workplace health programs
DESCRIPTION
Workplace Health Programs. -. -. Non. Participant. Health Status = Expenses. High Risk. Med Risk. Low Risk. Edington. AJHP. 15(5):341-349, 2001. 20%. 25%. 4%. 1%. 50%. Complex & Intensive Care. Well Members. Moderate Risk. Low Risk. High Risk. 10%. 25%. 30%. 25%. 10%. - PowerPoint PPT PresentationTRANSCRIPT
Workplace Health Programs
Health Status = Expenses
$2,098
$4,530
$5,813
$7,123
$4,401
$3,216
$1,550
$2,667
$3,364
$4,718
$3,069$2,480
$1,351 $2,110
$2,912
$3,894
$2,605 $2,200
$1,122$1,523 $2,081
$2,941
$1,851 $1,641
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
19-34 35-44 45-54 55-64 65-74 75+
Edington. AJHP. 15(5):341-349, 2001
Low RiskNon--Participant
Med RiskHigh Risk
OPTIMAL HEALTH CHRONIC ILLNESS
Well Members Low Risk Moderate Risk High RiskComplex &
Intensive Care
10% 10% 25% 30% 25%
50% 20% 25% 4% 1%
$2.3 Trillion
Healthy Behavior Big Picture
Physical
Spiritual
Emotional
Occupational
Intellectual
Social
The Mission
To improve the health and well-being of employees through participation in a comprehensive worksite wellness program. We hypothesize that employee productivity will increase, and health risk factors will decrease, after participating in this program
Health and Productivity Big Picture
Health Care Benefits
Disability
Worker’s Compensation
Employee Assistance
Absenteeism
Presenteeism
ProductivityTurnover
The Multi Level Model
Relationship of Services
OfficeVisits
OfficeVisits
ProviderEducation
Pill cutting, Generics
ProviderEducation
Pill cutting, Generics
Utilization ReviewER, Med Refill, High Risk Dx
Utilization ReviewER, Med Refill, High Risk Dx
Targeted Education for “At Risk” EmployeesBP, Lipids, Diabetes, Depression/Anxiety Asthma,
Targeted Education for “At Risk” EmployeesBP, Lipids, Diabetes, Depression/Anxiety Asthma,
Health ScreeningHealth Screening
General Education Twice/MoGeneral Issues x1
Specialty Issues x 1
General Education Twice/MoGeneral Issues x1
Specialty Issues x 1
Decreasing VolumeOf Services
IncreasingTime of Services
Level 1General Education
Level 2Identify “At Risk”Employees
Level 3 Targeted to Risk Groups
Level 5Provider UM
Level 6 Primary Care
Level 4TPA UM Reports
Source: Dr J Crutcher, OU Physicians health @ Work, Tulsa 2007
Five Key Components for Wellness Initiatives
Assessment
Targeted Enrollmen
t
Interventions
Tracking
Outcomes
Assessment Tools
► Management – Survey/consultation with HR - Level of Support for Wellness ► Employee - Personal Wellness Profile (PWP) - (Individual/ Group report)► Wellness Screen*: - Blood pressure / Height /weight (BMI) / Waist and hip circumference / Total cholesterol / HDL cholesterol and LDL cholesterol / Triglycerides / Glucose (*12 hour fast required)
Includes 30 min follow-up session with Wellness Nurse
Targeted Enrollment (e.g. Heart Disease)
Individual Reports
Interventions Primary Care – A Medical Home
► On-site providers ►Acute care and disease management►MyHealthAccess►On site physicals►New insurance models
Individual Wellness Session
►30 min voluntary wellness nurse/trainer interactions►Identify employee concerns and answer questions►Review of PWP report and Biometrics ►Record - Height /weight (BMI) Waist and hip
circumference►Personal Wellness Binder
Wellness Nurse Session ► Wellness Scores
► Clinical Test Results
► Health Information (History)
► Coronary Risk Factors
► Cancer Risk Factors
► Physical Activity
► Eating Practices
► Alcohol/smoking/Drugs
► Stress and Coping
►Social Health Concerns
► Stage of Change Profile
► Health Status (HSQ)Sources : Wellsource, Inc Portland, Oregon, (1993-2008)
Other Interventions
Worksite Programs (employee determined)
► Individual Programs
► Fitness Classes ► Walking/running/cycling club► Health club memberships ► Lunch and learns (Annual program)► Web based health promotion tools► Non web-based health promotion tools
Health Tracking
► Physical activity (self reported or sensor tracking)
► Health event attendance► Weight, blood pressure etc. retest (3,6,12 months)► Wellness challenges ► Health Activity Tracker (HAT) software
- on-line exercise logging system
- incentive system administration ► On-line wellness center
Health OutcomesParticipation rates►Lifestyle changes (# persons with high risks)►Biometric changes (# persons with high cholesterol)►Health care cost containment, productivity measures►Ways to improve program
Thank You!