The WELCOA conference is suggesting that wellness programs move in a new direction. In my mind no one addressed this point better than Jim Purcell, formerly of Rhode Island Blue Cross and Blue Shield and the founder of the Returns on Wellbeing Institute. He says you have to change the culture from the top down. "No matter how good the program is it will fail in a toxic culture. The key to happiness in the workplace boils down to two simple elements. Having work that you love to do in a place where you love to do it."