced when the workforce’s
diversity is embraced as an opportunity. But diversity is often discouraged by those
who fear that too many perspectives, beliefs, values, and attitudes dilute concerted
action. Second, management’s perspective and priorities with respect to diversity can
range from resistance to active learning and from marginal to strategic. For example,
organizations can resist diversity by implementing only legally mandated policies such
as affirmative action, equal employment opportunity (EEO), or Americans with Dis-
abilities Act requirements. On the other hand, a learning and strategic perspective can
lead management to view diversity as a source of competitive advantage. For example,
a health care organization with a diverse customer base can not only improve percep-
tions of service quality by having a more diverse physician base, but it can also
embrace diversity by tailoring the range of services to that market and building systems
and processes that are flexible. Third, within management’s priorities, the organiza-
tion’s strategic responses can range from reactive to proactive. Diversity efforts at
Texaco and Denny’s had little momentum until a series of embarrassing race-based

FIGURE 17.1

A General Framework for Managing Diversity

SOURCE: P. Dass, and B. Parker, “Strategies for Managing Human Resource Diversity: From Resis-
tance to Learning,” Academy of Management Executive, 13 (1999), p. 69. Permission conveyed via
© Clearance Center.

498

  • PART 5 HUMAN RESOURCE INTERVENTIONS
  • events forced a response. Fourth, the organization’s implementation style can range
    from episodic to systemic. A diversity approach will be most effective when the strate-
    gic responses and implementation style fit with management’s intent and internal and
    external pressures.

    Unfortunately, organizations have tended to address workforce diversity pressures
    in a piecemeal fashion; only 16% of companies surveyed in 2010 thought their diversity
    practices were “very effective.”3 As each trend makes itself felt, the organization reacts
    with appropriate but narrow responses. For example, as the percentage of women in
    the workforce increased, many organizations simply added maternity leaves to their
    benefits packages; as the number of physically challenged workers increased and when
    Congress passed the Americans with Disabilities Act in 1990, organizations changed
    their physical settings to accommodate wheelchairs. Demographers warn, however,
    that these trends are not only powerful by themselves but will likely interact with
    each other to force organizational change. Thus, a growing number of organizations,
    such as L’Oreal, PepsiCo, Procter & Gamble, American Airlines, and Carrefour, are
    taking bolder steps. They are not only adopting learning perspectives with respect to
    diversity, but systemically weaving diversity-friendly values and practices into the cul-
    tural fabric of the organization.

    17-1b Application Stages
    Many of the organization development (OD) interventions described in this book can be
    applied to the strategic responses and implementation of workforce diversity, as shown
    in Table 17.1. It summarizes several of the internal and external pressures facing organi-
    zations, including age, gender, race, disability, culture and values, and sexual orienta-
    tion.4 For example, the median age of the workforce is increasing, women make up a
    larger percentage of the workforce, and globalization is increasing the number of differ-
    ent cultural values present in the workplace. The table also reports the major trends
    characterizing those dimensions, organizational implications and workforce needs, and
    specific OD interventions that can address those implications.

    Age To address age diversity, organization development interventions, such as work
    design, wellness programs (discussed below), career planning and development, and
    reward systems must be adapted to these different age groups and demographic
    cohorts.5 For the older employee, work designs can reduce the physical components
    or increase the knowledge and experience components of a job. The governments in
    Singapore, Japan, and the European Union have implemented formal programs to
    encourage organizations to redesign jobs for elderly workers. The adjustments include
    more flexible arrangements regarding when and where work is performed, automating
    certain tasks, changing roles to allow for mentoring, and altering pay and benefit
    options to fit an older workers stage of life. Generation X employees, who are now in
    the age range from 32 to 52 years, will likely require more accommodations for work
    and life balance and for mid-career plateauing. The youngest workers, often called
    Generation Y or millennials, will likely need more challenge and autonomy. Wellness
    programs can be used to address the physical and mental health of employees from all
    generations. Career-planning and development programs will have to recognize the dif-
    ferent career stages of each cohort and offer resources tailored to that stage. Finally,
    reward system interventions may offer increased health benefits, time off, and other
    perks for the older worker while using promotion, ownership, and pay to attract and
    motivate the scarcer, younger workforce.

    CHAPTER 17 WORKFORCE DIVERSITY AND WELLNESS 499

    Gender Work design, reward systems, and career development are among the more
    important interventions for addressing issues arising out of the gender trend. For exam-
    ple, jobs can be modified to accommodate the special demands of working mothers.
    A number of organizations, such as SAS, Oracle, Booz Allen Hamilton, and Hewlett-
    Packard, have instituted job sharing, by which two people perform the tasks associated
    with one job. The firms have done this to allow their female employees to pursue both
    family and work careers. Reward system interventions, especially fringe benefits, can be
    tailored to offer special leaves to mothers and fathers, child-care options, flexible working
    hours, and health and wellness benefits. The Container Store offers a family-friendly shift
    from 9 A.M. to 2 P.M. so that working mothers can easily drop off and pick up kids from
    school. Career development interventions help maintain, develop, and retain a compe-
    tent and diverse workforce. Recent research on career development programs suggests
    that organizations consider the assumptions embedded in their career development pro-
    grams to ensure programs are not biased toward masculine experiences and worldviews,
    especially those related to careers.6

    TABLE 17.1

    Work Diversity Dimensions and Interventions

    Workforce
    Differences Trends

    Implications
    and Needs Interventions

    Age Median age up
    Distribution of ages

    changing

    Health care
    Mobility
    Security

    Wellness program

    Job design
    Career planning and

    development

    Reward system

    Gender Percentage of
    women increasing

    Dual-income families

    Child care
    Maternity/paternity

    leave
    Single parents

    Job design
    Fringe benefit

    rewards

    Disability The number of people
    with disabilities
    entering the
    workforce is
    increasing

    Job challenge
    Job skills
    Physical space
    Respect and dignity

    Performance
    management

    Job design
    Career planning and
    development

    Culture and
    values

    Rising proportion of
    immigrant and
    minority-group
    workers

    Shift in rewards

    Flexible organizational
    policies

    Autonomy
    Affirmation

    Respect

    Career planning and
    development

    Employee
    involvement

    Reward systems

    Sexual
    orientation

    Number of single-sex
    households up

    More liberal attitudes
    toward sexual
    orientation

    Discrimination Equal employment
    opportunities

    Fringe benefits
    Education and

    training

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    500 PART 5 HUMAN RESOURCE INTERVENTIONS

    Unfortunately, many programs over the last several years have tended to focus more
    on the symptoms, as opposed to sources of gender inequity.7 Recent research suggests
    that once an organization recognizes the problem, diagnosis through interviews with
    employees is critical to addressing the sources of gender inequity. The research further
    suggests that using a strategy of small interventions, “small wins,” or small initiatives
    that combine behavior and understanding and that target the organization’s specific
    issues are more effective. For example, one European retail company discovered upon
    interviewing its employees that a key issue in turnover among female employees was
    the company’s lack of discipline regarding time. Last-minute scheduling, meeting over-
    runs, and tardiness wreaked havoc for female employees trying to manage work and
    home responsibilities. Company leadership began a more disciplined approach to time,
    resulting in greater efficiency and effectiveness. Resolving such issues requires careful
    and organization-specific diagnosis and intervention.

    Race and Ethnicity Race continues to be an important issue in diversity interventions,
    especially as organizations globalize and endeavor to increase diversity among top lead-
    ership and board members. Training can increase the likelihood that effective diversity
    management programs are responsive to data (not impressions or perceptions), move
    beyond eliminating obvious racism to eradicating more subtle forms as well, eliminate
    vague selection and promotion criteria which can let discrimination persist, link diversity
    management to individual performance appraisals, and develop and enforce appropriate
    rules.8 For example, 20% of Verizon’s board of directors are African American; an
    increasing number of organizations are creating chief diversity officer positions reporting
    into the C-suite or directly to the CEO, and a more than 40 firms, including Yum!
    Brands, Credit Suisse, and General Mills work with nonprofit firm Minority Leadership
    Talent to identify, recruit, and retain black and Hispanic candidates. Mentoring
    programs can ensure that minorities in the advancement stage get the appropriate coach-
    ing and those successful minority managers and executives get the chance to share their
    wisdom and experience with others.

    Sexual Orientation Diversity in sexual and affectional orientation, including gay,
    lesbian, bisexual, and transgender (GLBT) individuals and couples, increasingly is affect-
    ing the way that organizations think about human resources. The primary organizational
    implication of sexual orientation diversity is discrimination. Members of the GLBT
    community may be reticent to discuss how organizational policies can be less discrimi-
    natory because they fear their openness will lead to unfair treatment. People can have
    strong emotional reactions to sexual orientation. When these feelings interact with the
    gender, culture, and values trends described in this section, the likelihood of both overt
    and unconscious discrimination is high, especially around the often misperceived rela-
    tionship between sexual orientation and AIDS/HIV. The good news is that the Corporate
    Equality Index—an annual report that grades U.S. companies on their practices related
    to the GLBT employees—is improving. In 2002, a total of 13 businesses achieved the
    top ranking of 100%; in its 2010 report, 305 companies made the 100% mark, an
    increase of 45 companies over 2009.9

    Interventions aimed at this dimension of workforce diversity are relatively new in
    OD and are being developed as organizations encounter sexual orientation issues in the
    workplace. The most frequent response is education and training. This intervention
    increases members’ awareness of the facts and decreases the likelihood of overt dis-
    crimination. In 2012, federal legislation and the Equal Employment Opportunity
    Council (EEOC) placed sexual orientation into a protected class supporting the many

    CHAPTER 17 WORKFORCE DIVERSITY AND WELLNESS 501

    cities and states that had already passed such legislation. Human resources practices
    having to do with EEO and fringe benefits will help to address sexual orientation par-
    ity issues although most organizations have already modified their EEO statements to
    address sexual orientation, including 61% of Fortune 500 companies.10 Firms such as
    Ben & Jerry’s, Boeing, Northop Grumman, Hilton, and Google have communicated
    strongly to members and outsiders that decisions with respect to hiring, promotion,
    transfer, and so on cannot (and will not) be made with respect to a person’s sexual
    orientation. Similarly, organizations are increasingly offering domestic-partner bene-
    fit plans, and now over 33% of firms polled in a 2012 Society of Human Resource
    Management survey offer health benefits to same sex domestic partners.11 Compa-
    nies, such as Shell Oil, Microsoft, and Apple, as well as governments and universities,
    have extended health care and other benefits to the same-sex partners of their
    members.

    Disability The organizational implications of the disability trend represent both
    opportunity and adjustment. The productivity of physically and mentally disabled
    workers often surprises managers. Training is required to increase managers’ aware-
    ness of this opportunity and to create a climate where accommodation requests can
    be made without fear.12 Employing disabled workers, however, also means a need for
    more comprehensive health care, new physical workplace layouts, new attitudes
    toward working with the disabled, and challenging jobs that use a variety of skills.

    OD interventions, including work design, career planning and development, and
    performance management, can be used to integrate the disabled into the workforce.
    For example, traditional approaches to job design can simplify work to permit phys-
    ically handicapped workers to complete an assembly task. Career planning and
    development programs need to focus on making disabled workers aware of career
    opportunities. Too often these employees do not know that advancement is possible,
    and they are left feeling frustrated. Career paths need to be developed for these
    workers.

    Performance management interventions, including goal setting, monitoring, and
    coaching performance, aligned with the workforce’s characteristics are important. At
    Blue Cross and Blue Shield of Florida, for example, a supervisor learned sign language
    to communicate with a deaf employee whose productivity was low but whose quality of
    work was high. Two other deaf employees were transferred to that supervisor’s depart-
    ment, and over a two-year period, the performance of the deaf workers improved 1,000%
    with no loss in quality.

    Culture and Values Cultural diversity has broad organizational implications. Dif-
    ferent cultures represent a variety of languages, values, work ethics, and norms of
    correct behavior. Not all cultures want the same things from work, and simple,
    piecemeal changes in specific organizational practices will be inadequate if the work-
    force is culturally diverse. Management practices will have to be designed with
    various cultural values in mind and support both career and family orientations.
    Take language as an example. Operating in multiple countries with multiple lan-
    guages implies that jobs of all types (processing, customer contact, production, and
    so on) may need to be adjusted for non-native-speaking customers, but it also repre-
    sents opportunity. If there are large non-native-speaking markets, the organization
    has an important resource for reaching those markets. Finally, the organization will
    be expected to satisfy both extrinsic and monetary needs, as well as intrinsic and
    personal growth needs.

    502 PART 5 HUMAN RESOURCE INTERVENTIONS

    Several planned change interventions, including employee involvement, reward
    systems, and career planning and development, can be used to adapt to cultural diver-
    sity. Employee involvement practices can be adapted to the needs for participation in
    decision making. People from certain cultures, such as Scandinavia, are more likely
    to expect and respond to high-involvement policies; other cultures, such as Latin
    America, view participation with reservation. Participation in an organization can
    take many forms, from suggestion systems and attitude surveys to high-involvement
    work designs and performance management systems. Organizations can maximize
    worker productivity by basing the amount of power and information workers have on
    cultural and value orientations.

    Reward systems can focus on increasing flexibility. For example, flexible working
    hours enable employees to meet personal obligations without sacrificing organizational
    objectives. Many organizations have implemented this innovation, and most report that
    the positive benefits outweigh the costs. Work locations also can be varied. Many orga-
    nizations, including Capital One, Oracle, and Gap, Inc., allow workers to spend part of
    their time telecommuting from home. Other flexible benefits, such as floating holidays,
    allow people from different cultures to match important religious and family occasions
    with work schedules.

    Child-care and dependent-care assistance also support different lifestyles. For exam-
    ple, at Stride Rite Corporation (now a part of Collective Brands), the Stride Rite Inter-
    generational Day Care Center accommodates 55 children between the ages of 15 months
    and 6 years as well as 24 elders over 60 years old. The center was established after an
    organizational survey determined that 25% of employees provided some sort of elder
    care and that an additional 13% anticipated doing so within 5 years.

    Finally, career planning and development programs can help workers identify
    advancement opportunities that are in line with their cultural values. Some cultures
    value technical skills over hierarchical advancement; others see promotions or titles as a
    prime indicator of self-worth and accomplishment. By matching programs with people,
    job satisfaction, productivity, and employee retention can be improved.

    17-1c The Results for Diversity Interventions
    Workforce diversity interventions have been growing rapidly in OD for more than
    three decades. Despite this growth, most evaluation efforts are survey oriented and
    somewhat cursory. A 2010 survey by the Society of Human Resource Management
    found that 68% of firms have diversity practices in place.13 Research suggests that
    diversity interventions are especially prevalent in large organizations with diversity-
    friendly senior management and human resources policies,14 and an internal evalua-
    tion of a diversity training program in a large manufacturing firm showed positive
    attitudinal changes over a three-month period with respect to emotional reactions,
    making judgments, behavioral reactions, and organizational impacts.15 Although
    existing evidence shows that diversity interventions are growing in popularity, there
    is still ambiguity about the depth of organizational commitment to such practices
    and the contingencies that moderate the relationship between commitment and
    performance.16

    Recently, however, two more complete evaluations of diversity management pro-
    grams revealed positive results.17 First, using data collected by the EEOC and survey
    data from organizations, researchers divided diversity programs into three categories:
    structures of responsibility, such as affirmative action plans, diversity committees and
    task forces, and diversity managers; educational programs, such as diversity training

    CHAPTER 17 WORKFORCE DIVERSITY AND WELLNESS 503

    and diversity feedback for managers; and networking and mentoring programs. The data
    displayed a clear pattern. Structural programs were associated with significant increases
    in overall managerial diversity. Education and feedback programs were not followed by
    increases in managerial diversity. Finally, programs that attempted to increase the net-
    working among different groups were associated with modest increases in management
    diversity. Importantly, the presence of structural interventions improved the effect of the
    other two interventions. In efforts to reduce inequality in the workplace, the researchers
    suggest that the popularity of individually based diversity interventions should be
    reviewed carefully. A great deal more research like this is needed to understand these
    newer interventions and their outcomes.

    Second, a study by the Rand Corporation compared a Fortune “Best Places to Work
    for Minorities” company with a similar company from Fortune’s overall “Best Places to
    Work For” list. The results suggest that firms recognized as leaders in diversity manage-
    ment were much more likely than companies known for their superior HR practices to
    have leadership, structures, initiatives, and evaluation practices reflecting best practices in
    the diversity literature. These companies favored diversity for a variety of reasons, but
    primarily because they believed it would improve their business performance; as a result,
    top officials in these firms demonstrated strong support for diversity in word and deed.
    Similarly, best diversity companies implemented more diversity-related initiatives and
    established at least some means of measuring outcomes. Best HR firms pursued fewer
    kinds of diversity initiatives than best diversity firms (preferring to focus on basic
    recruiting, retention, and promotion programs) and had fewer means to evaluate
    company effectiveness with respect to diversity.

    Application 17.1 describes the evolution of a workforce diversity intervention at
    L’Oreal, showing how diversity can be aligned with strategy on a global basis.18

    17-2 Employee Stress and Wellness Interventions
    In the past two decades, organizations have become increasingly aware of the relation-
    ship between employee wellness and productivity.19 At the high end, the American Insti-
    tue of Stress (AIS, www.stress.org) estimated that job stress costs U.S. business over $300
    billion annually due to increased absenteeism, employee turnover, diminished productiv-
    ity, medical, legal and insurance expenses, and Workers’ Compensation payments. Stress
    management and wellness interventions, including employee assistance programs
    (EAPs), have grown because organizations are interested in retaining a skilled workforce
    and concerned for the welfare of their employees. Data also suggest that the greater
    emphasis on workforce health can vary significantly by region. In Asia, the focus is the
    need to compete for top talent, while in the United States, cost containment continues to
    be the primary concern. European multinationals are interested in reducing absenteeism
    and improving employees’ health and safety.20 Companies such as Johnson & Johnson,
    Weyerhaeuser, Federal Express, Quaker Oats, and Abbott Laboratories are sponsoring a
    wide range of fitness, wellness, and stress management programs.

    17-2a What Are the Goals?
    Individual well-being or wellness comprises “the various life/nonwork satisfactions
    enjoyed by individuals, work and job-related satisfactions, and general health.”21

    Health is a subcomponent of well-being and includes both mental/psychological
    and physical/physiological factors. In addition, a person’s work setting, personality

    504 PART 5 HUMAN RESOURCE INTERVENTIONS

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    1 ALIGNING STRATEGY AND DIVERSITY AT L’ORÉAL

    L
    ’Oréal is the world’s largest beauty pro-
    ducts company. It creates cosmetics, per-
    fume, and hair and skin care items in more
    than 130 countries under 23 brands, includ-

    ing L’Oréal Paris, Maybelline, Lancôme, Soft-
    SheenCarson, and Redken. L’Oréal also owns
    the UK-based natural cosmetics retailer The
    Body Shop International, which operates
    about 2,550 stores worldwide. In 2006, L’Oréal
    had revenues of €15.8 billion and expected
    future growth to come more from its emerging
    markets rather than its traditionally large U.S.
    and European markets. The organization was
    highly decentralized with countries having full
    profit-and-loss responsibility. Local results
    were then rolled up to the group level to pro-
    vide a picture of overall effectiveness.

    L’Oréal’s strategy was conducive to a
    diversity perspective; the very nature of its
    business makes diversity vital for success.
    With diverse customer from around the
    world, innovation must be based on under-
    standing and respecting differences. In order
    to be global, the organization must be global
    from within, and their experience showed
    that variety breeds more creativity and innova-
    tion. As a mirror of the ever-changing world, a
    diverse workforce is better equipped to deal
    with change, be in tune with the environment,
    and a represent a key to L’Oréal being a “great
    place to work.”

    The organization’s current efforts are built
    on a long history of diversity which began in
    1974 with the “Schueller” leave, a maternity
    policy named after the company’s founder
    that gives women an additional four weeks
    leave in addition to the statutory requirements
    and which can be taken, in full or in part, until
    the child is two years old. In 2000, L’Oréal
    adopted an Ethics Charter describing its values
    and practices as a global company and it imple-
    mented several other initiatives, such as the
    adoption of policies concerning diversity prac-
    tices, the appointment of specific roles (a U.S.
    vice president of diversity was appointed in
    2002), the inception of diversity training, and
    participation in career fairs.

    Momentum for diversity efforts at L’Oréal
    increased in 2004 with the signing of the Diver-
    sity Charter, along with 35 other large French
    organizations, and the appointment of a global
    diversity director. The charter represented
    a national effort to promote pluralism and di-
    versity as strategies for success. It visibly com-
    mitted the organization to pursue a variety of
    initiatives, including raising awareness, incor-
    porating diversity progress metrics in annual
    reports, and implementing policies that pro-
    moted diversity throughout the corporation.
    Diversity within L’Oréal came to be defined
    as “a mosaic of visible and invisible differences
    … which influence attitudes, behaviors, values,
    and ways of working within the professional
    environment.”

    The new global diversity director assem-
    bled a team that developed an explicit diver-
    sity strategy. The strategy involved five action
    levers, including recruitment and integration,
    training, career management interventions,
    management and inclusion, and communica-
    tion. These five levers were expected to drive
    results along six visible and invisible dimen-
    sions, including nationality, ethnic and cultural
    background, social promotion, gender, disabil-
    ity, and age. The team believed the biggest
    obstacle to implementation was the cultural
    differences between the countries and a
    low-level of awareness of the benefits that a
    diversity strategy could bring. For example,
    many of the workforces in the emerging mar-
    ket countries were quite homogenous relative
    to the United States and France, their econo-
    mies were growing fast, and their leadership
    teams had little experience or understanding
    of diversity related practices. On the other
    hand, the diversity efforts in the United States
    were quite advanced. L’Oréal’s U.S. diversity
    program was recognized with the 2004 Diver-
    sity Best Practices’ Global Leadership Award
    for creating an environment of diversity and
    inclusion for employees, customers, and sup-
    pliers. The U.S. experience thus provided
    some important internal benchmarks for the
    global team.

    CHAPTER 17 WORKFORCE DIVERSITY AND WELLNESS 505

    traits, and stress coping skills affect overall well-being. In turn, well-being impacts
    personal and organizational outcomes, including absenteeism, productivity, and health
    insurance costs.22

    Concern has been growing in organizations about managing the dysfunction caused
    by stress. According to a national APA survey of Stress in America, 39% said their stress
    had increased over the past year and even more said that their stress had increased
    over the past five years (44%).23 The problem is not unique to the United States. In a
    Towers Watson global survey, 55% of firms responding reported that mental health
    and stress issues were a priority in all or most of the countries they were operating.24

    Of the six major economies making up 50% of the world’s gross domestic product, the
    United Kingdom has the highest level of worker stress (35%), while China and India
    have the lowest (17%).25

    For example, with respect to the recruiting
    strategy, the U.S. vice president of diversity had
    introduced the concept of “fishing in different
    ponds” to suggest that where the organization
    looked for diverse talent was as important as
    whom they were looking for. The organization iden-
    tified seven different ponds and as a result, more
    than 60% of the general managers were women
    compared to a L’Oréal international average of
    about 33%. In addition, minority representation
    had increased from 13.9% in 2001 to 16% in
    2004. Eventually, this led to the principle of sourc-
    ing diversification to be able to access a broader
    range of profiles.

    In addition, the international organization began
    computerizing the application process in 2004.
    Through its website, they deleted request for certain
    kinds of information that might contribute to recruit-
    ing biases. Since its inception, the organization has
    deleted home addresses, a type of information that
    French studies believed was among the most dis-
    criminatory, as well as information related to gender,
    age, and nationality.

    In terms of the training strategy, the U.S. vice
    president collaborated with the global training orga-
    nization to make diversity and inclusion part of the
    core curriculum for all major leadership develop-
    ment training programs. One of the global diversity
    team’s initial activities was a two-day diversity
    seminar that involved over 8,000 managers in
    32 countries in Europe. The seminar explained
    the diversity strategy and created opportunities

    for managers to establish goals and action plans
    to make diversity practices a reality in their coun-
    tries. In line with the global team’s concerns, the
    managers’ reactions were mixed, depending on
    their organizational role and the country they repre-
    sented. Many wondered if this was a “flavor of the
    month” issue, believed they were already manag-
    ing with diversity in mind, or had more important
    business issues to address. However, many of the
    managers also realized the potential of diversity
    and became aware of some personal biases.
    These managers were used to leverage the diver-
    sity effort as it rolled out globally.

    The U.S. program also led with way in terms of
    implementing the strategy of management and
    inclusion. Diversity objectives were included as part
    of a manager’s responsibilities in annual performance
    reviews. That practice was eventually expanded, and
    today diversity objectives are included on a worldwide
    basis.

    To measure the progress of the programs,
    L’Oréal benchmarks the company against leading
    Fortune 500 companies that are recognized as
    “Best in Class” for women and people of color.
    A quarterly “State of Diversity Report” measures
    results and monitors progress in key areas; it is
    shared with senior leaders and human resources
    teams. In 2006, L’Oréal was recognized with the
    World Diversity Leadership Council’s Diversity
    Innovation Award, and in 2007 Ethisphere maga-
    zine ranked the organization as one of the “world’s
    most ethical companies.”

    506 PART 5 HUMAN RESOURCE INTERVENTIONS

    A study by O’Toole and Lawler concluded that the price most U.S. workers and
    managers have paid to get more interesting and enriched jobs is an increased
    amount of stress.26 Stress has been linked to hypertension, heart attacks, diabetes,
    asthma, chronic pain, allergies, headache, backache, various skin disorders, cancer,
    immune system weakness, and decreases in the number of white blood cells and
    changes in their function. It can also lead to alcoholism and drug abuse, two pro-
    blems that are reaching epidemic proportions in organizations and society. For orga-
    nizations, these personal effects can result in costly health benefits, absenteeism,
    turnover, and low performance. One study reported that one in three workers said
    they have thought about quitting because of stress; one in two workers said job stress
    reduced their productivity; and one in five workers said they took sick leave in the
    month preceding the survey because of stress.27 Another study estimates that each
    employee who suffers from a stress-related illness loses an average of 16 days of
    work per year.28

    17-2b Applications Stages
    Stress and wellness interventions involve (1) diagnosing stress and being aware of its
    causes and (2) alleviating and coping with stress to improve wellness.

    Diagnosing Stress and Becoming Aware of Its Causes Stress refers to the reac-
    tion of people to their environments. It involves both physiological and psychological
    responses to environmental conditions, causing people to change or adjust their beha-
    viors. Stress is generally viewed in terms of the fit of people’s needs, abilities, and
    expectations with environmental demands, changes, and opportunities.29 A good
    person–environment fit results in positive reactions to stress; a poor fit leads to the
    negative consequences already described. Stress is generally positive when it occurs at
    moderate levels and contributes to effective motivation, innovation, and learning. For
    example, a promotion is a stressful event that is experienced positively by most
    employees. On the other hand, stress can be dysfunctional when it is excessively high
    (or low) or persists over a long period of time. It can overpower a person’s coping abil-
    ities and cause physical and emotional exhaustion. For example, a boss who is exces-
    sively demanding and unsupportive can cause subordinates undue tension, anxiety, and
    dissatisfaction. Those factors, in turn, can lead to withdrawal behaviors, such as absen-
    teeism and turnover; to ailments, such as headaches and high blood pressure; and to
    lowered performance. Situations in which there is a poor fit between employees and
    the organization produce negative stress consequences.

    A tremendous amount of research has been conducted on the causes and conse-
    quences of work stress. Figure 17.2 identifies specific occupational stressors, potential
    dysfunctional consequences, and interventions to address stress. People’s individual dif-
    ferences determine the extent to which the stressors are perceived negatively. For exam-
    ple, people with strong social support experience the stressors as less stressful than those
    who do not have such support. This greater perceived stress can lead to such negative
    consequences as anxiety, poor decision making, increased blood pressure, and low
    productivity.

    The stress model shows that almost any dimension of the organization, includ-
    ing the physical environment, structure, roles, or relationships, can cause negative
    stress. This suggests that much of the material covered so far in this book provides
    knowledge about work-related stressors, and implies that virtually all of the OD
    interventions included in the book can play a role in stress management. Team

    CHAPTER 17 WORKFORCE DIVERSITY AND WELLNESS 507

    building, employee involvement, reward systems, and career planning and develop-
    ment all can help alleviate stressful working conditions. Thus, to some degree stress
    management has been under discussion throughout this book. Here, the focus is on
    those occupational stressors and stress management techniques that are unique to
    the stress field and that have received the most systematic attention from stress
    researchers.

    Workplace Stressors. Figure 17.2 identifies several organizational sources of stress,
    including the physical environment, individual situations, group pressures, and organiza-
    tional conditions. Extensive research has been done on three key individual sources of
    stress: the individual items related to work overload, role conflict, and role ambiguity.

    Research relating workload to stress outcomes reveals that both too much and too
    little work can have negative consequences. Apparently, when the amount of work is

    FIGURE 17.2

    Stress Management: Diagnosis and Intervention

    SOURCE: Adapted from J. Gibson, J. Ivancevich, and J. Donnelly Jr., Organizations: Behaviors, Structure, Processes, 8th ed.
    (Plano, Texas: Business Publications, 1994): 266. Reproduced with permission of The McGraw-Hill Companies.

    508 PART 5 HUMAN RESOURCE INTERVENTIONS

    in balance with people’s abilities and knowledge, stress has a positive impact on per-
    formance and satisfaction, but when workload either exceeds employees’ abilities
    (overload) or fails to challenge them (underload), people experience stress negatively.
    This negative experience can lead to lowered self-esteem and job dissatisfaction, ner-
    vous symptoms, increased absenteeism, and reduced participation in organizational
    activities.30

    People’s roles at work also can be a source of stress. A role can be defined as the
    sum total of expectations that the individual and significant others have about how the
    person should perform a specific job. Problems arise when there is role ambiguity and
    the person does not clearly understand what others expect of him or her, or when
    there is role conflict and the employee receives contradictory expectations that cannot
    be satisfied at the same time.31 Extensive studies of role ambiguity and conflict suggest
    that both conditions are prevalent in organizations, especially among managerial jobs
    where clarity often is lacking and job demands often are contradictory.32 For example,
    managerial job descriptions typically are so general that it is difficult to know precisely
    what is expected on the job. Similarly, managers spend most of their time interacting
    with people from other departments, and opportunities for conflicting demands
    abound in these lateral relationships. Role ambiguity and conflict can cause severe
    stress, resulting in increased tension, dissatisfaction, and withdrawal, and reduced com-
    mitment and trust in others.

    Individual Differences. Figure 17.2 identifies two classes of individual differences that
    can affect how people respond to workplace stressors: cognitive/affective characteristics
    and biological/demographic characteristics. Much research has been devoted to the
    cognitive/affective category, especially the Type A behavior pattern, which is characterized
    by impatience, competitiveness, and hostility. Type A personalities (in contrast to Type
    B’s) invest long hours working under tight deadlines, and put themselves under extreme
    time pressure by trying to do more and more work in less and less time. Type A people
    are especially prone to stress. For example, a longitudinal study of 3,500 men found that
    Type A’s had twice as much heart disease, five times as many second heart attacks, and
    twice as many fatal heart attacks as did Type B’s.33

    Stress management is directed at preventing negative stress outcomes either by
    changing the organizational conditions causing the stress or by enhancing employees’
    abilities to cope with them. This preventive approach starts from a diagnosis of the cur-
    rent situation, including employees’ self-awareness of their own stress and its sources.
    This diagnosis provides the information needed to develop an appropriate stress man-
    agement program. There are two methods for diagnosing stress.

    Charting stressors involves identifying organizational and personal stressors operat-
    ing in a particular situation. Guided by a conceptual model like that shown in
    Figure 17.2, data can be collected through questionnaires and interviews about environ-
    mental and personal stressors. For example, researchers at the University of Michigan’s
    Institute for Social Research have developed standardized instruments for measuring
    most of the stressors shown in Figure 17.2. Similarly, there are specific instruments for
    measuring the individual differences, such as hardiness, social support, and Type A or B
    behavior pattern. In addition to perceptions of stressors, it is necessary to measure stress
    consequences, such as subjective moods, performance, job satisfaction, absenteeism,
    blood pressure, and cholesterol level. Various instruments and checklists have been
    developed for obtaining people’s perceptions of negative consequences, and these can
    be supplemented with hard measures taken from company records, medical reports,
    and physical examinations.

    CHAPTER 17 WORKFORCE DIVERSITY AND WELLNESS 509

    Once measures of the stressors and consequences are obtained, the two sets of data
    must be related to reveal which stressors contribute most to negative stress in the situ-
    ation under study. For example, an analysis might show that qualitative overload and
    role ambiguity are highly related to employee fatigue, absenteeism, and poor perfor-
    mance, especially for Type A employees. This kind of information points to specific
    organizational conditions that must be improved to reduce stress. Moreover, it identi-
    fies the kinds of employees who may need special counseling and training in stress
    management.

    Health profiling is aimed at identifying stress symptoms so that corrective action
    can be taken. Many firms contract with local health care facilities to provide the ser-
    vice. It starts with a questionnaire asking people for their medical history; personal
    habits; current health; and vital signs, such as blood pressure and cholesterol levels. It
    also may include a physical examination if some of the information is not readily avail-
    able. Information from the questionnaire and physical examination is then analyzed,
    usually by a computer that calculates the individual’s health profile. This profile com-
    pares the individual’s characteristics with those of an average person of the same gen-
    der, age, and race. The profile identifies the person’s future health prospect, typically
    by placing him or her in a health-risk category with a known probability of fatal dis-
    ease, such as cardiovascular risk. The health profile also indicates how the health risks
    can be reduced by making personal and environmental changes such as dieting,
    exercising, or traveling.

    Alleviating and Coping with Stress to Improve Wellness After diagnosing the
    presence and causes of stress, the next step in stress management is to do something
    about it. OD interventions for reducing negative stress tend to fall into two groups:
    those aimed at changing the organizational conditions causing stress and those directed
    at helping people to cope better with stress. Because stress results from the interaction
    between people and the environment, both strategies are needed for effective stress man-
    agement. Five such interventions are described below.

    Role Clarification. This involves helping employees better understand the demands
    of their work roles. A manager’s role is embedded in a network of relationships with
    other managers, each of whom has specific expectations about how the manager should
    perform the role. Role clarification is a systematic process for revealing others’ expecta-
    tions and arriving at a consensus about the activities constituting a particular role.
    There are several role clarification methods that follow a similar strategy.34 First, the
    people relevant to defining a particular role are identified (e.g., members of a manage-
    rial team, a boss and subordinate, and members of other departments relating to the
    role holder) and brought together at a meeting, usually in a location away from the
    organization.

    Second, the role holder discusses his or her perceived job duties and responsibilities
    and the other participants are encouraged to comment on and to agree or disagree with
    the role holder’s perceptions. An OD practitioner may act as a process consultant to
    facilitate interaction and reduce defensiveness. Third, when everyone has reached con-
    sensus on defining the role, the role holder is responsible for writing a description of
    the activities that are seen now as constituting the role. A copy of the role description
    is distributed to all participants to ensure that they fully understand and agree with the
    role definition. Fourth, the participants periodically check to see whether the role is
    being performed as intended and make modifications if necessary.

    510 PART 5 HUMAN RESOURCE INTERVENTIONS

    Supportive Relationships. Building supportive relationships is aimed at helping
    employees cope with stress rather than at changing the stressors themselves. It
    involves establishing trusting and genuinely positive relationships among employees,
    including bosses, subordinates, and peers. Supportive relations have been a hallmark
    of organization development and are a major part of such interventions as team
    building, intergroup relations, employee involvement, work design, goal setting, and
    career planning and development. Considerable research shows that supportive rela-
    tionships can buffer people from stress.35 When people feel that relevant others really
    care about what happens to them and are willing to help, they can cope with stressful
    conditions.

    Work Leaves. In the United States, employees work more hours and take less time off
    than in most other developed countries. For example, Americans worked an average of
    1,878 hours per year while workers in the United Kingdom averaged 1,711, France aver-
    aged 1,532, and German workers averaged 1,467. Only Korean employees worked more
    than Americans. Similarly, other countries offer longer and more flexible work leave
    arrangements, with vacation minimums often subject to government mandate. The
    United States and Japan average ten days annual vacation, and the United Kingdom,
    France, and Germany average 22, 25, and 24 days, respectively.36 While some differences
    can be explained by cultural values or government policies, the potential to affect well-
    ness through work leaves should not be ignored.

    As organizations struggle to minimize the effects of work stress, paid and unpaid
    work leaves are receiving increasing attention. Paid leaves include vacation, holidays,
    personal days, as well as maternity and paternity leaves. The comparative statistics sug-
    gest that globalization may increase pressure on vacation allowances. As with vacation
    time, the United States lags behind other countries in regards to maternity and paternity
    leave. Although the Family Medical Leave Act (FMLA) guarantees parents 12 weeks
    unpaid leave (and more people are taking advantage of FMLA unpaid leave), many
    employees cannot afford to take it, and firms at the top of Fortune’s “Best Companies
    to Work For” list have responded with paid maternity and paternity leave.37 Another
    key work leave intervention is paid sabbaticals, typically received after a specified tenure
    of service. For example, Perkins Coie, a Seattle law firm with approximately 1,400
    employees, offers eight-week paid sabbaticals. In another survey, 19% of companies,
    including Deloitte and Touche, Microsoft and Intel, offered sabbaticals, but only 5%
    with pay.38 Sabbaticals are a way of avoiding burnout and renewing employee creativity
    and commitment.

    Unpaid leaves, or leaves of absence, also offer employees a chance to renew and to
    bring new experiences to the organization, while guaranteeing a job for them upon their
    return. For example, personal growth leaves or social service leaves may allow an
    employee to explore an individual interest or cause. Such a leave is an exchange, offering
    the employee a chance for time off, renewal, and pursuit of a given interest, while retain-
    ing a valued employee for the organization.

    Health Facilities. A growing number of organizations are providing facilities for helping
    employees cope with stress. Elaborate exercise facilities are maintained by such firms as
    Qualcomm, Xerox, Weyerhaeuser, Google, and PepsiCo, and a majority of the Fortune 500
    operate corporate cardiovascular fitness programs. Employees at Aetna can earn a financial
    incentive for their involvement in weight management and fitness programs. Before starting
    such programs, employees must take an exercise tolerance test and have the approval of

    CHAPTER 17 WORKFORCE DIVERSITY AND WELLNESS 511

    either a private or a company doctor. Each participant is then assigned a safe level of heart
    response to the various parts of the fitness program.

    In addition to exercise facilities, some companies, such as McDonald’s and Equitable
    Life Assurance Society, provide biofeedback facilities in which managers take relaxation
    breaks using biofeedback devices to monitor respiration and heart rate. Feedback of such
    data helps managers lower their respiration and heart rates. Some companies provide
    time for employees to meditate, and other firms have stay-well programs that encourage
    healthy diets and lifestyles.

    Employee Assistance Programs. This final stress and wellness intervention is an
    organizational intervention and a method for helping individuals directly. EAPs
    help identify, refer, and treat workers whose personal problems affect their perfor-
    mance.39 While some large companies still provide an in-house EAP, most outsource
    their EAPs. Initially started in the 1940s to combat alcoholism, these programs have
    expanded to deal with emotional, family, marital, and financial problems, and, more
    recently, drug abuse. For example, 2008 data from the federal Substance Abuse and
    Mental Health Services Administration, suggest that 10.2% of full-time employed
    adults and 11% of part-time working adults are substance-dependent. Of these,
    about 85% are dependent on alcohol alone or on alcohol and drugs; 15% abuse
    drugs only.40

    Alcohol and drug use costs U.S. business an estimated $102 billion per year in lost
    productivity, accidents, and turnover.41 Britain’s Royal College of Psychiatrists sug-
    gested that up to 30% of employees in British companies would experience mental
    health problems and that 115 million workdays were lost each year as a result of
    depression.42 Other factors, too, have contributed to increased problems: altered family
    structures, the growth of single-parent households, the increase in divorce, greater
    mobility, and changing modes of child rearing are all fairly recent phenomena that
    have added to the stress experienced by employees. These trends indicate that an
    increasing number of employees need assistance with personal problems, and the
    research suggests that EAP use increases during downsizing and restructuring.43

    When other stress management interventions are not effective or when employ-
    ees have particular types of wellness and or health issues, EAPs provide a means of
    responding to employee wellness problems including extreme or chronic stress, drug
    and alcohol abuse, problems with child and elder care, grief, and financial pro-
    blems.44 Central to the philosophy underlying EAPs is the belief that although the
    organization has no right to interfere in the private lives of its employees, it does
    have a right to impose certain standards of work performance and to establish sanc-
    tions when these are not met. Anyone whose work performance is impaired because
    of a personal problem is eligible for admission into an EAP. Successful EAPs have
    been implemented at Kimpton Hotels and Restaurants, Telemundo Network, Alcoa,
    Sprint-Nextel, Wells Fargo Bank, and Johnson & Johnson. Numerous websites,
    including that of the Employee Assistance Professionals Association, share or pro-
    vide at minimal cost detailed guidelines on establishing an EAP. These steps include
    developing an appropriate EAP policy, deciding to insource or outsource the pro-
    gram, communicating the program to organization members, and providing training
    on EAP use. Recent changes in health care privacy as a result of the Health Insur-
    ance Portability and Privacy Act (HIPAA) impact EAPs, related health insurance
    benefits, data requirements, and how such data and information can be used and
    shared.45

    512 PART 5 HUMAN RESOURCE INTERVENTIONS

    17-2c The Results of Stress Management and
    Wellness Interventions
    The variety of stress management and wellness interventions makes it difficult to
    provide overall conclusions, but the numerous studies about stress and any particular
    intervention do add up to a positive recommendation. For example, the research on
    role clarification supports this intervention. One study found that it reduced stress
    and role ambiguity and increased job satisfaction.46 Another study reported that it
    improved interpersonal relationships among group members and contributed to
    improved production and quality.47 Like many of the other studies in this area, the
    findings should be interpreted carefully because of weak research designs and per-
    ceptual measures.

    The research on supportive relationships suggests that organizations must
    become more aware of their value in helping employees cope with stress. They may
    need to build supportive, cohesive work groups in situations that are particularly
    stressful, such as introducing new products, solving emergency problems, and han-
    dling customer complaints. For example, firms such as Procter & Gamble and the
    Hartford Financial Services Group have recognized that internal OD consultants
    bear a lot of the stress of organization change, and so they encouraged internal OD
    practitioners to form support teams to help each other cope with the demands of the
    role. Equally important, organizations need to direct more attention to ensuring that
    managers provide the support and encouragement necessary to help subordinates
    cope with stress. For example, Pepperdine University’s executive programs often
    include a module on helping subordinates cope with stress, and firms are training
    managers to be more sensitive to stress and more supportive and helpful to
    subordinates.

    Preliminary evidence suggests that fitness programs can reduce absenteeism and
    coronary risk factors, such as high blood pressure, body weight, percentage of body
    fat, and cholesterol levels.48 A review of the research, however, suggests that fitness
    programs primarily result in better mental health and resistance to stress and that
    such organizational improvements as reduced absenteeism and turnover and improved
    performance are more uncertain.49

    The amount of research on EAP-related issues is quite large, as a look through
    dedicated journals, such as the Journal for Workplace Behavioral Health or Employee
    Assistance Quarterly, will attest. Two studies reviewed the multinational EAP evalua-
    tion research for 39 studies between 1990 and 1999 and 42 studies between 2000 and
    2009.50 The research explored several aspects of EAP implementation including
    assessments of program success. For example, one study reported on a four-year,
    quasi-experimental design of Fairview Health Services’ EAP and reported average
    per-employee savings of $230 in lost work days, $340 in medical costs, and $188 in
    workers compensation claims for a combined cost savings of $758 per employee
    accessing the EAP. Application 17.2 provides additional data regarding the benefit of
    EAP-related programs.51 Johnson and Johnson’s “Live for Life” program, among one
    of the most regarded in the world, has been studied extensively and demonstrates the
    long-term value of this approach. The author concludes: “To state it as simply as
    possible, EAPs are effective. They save organizations money. EAPs also increase the
    well-being of the majority of employees who actively participate in counseling
    offered through the auspices of the programs and as a result enhance the wellness
    of our communities.”

    CHAPTER 17 WORKFORCE DIVERSITY AND WELLNESS 513

    a
    p

    p
    lica

    tio
    n

    1
    7

    2
    JOHNSON & JOHNSON’S HEALTH AND

    WELLNESS PROGRAM

    J
    ohnson & Johnson (J&J) is the most diver-
    sified health care corporation in the world.
    It grosses more than $65 billion a year and
    employs approximately 117,900 people

    at 190 companies in 51 countries. The J&J
    companies are decentralized and directly
    responsible for their own operations. Corporate
    management is committed to this structure
    because of the many proven advantages to
    the businesses and people involved, such as
    the development of general managers, faster
    product development, and a closer connection
    with the customer. Its philosophy is embodied
    in a document called “Our Credo,” a section of
    which makes a commitment to the welfare of
    its employees.

    J&J has a long history of commitment to
    health, wellness, and stress management pro-
    grams. For example, based on a successful
    pilot project in its Ethicon division during the
    1970s, J&J top management decided to imple-
    ment EAPs throughout the rest of the com-
    pany. The J&J EAPs were in-house treatment
    programs that offered employees and family
    members confidential, professional assistance
    for problems related to alcohol and drug abuse,
    as well as marital, family, emotional, and men-
    tal health difficulties. The major goal was to
    help clients assume responsibility for their
    own behavior and, if it was destructive to
    themselves or others, to modify it. Employees
    could enter an EAP by self-referral or by
    counseling from their supervisor. The program
    emphasized the necessity of maintaining com-
    plete confidentiality when counseling the
    employee or family member to protect both
    the client’s dignity and job.

    The EAPs were implemented between
    1980 and 1985 in three phases. The first
    phase consisted of contacting the managers
    and directors of personnel for each of the
    decentralized divisions and assessing their
    divisions’ EAP needs. An educational process
    was initiated to inform managers and

    directors about the EAP. This EAP training
    then was conducted in each of the personnel
    departments of the divisions. The second
    phase included a formal presentation to the
    management board of each division. It included
    information about the EAP and about an alco-
    hol and drug component for executives. In the
    third phase, cost estimates were developed
    for EAP use and for employment of an EAP
    administrator to implement the program in
    each division. In addition, the corporate direc-
    tor of assistance programs established a qual-
    ity assurance program to review all EAP
    activities biennially.

    Eventually, more than 90% of all domestic
    employees had direct access to an EAP, and
    the remaining employees had telephone
    access. There were EAPs at all major J&J loca-
    tions throughout the United States, Puerto
    Rico, and Canada. Programs also operated in
    Brazil and England. A study of J&J’s EAP in
    the New Jersey area showed that clients
    with drug abuse, emotional, or mental health
    problems who availed themselves of EAP ser-
    vices were treated at substantial savings to the
    company.

    The EAPs were ultimately integrated with
    J&J’s original wellness program known as Live
    for Life. This program was initiated by the
    chairman of the board in 1979, when he
    committed to provide all employees and their
    families with the opportunity to become the
    healthiest employees of any corporation in
    the world. The program brought together
    experts in health care education, behavior
    change, and disease management to create a
    program to improve the health and productivity
    of workers. The Live for Life program offered
    classes in nutrition, weight reduction, and
    smoking cessation. In addition, small gymnasi-
    ums with workout equipment, aerobics rooms,
    and swimming pools were made available. In
    the late 1980s and 1990s the combined
    programs became known as Live for Life

    514 PART 5 HUMAN RESOURCE INTERVENTIONS

    Assistance programs. Health, safety, benefits,
    wellness, and EAPs worked together to promote
    employee well-being in the workplace.

    The current Johnson & Johnson Health and
    Wellness Program is an outgrowth of those early
    programs. It has undergone several transforma-
    tions in the past three decades to respond to
    shifting business requirements and changing
    employee health needs. The Johnson & Johnson
    Health and Wellness Program includes disability
    management, occupational health, employee
    assistance, work–life programs, and wellness
    and fitness programs. The program is often stud-
    ied by other corporations because of its integrated
    service deliveries.

    In 1995, Johnson & Johnson’s health and fit-
    ness group took a simple step that catapulted par-
    ticipation in the company’s wellness program from
    26% to 90%. Patricia Flynn, vice president of John-
    son & Johnson’s health care system, described
    how J&J offered every employee a $500 health-
    benefits credit in exchange for completing an
    annual health-risk assessment before enrolling in
    the plan. Although the company had offered the
    assessment optionally for years as part of its well-
    ness program, it was not until the incentive was
    attached that employees flocked to it. “People
    think they are fit and might not want to bother
    with an assessment,” Flynn says. “This incentive
    got them to do it.”

    In the past, organization members were given
    incentives for participating in various wellness pro-
    grams, but the company’s focus has shifted all of
    its incentive dollars toward risk assessment. “We
    are confident that once employees know what
    their risks are, then we can make a positive impact
    on their health,” says Jennifer Bruno, director of
    business planning. Early studies conducted at the
    company showed that even those employees who
    took the assessment but had no follow-up support
    through wellness programs showed improve-
    ments in their health.

    But for Johnson & Johnson, the assessment is
    just the beginning. The aggregate data helps the
    health care group choose the right wellness

    programs for the exact needs of the population,
    Bruno says. The program developers aren’t gues-
    sing at employees’ health interests or expecting
    them to know what programs they will benefit
    from, she says. They use the hard data to guide
    their wellness program choices. “We are making
    better use of our health care dollars, thanks to
    the assessment information.”

    For example, the initial assessment showed
    that the employees had three areas of risk: high
    cholesterol, high blood pressure, and inactivity.
    The company now regularly offers exercise and
    counseling programs to help employees reduce
    cholesterol and blood pressure and manage
    weight. Bruno says there are also subtle additions
    to the workplace environment that contribute to a
    healthy culture, such as nutritious choices in the
    cafeteria, scales in all of the bathrooms, and a non-
    smoking environment.

    Johnson & Johnson’s Live for Life program is
    one of the most emulated and evaluated pro-
    grams of its kind. The most recent evaluation,
    which compared J&J’s program against 16 other
    programs over time, found that their average
    annual growth in medical costs were 3.7% lower.
    That is, after accounting for inflation, J&J’s average
    medical and drug costs increased 1% per year
    between 2002 and 2008 compared to the average
    increase of 4.8% in 16 other companies with EAPs.
    That translates to an average annual savings of
    $565 per employee, and a return on investment
    estimate of between $1.88 and $3.92 for every
    dollar spent. Further tests suggested that J&J
    employees were significantly less likely to be at
    risk for high blood pressure, high cholesterol,
    poor nutrition, obesity, physical inactivity, and
    tobacco use. The researchers conclude that the
    benefits from health promotion programs, espe-
    cially those as comprehensive as J&Js, may be
    long lasting. Johnson & Johnson’s Health and
    Wellness program demonstrates a long-term
    commitment to its strategy, its industry, and its
    people. The execution and coordination of the dif-
    ferent wellness components has paid off hand-
    somely for many stakeholders.

    CHAPTER 17 WORKFORCE DIVERSITY AND WELLNESS 515

    SUMMARY

    This chapter presented two important human
    resources interventions: workforce diversity interven-
    tions and employee stress and wellness interventions.
    Like coaching, career planning and development, and
    leadership development presented in Chapter 18, these
    change programs generally are carried out by human
    resources specialists but have become an important
    part of OD’s practice.

    Workforce diversity interventions are designed to
    adapt human resources practices to an increasingly
    diverse workforce. Age, gender, race, sexual orienta-
    tion, disability, and culture and values trends point to a
    more complex set of human resources demands. Within
    such a context, OD interventions (e.g., job design, perfor-
    mance management, and employee involvement prac-
    tices) have to be adapted to a diverse set of personal
    preferences, needs, and lifestyles.

    Employee stress and wellness interventions, such as
    work leaves and EAPs, recognize the important link
    between worker health and organizational productivity.

    A model for understanding work-related stress
    includes occupational stressors; individual differ-
    ences, which affect how people respond to the stres-
    sors; stress outcomes; and interventions to increase
    wellness or decrease stress. The two main steps in
    stress management are diagnosing stress and its
    causes, and alleviating stressors and helping people
    to cope with stress. Two methods for diagnosing
    stress are charting stressors and health profiling.
    Techniques for alleviating stressful conditions include
    role clarification and supportive relationships. Means
    for helping workers cope with stress are developing
    supportive relationships and participation in activi-
    ties at health and fitness facilities. Finally, EAPs iden-
    tify, refer, and treat employees and their families for
    such problems as marital difficulties, drug and alcohol
    abuse, emotional disturbances, and financial crises.
    EAPs preserve the dignity of the individual but also
    recognize the organization’s right to expect certain
    work behaviors.

    NOTES

    1. F. Miller and J. Katz, The Inclusion Breakthrough
    (San Francisco: Berrett-Koehler, 2002); R. Thomas, Build-
    ing on the Promise of Diversity (New York: AMACOM
    Books, 2005); M. Bell, Diversity in Organizations, 2nd ed.
    (Mason, OH: South-Western College Publishing, 2011).

    2. P. Dass and B. Parker, “Strategies for Managing Human
    Resource Diversity: From Resistance to Learning,” Acad-
    emy of Management Executive 13 (1999): 68–80.

    3. Society for Human Resource Management, “Workplace
    Diversity Practices Poll” (Alexandria, VA: SHRM,
    2010), accessed from http://www.shrm.org/Research
    /SurveyFindings/Articles/Pages/WorkplaceDiversityPractices
    .aspx on August 12, 2012.

    4. This section has benefited greatly from the advice and
    assistance of Pat Pope, president of Pope and Associates,
    Cincinnati, OH. Much of the data and many examples
    cited in support of each trend can be found in the fol-
    lowing references and websites: M. Galen, “Equal
    Opportunity Diversity: Beyond the Numbers Game,”
    BusinessWeek, August 14, 1995, 60–61; K. Hammon
    and A. Palmer, “The Daddy Trap,” BusinessWeek,
    September 21, 1998, 56–64; H. Kahan and D. Mulryan,
    “Out of the Closet,” American Demographics (May 1995):

    40–47; http://stats.bls.gov; http://nces.ed.gov; http://census
    .gov; http://cdc.gov.

    5. “How to Prepare for the Coming Older Workforce,”
    IOMA’s Safety Director’s Report 1, no. 3 (April 2001).
    See also World Health Organization information on
    aging of the workforce.

    6. E. Cook, M. Heppner, and K. O’Brien, “Career Develop-
    ment of Women of Color and White Women: Assump-
    tions, Conceptualizations, and Interventions from an
    Ecological Perspective,” Career Development Quarterly
    50 (2002): 291–305.

    7. D. Meyerson and J. Fletcher, “A Modest Manifesto for
    Breaking the Glass Ceiling,” Harvard Business Review
    (January-February 2000): 127–35.

    8. A. Brief, R. Buttram, R. Reizenstein, D. Pugh, J. Callahan,
    R. McCline, and J. Vaslow, “Beyond Good Intentions: The
    Next Steps Toward Racial Equality in the American Work-
    place,” Academy of Management Executive 11 (1997): 59–72.

    9. H. Ernst, “Promoting Diversity and Equality,” Fortune,
    June 14, 2010, 142.

    10. “More Employers Cover Domestic Partners,” Employee
    Benefit News 17, no. 8 (June 15, 2003): 30.

    516 PART 5 HUMAN RESOURCE INTERVENTIONS

    11. Society for Human Resource Management, “2012
    Employee Benefits: The Employee Benefits Landscape
    in a Recovering Economy” (Alexandria, VA: SHRM,
    2012), accessed from http://www.shrm.org/Research
    /SurveyFindings/Articles/Pages/2012EmployeeBenefits
    ResearchReport.aspx on August 14, 2012.

    12. D. Baldrige and J. Veiga, “Toward a Greater Understand-
    ing of the Willingness to Request an Accommodation:
    Can Requesters’ Beliefs Disable the Americans with
    Disabilities Act?” Academy of Management Review 26
    (2001): 85–99.

    13. Society for Human Resource Management, “Workplace
    Diversity Practices Poll” (Alexandria, VA: SHRM,
    2010), accessed from http://www.shrm.org/Research /Sur-
    veyFindings/Articles/Pages/WorkplaceDiversityPractices
    .aspx on August 12, 2012.

    14. S. Rynes and B. Rosen, “A Field Survey of Factors Affect-
    ing the Adoption and Perceived Success of Diversity
    Training,” Personnel Psychology 48 (1995): 247–70;
    K. Labich, “Making Diversity Pay,” Fortune, September 9,
    1996, 177–80.

    15. K. De Meuse, T. Hostager, and K. O’Neill, “A Longitudi-
    nal Evaluation of Senior Managers’ Perceptions and Atti-
    tudes of a Workplace Diversity Training Program,”
    Human Resource Planning 30 (2007): 38–47.

    16. M. Kwak, “The Paradox of Effects of Diversity,” Sloan
    Management Review 44 (Spring 2003): 7–8; M. Hamdani
    and M. Buckly, “Diversity Goals: Reframing the Debate
    and Enabling a Fair Evaluation,” Business Horizons 54
    (2011): 33–40.

    17. A. Kalev, F. Dobbin, and E. Kelly, “Best Practices or Best
    Guesses? Assessing the Efficacy of Corporate Affirma-
    tive Action and Diversity Policies,” American Sociologi-
    cal Review 71 (2006): 589–617; J. Marquis, N. Lim,
    L. Scott, M. Harrell, and J. Kavanagh, “Managing Diver-
    sity in Corporate America” (Santa Monica, CA: RAND
    Corporation, 2008), accessed from http://www.rand.org
    /pubs/occasional_papers/OP206 on August 13, 2012.

    18. This application was adapted from the following sources:
    “L’Oréal Dedicated to Diversity,” Global Cosmetic Indus-
    try 173 (February 2005): 80; K. Mark, “L’Oréal S.A.: Roll-
    ing Out the Global Diversity Strategy” (London, Ontario,
    Canada: Richard Ivey School of Business, 2010),
    #910C26; http://www.loreal.com.

    19. L. Berry, A. Mirabito, and W. Baun, “What’s the Hard
    Return on Employee Wellness Programs?” Harvard
    Business Review (December 2010): 104–12; “Cadbury’s
    Runs Smoothly Under Pressure; Wellness Program
    Keeps IT Project on Track,” Human Resource Manage-
    ment International Digest 15 (2007): 14; C. Haltom,
    “Health Risk Management: Well-Being for the
    Employee and the Bottom Line,” Benefits Quarterly 21
    (2005): 7–10; M. O’Rourke and L. Sullivan, “Corporate

    Wellness: A Healthy Return on Employee Investment,”
    Risk Management 50 (2003): 34–36.

    20. Towers Watson, “Multinational Workforce Health:
    Building a Sustainable Global Strategy” (New York: Towers
    Watson, 2012), accessed from http://www.towerswatson
    .com/en-ZA/Insights/IC-Types/Survey-Research-Results
    /2011/05/Multinational-Workforce-Health-Building-a-
    Sustainable-Global-Strategy-1 on June 3, 2013.

    21. K. Danna and R. Griffin, “Health and Well-Being in the
    Workplace: A Review and Synthesis of the Literature,”
    Journal of Management 25 (1999): 357–84.

    22. These data were accessed from http://www.successunlimited
    .co.uk/costs.htm on January 14, 2000. The results have since
    been moved to http://www.bullyonline.org /workbully/costs
    .htm, accessed October 1, 2003.

    23. American Psychological Association, “Stress in America”
    (Washington, DC, 2012), report accessed from http://
    www.apa.org/news/press/releases/stress/index.aspx on
    August 13, 2012.

    24. Towers Watson, “Multinational Workforce Health:
    Building a Sustainable Global Strategy.”

    25. S. D’Mello, “Stress: The Global Economic Downturn Has
    Taken Its Toll on Employees. What’s the Impact for
    Organizations?” Kenexa High Performance Institute,
    2011, accessed from http://khpi.com/documents/KHPI-
    WorkTrends-Report-Stress on August 13, 2012.

    26. J. O’Toole and E. Lawler, The New American Workplace
    (New York: Palgrave Macmillan, 2007).

    27. T. O’Boyle, “Fear and Stress in the Office Take Toll,”
    Wall Street Journal, November 6, 1990, B1, B3; A. Riecher,
    “Job Stress: What It Can Do to You,” Bryan-College
    Station Eagle, August 15, 1993, D1.

    28. D. Allen, “Less Stress, Less Litigation,” Personnel (January
    1990): 32–35; D. Hollis and J. Goodson, “Stress: The
    Legal and Organizational Implications,” Employee
    Responsibilities and Rights Journal 2 (1989): 255–62.

    29. T. Cummings and C. Cooper, “A Cybernetic Framework
    for Studying Occupational Stress,” Human Relations 32
    (1979): 395–418.

    30. J. French and R. Caplan, “Organization Stress and Indi-
    vidual Strain,” in The Failure of Success, ed. A. Morrow
    (New York: AMACOM, 1972).

    31. C. Cooper and R. Payne, Stress at Work (New York: John
    Wiley & Sons, 1978).

    32. C. Cooper and J. Marshall, “Occupational Sources of
    Stress: A Review of the Literature Relating to Coronary
    Heart Disease and Mental Ill Health,” Journal of Occupa-
    tional Psychology 49 (1976): 11–28; Cooper and Payne,
    Stress at Work.

    33. R. Rosenman and M. Friedman, “The Central Nervous
    System and Coronary Heart Disease,” Hospital Practice
    6 (1971): 87–97.

    CHAPTER 17 WORKFORCE DIVERSITY AND WELLNESS 517

    34. E. Huse and C. Barebo, “Beyond the T-Group: Increasing
    Organizational Effectiveness,” California Management
    Review 23 (1980): 104–17; I. Dayal and J. Thomas,
    “Operation KPE: Developing a New Organization,” Jour-
    nal of Applied Behavioral Science 4 (1968): 473–506.

    35. J. House, Work Stress and Social Support (Reading, MA:
    Addison-Wesley, 1982).

    36. M. Peak, “I Think I’ll Go to Work in France,” Manage-
    ment Review 84 (1995): 7; U.S. Department of Labor,
    “Annual Hours Worked per Employed Person 1990 and
    2001,” Chart 19.

    37. R. Levering and M. Moskowitz, “100 Best Companies to
    Work For,” Fortune, January 20, 2003, 127–52.

    38. T. Gunter, “The Pause That Refreshes,” BusinessWeek,
    November 19, 2001, 138.

    39. G. Bohlander and S. Snell, Managing Human Resources
    (Cincinnati, OH: South-Western College Publishing,
    2004).

    40. R. Grossman, “What to Do About Substance Abuse?” HR
    Magazine 55 (2010): 32–38.

    41. S. Savitz, “Mental Health Plans Help Employees, Reduce
    Costs,” Best’s Review 96, no. 3 (1995): 60–62.

    42. C. Hodges, “Growing Problem of Stress at Work Alarms
    Business,” People Management 1 (1995): 14–15.

    43. W. Lissy and M. Morgenstern, “Employees Turn to EAPs
    During Downsizing,” Compensation and Benefits Review
    27, no. 3 (1995): 16.

    44. K. Blassingame, “Providers Offer Bereaved Employees
    Counseling Options,” BenefitNews.com, September 1,
    2003, 51.

    45. K. Bakich and K. Pestaina, “HIPAA Mean Changes for
    Human Resources,” Employee Relations Law Journal 28
    (2002): 29–54; K. Bakich and K. Pestaina, “HIPAA
    Mean Changes for Human Resources—Part II: Addres-
    sing the Most Challenging HR Issues,” Employee Rela-
    tions Law Journal 28 (2003): 47–64.

    46. Huse and Barebo, “Beyond the T-Group.”
    47. Dayal and Thomas, “Operation KPE.”
    48. J. Zuckerman, “Keeping Managers in Good Health,”

    International Management 34 (January 1979): 40.
    49. L. Falkenberg, “Employee Fitness Programs: Their Impact

    on the Employee and the Organization,” Academy of
    Management Review 12 (1987): 511–22.

    50. R. Csiernik, “A Review of EAP Evaluation in the 1990s,”
    Employee Assistance Quarterly 19 (2004): 21–37;
    R. Csiernik, “The Glass Is Filling: An Examination of
    Employee Assistance Program Evaluations in the First
    Decade of the New Millennium,” Journal of Workplace
    Behavioral Health 26 (2011): 334–55.

    51. Adapted from T. Desmond, “An Internal Broadbrush
    Program: J & J’s Live for Life Assistance Program,” in
    The EAP Solution, ed. J. Spicer (Center City, MN: Hazel-
    den, 1987), 148–56; L. Paetsch, “Wellness Program Saves
    Johnson and Johnson $8.5 Million in Health Care Costs,”
    Employee Benefit Plan Review 56 (2002): 31–32; S. Gale,
    “Selling Health to High-Risk Workers,” Workforce 81
    (2002): 74–76; R. Henke, R. Goetzel, J. McHugh, and
    F. Isaac, “Recent Experience in Health Promotion at
    Johnson & Johnson: Lower Health Spending, Strong
    Return on Investment,” Health Affairs 30 (2011): 490–99;
    the company’s website http://www.jnj.com.

    518 PART 5 HUMAN RESOURCE INTERVENTIONS

    S
    el

    ec
    te

    d
    C

    a
    s
    e
    s EMPLOYEE BENEFITS AT HEALTHCO*

    Scenario #1

    “Pat, I just can’t do it. I know you want me to
    go to New York tonight, but I can’t make a trip
    like this at the last minute.”

    “Chris, you are the best attorney we have
    for these negotiations—we need you.”

    “I appreciate the compliment, but I can’t
    arrange the care for my mother and my daugh-
    ter on four hours notice. I told you during my
    performance appraisal about the demands I am
    under—in terms of carrying my own workload
    and part of Sidney’s [a coworker] during this
    parental leave time. In addition, like I said, I
    have two elderly parents, one needing daily
    care, my toddler daughter, and I am moving
    next week. I know you want me to progress
    and I appreciate it, but you know I work
    hard—I work overtime every week—but I can’t
    do what you want this time. I’m sorry. I’ll talk to
    you later.”

    Pat hangs up the phone and thinks, “Okay,
    I know I am asking a lot, but how do I resolve
    these issues? It’s frustrating that Sidney is out
    on 12 weeks leave—geez!!!—and it’s only
    going to get worse. Chris is my best person …
    why isn’t Chris more committed? And doesn’t
    Sidney know that 12 weeks off creates hard-
    ships for everyone else? How can I get them
    to do more?”

    Chris walks to the parking lot thinking,
    “Boy, I thought I made a good move in coming
    here. But Pat is worse than the partners I used
    to work for. What am I going to do? Oh well, at
    least the job market for attorneys is good.”

    Scenario #2

    “Francis, I appreciate your help these last few
    weeks. I never could have exceeded all my
    goals or facilitated my team exceeding its
    goal if you hadn’t connected me with Kyle’s
    Elder Care Referral Service. I feel like I would
    have had to take at least five to seven days off
    to gather the same information that Kyle had

    immediately available. And then I would have
    spent another week or two—not two days—
    getting my dad settled. I don’t know why he
    decided to retire to Ireland, but he is delighted
    with the arrangements, and is doing well.”

    “That’s okay, Blair, I’m happy to help.
    Thank you for the excellent job you’ve been
    doing. I really appreciate it. Let’s talk about
    next month’s key goals.”

    Blair had been the project lead during the
    implementation of a new quality process in
    the laboratory, and despite an above-average
    workload the last month, had successfully
    met the project’s objectives. Francis thought,
    “It was touch and go when Blair’s dad sud-
    denly wanted to retire to Ireland, and wanted
    to move immediately. Thank heaven I remem-
    bered reading about Kyle and the Elder Care
    Referral Service.”

    Blair left Francis’ office with a smile, think-
    ing, “Francis is great to work for … I can’t even
    consider any of the calls I’m getting from other
    hospitals or headhunters. It’s just great to work
    for someone who understands that work is just
    one part of life.”

    Scenario #3

    Robin, department head for pediatrics at
    HealthCo’s second largest hospital, had asked
    to meet with Mercer, the director of pediatrics
    for HealthCo.

    “Mercer, thanks for your time. As you
    know I’m 56 this year, and I want to talk to
    you about my retirement. I have many interests
    beyond my medical practice, and also want
    more time with my family and community.
    What I would like to do is begin working part-
    time after this first year. What I’m thinking is
    that I would work 30 hours a week for two
    years, still holding clinic hours two days
    week. Then the next three to five years I
    would like to transition to full-time retirement.
    What I would like is to work 20 or so hours per
    week for those years, working with medical
    school students and on research projects.”

    “Well, Robin, as you know, we don’t have
    any formal retirement policy except to fully

    *This case was prepared by Professor Karen Whelan-Berry
    of Utah Valley State College for classroom discussion. It is
    published with permission of the author.

    SELECTED CASES 519

    retire. I’m going to have to talk to HR about this.
    You have extensive experience and expertise, and
    I don’t want to lose that. I’m just not sure what HR
    or the Physicians’ Council will say.”

    “I understand. My first choice is to remain
    with HealthCo, but I know there are organizations
    that would be interested in my working part-time.
    When can you get back to me?”

    “Give me a couple of weeks, Robin.”
    “Okay.”
    Mercer began to think about Robin’s request,

    already hearing HR raise issues like benefits, ongo-
    ing participation in retirement funding, and prece-
    dents being set. But Mercer didn’t want to lose
    Robin’s expertise. And Robin’s idea of working
    with the medical students might let HealthCo cre-
    ate a unique internship and residency experience,
    which would let HealthCo attract the top students.

    BACKGROUND

    The people in these three scenarios work for
    HealthCo, a fully integrated, nonprofit health care
    organization with nine major medical centers and
    36 affiliated clinics, rehabilitation units, therapy
    facilities, hospice and geriatric units, and other
    highly specialized centers. Located in the eastern
    United States, HealthCo has about 6,700 employ-
    ees. Like other health care companies, it employs
    a disproportionate number of women, especially in
    nursing and patient care, allied health services, and
    support staff. The backgrounds of Pat, Francis, and
    Mercer, all managers at HealthCo, are provided
    below.

    Pat is the chief counsel of HealthCo’s internal
    legal department. Pat has worked for HealthCo for
    five years, after 15 years in a major law firm in
    Washington, D.C. It has been a difficult transition
    from the “do-anything, 24/7” pace of the firm to
    the “slower, less professional” pace of HealthCo.
    Pat is married and has three kids. Pat’s spouse is
    also an attorney. Pat’s staff is primarily full-time
    and works “nine to five.” The department is very
    busy, often with a workload that significantly
    exceeds the day-to-day capacity of the staff.

    Francis serves as the director of laboratory ser-
    vices for the largest hospital. The laboratory is
    staffed around the clock and can be called on to
    perform routine and emergency procedures at
    any time. The new quality process that Blair helped

    to implement was critical to the lab supporting the
    hospital’s status as the primary emergency and
    critical-care facility in the region. Francis, who had
    started in a research lab prior to joining HealthCo,
    felt the pressure of staffing a 24/7 lab. Having
    never married, Francis could not imagine juggling
    marriage and children in addition to the demands of
    having two parents and five siblings and their fami-
    lies living nearby. Francis tried to help the lab’s
    employees with family or life demands, but did
    so on a personal basis, and not because the hospi-
    tal had many such benefits available.

    Mercer is a nationally known pediatrician with
    15 years experience, and was recently hired to
    head HealthCo’s pediatrics organization. Mercer’s
    expertise and management capabilities were
    stretched in a positive way by the demands of
    such a large and comprehensive pediatric practice.
    Thriving on that challenge, Mercer had been very
    successful since taking over the organization. Mar-
    rying after medical school to another physician,
    Mercer felt grateful for being able to work the
    hours required to fully learn and understand this
    new position. Mercer knew a number of people
    on the pediatric staff, including a number of the
    pediatricians. Many of them felt Mercer worked
    way too much, and moreover, worried Mercer
    expected the same of them. Mercer knew that
    younger physicians weren’t as keen on the 24/7
    doctor lifestyle that Mercer’s father had lived.

    RECENT EVENTS

    A couple of weeks after Pat’s conversation with
    Chris, Francis’ with Blair, and Mercer’s with
    Robin, a senior staff meeting was called to discuss
    current issues and the coming year’s strategic
    initiatives. The CEO, Dr. Palmer, recently had
    become focused on employee retention, after
    Human Resources reported that HealthCo’s turn-
    over was 1.5 times the industry average. While
    HealthCo was competitive about salary, benefits
    seemed to be an area needing improvement. Fur-
    ther, the recent issue of Fortune, which identified
    the “Best Companies to Work For,” raised Dr. Pal-
    mer’s awareness of the growing importance of
    work–life programs and policies.

    Dr. Palmer realized that HealthCo did not pro-
    vide many of the benefits offered by these “best
    companies.” In fact, very few health care

    520 PART 5 HUMAN RESOURCE INTERVENTIONS

    companies made the list. Palmer conceded that
    the 24/7 nature of health care organizations proba-
    bly complicated the provision of work–life benefits.
    However, Palmer also saw a potential competitive
    advantage in being a leader in providing such ben-
    efits, especially when combined with the competi-
    tive salary and merit structure HealthCo offered.
    Dr. Palmer remembered that a survey had been
    done of HealthCo female employees by an outside

    research team, and that one area of the survey
    was work–life issues. A review of the data
    revealed a number of benefits seen as important
    to the female employees of HealthCo (see
    Table 1). The research also had suggested that
    the immediate supervisor played a vital role in the
    employee’s ability to successfully balance work
    and life, and the employee’s satisfaction with her
    work–life balance. An immediate supervisor’s

    TABLE 1

    Rank-Order Importance of Work–Life Benefits for Female Employees at HealthCo

    Benefit Rank Currently Offered by Healthco

    Maternity/Paternity and Family Leave
    Includes paid maternity and paternity leave,

    extended paid leave for family issues, and
    unpaid leave for family issues with the
    ability to return to work.

    1 HealthCo pays six weeks maternity and
    paternity leave, after the employees has
    been with the company for one year.
    Employees can take another six weeks
    unpaid. No extended leave.

    Sabbatical/Extended Leave
    Paid extended leave after working for a

    specified time with the company.
    2 Not offered by HealthCo.

    Fitness
    Includes on-site fitness facilities, and/or paid

    health club memberships.
    3 Not offered by HealthCo.

    Flextime
    Includes part-time work schedules, flextime,

    and telecommuting.
    4 Flextime, with two-hour flex offered in

    some departments.

    Work–Life Task Force
    Employee committee that oversees

    work–life issues.
    5 Currently overseen by HR.

    Concierge Services
    Includes services such as on-site takeout,

    dry cleaning, auto service, and other simi-
    lar services.

    6 Not offered except at corporate
    headquarters.

    Child Care
    Includes on-site child care, vacation pro-

    grams, and before and after school care.
    7 Sick-child care offered at some of the

    medical centers.

    Referral Services
    Includes child care, elder care, and other

    referral services.
    8 Not offered by HealthCo.

    Paid Health Insurance Premiums * HealthCo pays the employee’s premium.

    *Payment of health insurance premium not rank-ordered, but included in survey information.

    ©
    Ce
    ng
    ag
    e
    Le
    ar
    ni

    ng
    20

    15

    SELECTED CASES 521

    direct support of work–life balance was signifi-
    cantly linked to other important outcomes, such
    as job satisfaction, organizational commitment,
    and intent to leave the organization.

    Dr. Palmer raised the question of offering
    work–life benefits at the senior staff meeting. Dr.
    Palmer noted that while funding was not unlimited,
    of course, HealthCo’s recent financial performance
    would permit budget allocations to such benefits,
    and might also be offset by reduced turnover costs
    or improved productivity.

    Pat immediately stated, “I can barely get my
    staff together now with all the work we have going
    on. And, I certainly can’t hold their hands. They
    would never be coddled this way in a law firm.
    People work the hours needed, no questions
    asked.” Francis said, “I can see the difference
    such benefits would make, but how do I make
    this work in a 24/7 department? While Legal
    might see it as difficult, I see it as impossible,
    especially any movement away from traditional
    shifts.” A nursing director commented thought-
    fully, “Some hospitals are considering shorter,
    split shifts, and longer shifts to create flexibility—
    there might be something to that.” A number of
    departments immediately argued such scheduling
    was a leader’s nightmare, and that the company’s
    existing two hours of flextime in a number of
    departments created serious issues. The V.P. of
    finance for the hospital spoke up, “I don’t see
    why people with children should be treated
    differently—it’s their choice to have children.
    I have a life, too, and you don’t see me asking for

    special arrangements. I have employees asking me
    to work from home—how do I appraise their per-
    formance if they primarily work at home?” Mercer
    thought about Robin’s request, wondering if other
    baby-boomer employees would soon be making
    similar requests.

    Dr. Palmer listened to what was quickly
    becoming a heated discussion, noting the varied
    and complicated reactions of the different direc-
    tors, vice presidents, and other top leaders of the
    organization. Dr. Palmer commented, “We say in
    our recruiting materials that our employees are
    HealthCo, that it is individual care in all areas of the
    company—from nursing to accounting—that
    makes us different. How can we expect our
    employees to give individual care if we, as an orga-
    nization, don’t care about them and their lives?”

    “I’d like a team of four to six volunteers to put
    together a plan for becoming a top company in
    terms of work–life benefits. Please identify the
    key issues in serving all employees with such a
    set of benefits, and any related issues.”

    Questions

    1. How would you conduct a diagnosis of the
    situation at HealthCo?

    2. Based on the information provided in the
    scenarios and the case, what is your own
    diagnosis of the situation?

    3. What do you see as the key issues in
    HealthCo becoming a top company in terms
    of work–life benefits?

    522 PART 5 HUMAN RESOURCE INTERVENTIONS

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    SYSTEM AT DISK DRIVES, INC.*

    D
    isk Drives, Inc. (DDI) is a specialty electron-
    ics firm that designs, markets, and distri-
    butes disk drives for the computer
    industry. DDI began in 1980 by manufactur-

    ing and marketing large-format disk drives for
    minicomputer firms, such as Digital Equipment
    Corporate (DEC) and Data General, as well as
    for complex, large-scale word-processing sys-
    tems offered by Xerox and Wang. DDI’s first
    products were quite successful and the com-
    pany grew to revenues of $119 million by 1985.
    A strategic decision to integrate different tech-
    nologies inside the disk drive for a different
    type of customer resulted in a newer and smal-
    ler product line with lower costs and lower
    prices. Unfortunately, DDI was late to market
    and its products did not have the performance
    features these customers wanted or needed.
    Thus, despite the new customers and higher
    product volumes, sales and profits plummeted
    as its original products faded and its new
    products faltered.

    One of DDI’s subsidiaries, however, was
    designing and selling different and even smal-
    ler disk drives to personal computer original
    equipment manufacturers (OEMs). Following
    a different business model, they had out-
    sourced their manufacturing capacity to a
    Japanese plant. The subsidiary—over the
    1985–1989 time frame—saved DDI from failure.
    By 1988, DDI announced it would stop develop-
    ing and manufacturing all of its larger disk drives
    and focus on the smaller ones for PCs. It also
    phased out its domestic manufacturing opera-
    tions and began sourcing its drives exclusively
    from the Japanese plant. Whereas two-thirds of
    DDI’s 1988 revenues had come from large
    drives manufactured domestically, by the end
    of 1989, 100% of its revenues were from the

    small drives manufactured in Japan. The ques-
    tion facing DDI management was how to main-
    tain the momentum. It required a careful look
    at the existing organization and determining its
    fitness for the future.

    The head of HR at DDI, who was quite
    knowledgeable in organization change and
    development, convinced the executive team
    to go through a systematic process of diagnos-
    ing the organization’s current operating model
    and redesigning the company to handle the
    projected growth and the increased complexity
    it was facing.

    THE CURRENT DDI ORGANIZATION

    At the macro level, competition in the disk
    drive market was characterized by fast-paced
    technology change and product evolution as
    well as a number of equally sized competitors.
    First, customers—the OEM manufacturers of
    PCs, such as IBM, Dell, Toshiba, and HP—
    were not only designing newer, faster, and
    more sophisticated computers, they were
    demanding and expecting newer, faster, and
    more sophisticated disk drives. Although man-
    agement was confident in the firm’s technical
    ability to offer the best price/performance
    products in the industry, they realized that
    the period during which a new DDI drive
    could retain a performance edge before being
    leapfrogged by a competitor was getting
    shorter and shorter. Second, when an OEM
    announced a new computer model, all of the
    disk drive manufacturers competed aggres-
    sively to get the business. The disk drive
    firms had a limited amount of time—usually
    less than a few months—to make their bid,
    and it was often based on yet untried techno-
    logical capabilities. Moreover, the sales pro-
    cess had a “gold rush” or “winner take all”
    feel. If a disk drive manufacturer could win a
    contract with an OEM manufacturer, it usually
    meant that a whole line of disk drives, including
    follow-on models, would be part of the deal.
    As a result, quality, speed of customer
    response, and cost were increasingly important

    *This case was derived and adapted from materials found
    in C. Christensen, “Quantum Corporation—Business
    and Product Teams,” Harvard Business School Case
    9-692-023 (Boston: Harvard Business School, 1992);
    S. Mohrman, “Computer Components,” Center for
    Effective Organizations (Los Angeles: University of
    Southern California, 2012).

    SELECTED CASES 523

    dimensions to be managed. Quality was necessary
    to win the confidence of the OEMs and increase
    the chances of winning follow-on business, speed
    of response was necessary given the narrow time-
    frame, and cost vigilance was necessary to pro-
    duce a profit.

    In this environment, the company was clear
    about the processes for adding value (Figure 1).
    The key work processes included:

    1. Working with appropriate technical support, it
    was important to bid and win on new accounts.
    A Request for Proposal (RFP) provided by the
    OEM detailed the technical specifications for
    the disk drive in its new computer model.

    2. The disk drive was then designed to fit the
    technical specifications and to meet quality
    and cost targets.

    3. The resulting design was then prepared for
    transfer to the manufacturing facility.

    4. The drive was manufactured in Japan.
    5. The drive was then released to the OEM to be

    incorporated into the computer, and support
    issues were handled.

    DDI was growing fast and new models were
    being continually released that embodied technology
    advances, new capabilities, and enhanced designs.
    The life cycle for a disk drive (once a contract was
    signed with the OEM) was about six to eight
    months for development, first-run production, and
    field distribution and service. Even including a sec-
    ond release (follow-on) product, the entire life cycle
    for the model was generally about 12 to 16 months.
    The company was handling about five to six disk
    drive designs at any particular time and that number
    was expected to increase significantly.

    As described above, DDI had signed a long-
    term, exclusive contract to outsource manufactur-
    ing to a Japanese company that promised, in turn,
    to continually retool and upgrade its manufacturing
    capabilities as DDI grew. To manage this process,
    DDI had experienced manufacturing engineers,
    quality assurance, process optimization, and distri-
    bution staff to plan the movement of the disks into
    the contracted factory and to manage its introduc-
    tion into the field.

    In line with this functional structure and work
    process, the organization was governed by the
    executive committee, composed of the CEO and
    trusted colleagues who had “grown up” together
    in the industry. Each took responsibility for certain
    functional tasks (Figure 2). Each hired people to
    carry out the functions they managed as the com-
    pany achieved success and grew rapidly.

    The executive team was also responsible for
    the planning, coordination, and integration of the
    activities of marketing and sales, technical devel-
    opment, and managing operations and field distri-
    bution and support. That is, decision making, goal
    setting, and strategic direction were centralized to
    this group. Similarly, the organization’s perfor-
    mance management system was centralized and
    traditional. Managers and functional employees
    were given overall company targets for revenue
    and each function was expected to translate
    those goals into specific objectives for their
    group. Functional supervisors gave annual perfor-
    mance appraisals that provided the basis for merit
    pay increases. In addition, all DDI employees were
    eligible for a profit sharing bonus that had been
    running at about 5% of salary. Executives were eli-
    gible for stock options as well.

    FIGURE 1

    The DDI Value Chain

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    524 PART 5 HUMAN RESOURCE INTERVENTIONS

    ENGAGING IN A REDESIGN OF DDI

    Although happy with the recent success of the
    company, the executive team realized that it could
    not continue to grow and be successful as it was
    currently designed. It was not effectively coordinat-
    ing the complexity that came with rapid growth, and
    it was having trouble keeping up with demand. It
    had experienced several delays and quality inci-
    dents, including one major field warranty problem
    due to a disk drive failure. The executive team
    was highly involved in ongoing operational issues,
    and the CEO was concerned that they did not
    have time to attend to the strategic decisions
    required in the rapidly developing computer indus-
    try. He also believed that the executive team had
    become a bottleneck and was slowing product deci-
    sion making. The CEO recalled being in an execu-
    tive committee meeting and asking about why a
    particular product had not yet shipped to the cus-
    tomer. After collecting a variety of data and informa-
    tion about component inventories, capacity
    planning, forecasts, and other details, he realized
    that management—in particular, the executive
    committee—was part of the problem. “We were
    trying to manage details we weren’t knowledgeable
    about. We had a bandwidth problem—the executive
    staff just didn’t have enough time or brain capacity
    to keep making all the key decisions.”

    The executive team decided that they needed
    to assume a more strategic role in the organization
    and decentralize cross-functional integration and
    operational decision making about new product
    development, manufacturing, and field support.
    Although they wanted insight into product develop-
    ment progress and milestone achievement, they
    also understood that to decentralize this integration
    and decision making, they needed to be clear
    about the roles, responsibilities, and accountabil-
    ities for success. They believed such a change
    would create and build a cadre of future leaders
    for the organization.

    Based on the diagnostic data and the executive
    team’s requirements, the head of HR led the team
    through a systematic redesign of the organization.

    Commitment to Strategic Direction

    The executive team first recommitted itself to the
    basic strategy of rapidly advancing the technology
    through aggressively bidding on and delivering disk
    drives to computers that required increasing oper-
    ating speed, flawless quality, and continual new
    functionalities.

    Structure Modification

    The executive team believed that the existing func-
    tional structure provided important advantages.

    FIGURE 2

    DDI’s Functional Organization

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    SELECTED CASES 525

    There was a clear focus on technical excellence and
    clear technical career paths. However, to achieve
    the cross-functional integration and speed objec-
    tives and to begin building leadership skills, they
    decided to implement cross-functional product
    teams as a lateral structure to coordinate the devel-
    opment of each disk drive. Functions would remain
    the core units of the company, but the management
    of each disk drive model would be carried out by a
    team, established as soon as a contract was signed,
    to manage the product over its life cycle (see the
    dotted horizontal lines in Figure 3).

    The members of each product team would
    be functional managers at the director or senior
    manager level—moving the operational cross-
    functional coordination and management lower in
    the organization and freeing up the executive team
    to concentrate on more strategic issues.

    The teams were to consist of seven members,
    one from each function (although there was no
    member from the sales organization). They were
    to be collectively responsible for the general man-
    agement of their product and not just represent

    their functional point of view. In general, the engi-
    neering team member was to be the leader during
    the initial phases of the program, but as the product
    approached commercial launch, the marketing
    member would assume more leadership responsi-
    bilities. The engineering team member would also
    lead a dedicated group of engineers assigned to
    develop the drive and to work through any product
    design problems encountered during manufactur-
    ing and in the field (see the solid vertical lines in
    Figure 3). The engineering member was the only
    person with a functional group dedicated to the
    product; all other functions would allocate personnel
    to a product team based on the project’s stage of
    development and need. Each team member
    would continue to have management responsibilities
    within their function. In other words, working on a
    team was considered an “overload” responsibility
    in addition to their regular functional responsibilities.

    Management Processes

    The executive team was careful to delineate which
    issues were the responsibility of the product teams,

    FIGURE 3

    The Proposed Product Team Structure

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    526 PART 5 HUMAN RESOURCE INTERVENTIONS

    the functional organizations, and the executive
    staff. The product team would be empowered to
    make all decisions relating to developing and
    bringing a specific product into the field—and it
    would be incented to bring the product to market
    on time, within cost, and with high levels of qual-
    ity and customer satisfaction. Teams were
    responsible for the revenues and gross margins
    generated by the product and for the inventories
    required to support the revenues. The product
    teams were responsible for achieving faster and
    faster development cycle times. Each product
    team was given clearly defined milestones that
    were derived from the contract, including cost,
    quality, and profitability targets.

    Functional groups, on the other hand, were
    charged with managing ongoing functional activi-
    ties and expenses, providing effective career
    paths and skill-building programs, executing the
    plans, and staffing the programs initiated by the
    product teams. For example, the engineering
    organization was responsible for maintaining
    DDIs overall technical edge, dedicating a group
    of engineers to a specific product, and defining
    professional development. In addition, each func-
    tion was divided into discipline groups that car-
    ried out specialty tasks. For example, the quality
    function had a group that specialized in design
    quality, prototype testing, and manufacturing
    quality specifications and monitoring (the latter
    working closely with the contract manufacturing
    facility). The responsibilities of the product teams
    and the functional organizations are summarized
    in Table 1.

    Finally, the executive team controlled milestone
    reviews for each product, including prototype
    design completion, design completion/release to
    manufacturing, release to customer, and the three-
    week release to field.

    Performance Management

    The executive team next considered the question
    of performance management and incentives.

    Questions

    1. Does DDI need a new performance system to
    account for the structural and management
    process changes they are contemplating?
    Why or why not?

    2. Assuming a modification to the performance
    management system is necessary, describe the
    features of a system you would recommend.
    What changes need to be made in the goal
    setting, feedback/appraisal, and reward sys-
    tems at DDI? Be specific about the features of
    the system(s) you believe need to be changed
    and the characteristics of the system itself. That
    is, do not describe the process for designing
    the system (see Question 3) but focus on the
    characteristics of the reward system that are
    required to fit or align with the strategy,
    structure, and management processes.

    3. Describe the change management process
    you would use to design and implement the
    new system. What roles and responsibilities
    should the executive team take on? How fast
    should the system be implemented?

    TABLE 1

    Product Team and Functional Organization Responsibilities

    Product Team Mission: To work in a
    coordinated way to address market needs

    Functional Organization Mission: To ensure
    high quality technical support services

    • Define, develop, and introduce new products
    • Manage cycle time, cost, and quality

    objectives
    • Manage the inventories required to support

    revenues
    • Manage product revenues and gross margins

    • Provide career path and skill development
    • Support team projects and provide specialized

    services
    • Allocate engineering and manufacturing

    personnel to product team projects
    • Execute plans and staffing programs initiated

    by product teams

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      PART 5 HUMAN RESOURCE INTERVENTIONS
      17 Workforce Diversity and Wellness

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