Horizon Health Network Reduces Workplace Violence Claims 18.5% and Increases Menopause Benefits Usage 84% by Turning Employee Listening Data into Targeted Safety and Well-Being Programs

What Was the Opportunity?

Through its Perceptyx-powered listening strategy, including continuous surveys, pulse surveys, open forums, and manager-led check-ins, Horizon identified several specific well-being and safety themes that employees were raising consistently. These were concerns grounded in daily experience and backed by data.

Menopause was affecting work experience. Employees explicitly named menopause as impacting their focus, well-being, and confidence at work. The data showed these employees were underserved rather than disengaged. There was no organizational support system in place to address what a significant portion of the workforce was experiencing.

Workplace violence remained a persistent risk. Incident reporting analysis and trends observed through analytics highlighted the ongoing impact of workplace violence, particularly in high-risk clinical areas. Employees were telling the organization, through both structured feedback and incident data, that the current response model needed strengthening.

Everyday safety gaps were eroding trust. Employees reported through formal listening mechanisms that a facility parking lot was poorly lit during early morning and late evening shifts, creating anxiety around simply getting to and from work. These are the kinds of issues that, if left unaddressed, signal to employees that their feedback is collected but not acted on.

Physical well-being needed attention alongside mental health. Through the June 2025 Perceptyx pulse survey, employees said that physical well-being support was important to them, particularly given the physical and emotional demands of healthcare work.

What Was the Solution?

Horizon translated each of these employee-identified themes into a specific, targeted initiative. Each program was designed from listening data, not assumptions.

Menopause Works Here

After menopause surfaced in Perceptyx survey data, Horizon joined the Menopause Foundation of Canada’s “Menopause Works Here” campaign and built an organization-wide initiative around it. The program included manager education, awareness sessions, targeted communications, and clear pathways to benefits and accommodations, all shaped by what employees specifically said they needed.

A follow-up survey in January 2026 guided next steps. Results showed 72% of respondents wanted ongoing initiatives, 71% selected information about resources to support phases of menopause, and 68% selected education or learning opportunities. A Regional Menopause Works Here committee now uses these results to direct future investment.

Enhanced Security Pilot

In response to incident analytics and employee feedback captured through Perceptyx, Horizon launched an Enhanced Security Program pilot at three locations in fall 2025. The pilot was designed to improve response times to workplace violence incidents, increase safety in high-risk areas, and strengthen de-escalation capacity. Enhanced security officer presence complemented existing tools and supports, creating a more visible and proactive safety environment. The pilot will be evaluated to inform decisions about broader implementation.

Parking Lot Safety Improvements

Because the parking lot feedback was captured through structured listening processes, it was documented, reviewed, and prioritized as both a safety and well-being issue. Additional lighting was installed across walkways, entrances, and high-traffic areas. Employee feedback showed immediate improvements in perceived safety. The speed and visibility of this response reinforced that employee voice directly informs safety decisions at Horizon.

Strength, Stretch & Movement with Misty

Responding directly to the June 2025 pulse survey results, Horizon launched a live, virtual pilot offering strength training and stretch sessions led by a certified trainer. Open to all employees, the sessions run three times a week and are designed to support energy, strength, and long-term physical well-being.

A Broader Health, Safety & Belonging Ecosystem

These targeted initiatives sit within Horizon’s wider Health, Safety & Belonging pillar under Our Promise. The ecosystem includes Wellness Hubs in each regional hospital, peer support services, respectful workplace policies and training, flu vaccination clinics, Blue January Comedy Shows, critical incident supports, pet therapy, and lateral violence training. Together, they reflect a system-wide shift toward preventive, proactive well-being grounded in continuous employee listening.

What Was the Impact?

Menopause-related benefits usage increased 84%. Following the Menopause Works Here campaign, utilization of menopause-related benefits grew 84%, indicating greater awareness, reduced stigma, and improved access to care. Employees were already experiencing menopause; the program gave them permission and pathways to seek support.

Workplace violence injury claims decreased 18.5%. Year-to-date data show workplace violence injury-related claims dropped 18.5% comparing January 2025 to January 2026. Horizon is careful not to overstate causality at this early stage of the Enhanced Security pilot, but the trend aligns with the organization’s broader data-informed approach to safety, prevention, and early intervention.

Follow-up surveying confirmed sustained demand. The January 2026 Menopause Works Here follow-up survey showed 72% interest in ongoing initiatives, 71% demand for menopause resources, and 68% demand for education and learning. These results are now directing the Regional Menopause Works Here committee’s priorities and spending.

Engagement and retention continued to improve. Overall engagement rose from 68% to 70%. Intent to stay increased from 82% to 84%. Voluntary turnover decreased from 9.6% in August 2023 to 7.6% in January 2026, placing Horizon 4.3 points below the national benchmark of 11.9%. These are enterprise-wide metrics, but they reflect the cumulative effect of acting visibly on what employees say matters.

Employees felt the impact personally. One staff member shared feedback about the Strength, Stretch & Movement program:

“I just want to take a moment and say thank you. For being so committed to us. This helps me be committed to myself. I feel like I’m getting my life back, one knee raise at a time.”

For a healthcare system with 15,000+ employees where physical safety, psychological safety, and personal well-being are all daily operational concerns, Horizon’s approach demonstrates what happens when listening data is treated as the starting point for specific, visible, and measurable action.