health scorecard implementation: healthlead employer case study with dte
TRANSCRIPT
Strategic Planning for Health Management
& Implementation of a Scorecard
Jennifer Lovequist, MA, CIC®
Lead Wellness Program Coordinator
May 8, 2012
DTE Energy
• DTE Energy Co. is a Detroit-based, diversified energy company
involved in the development and management of energy-related
businesses and services nationwide.
• DTE Energy has more than 10,000 diverse and dispersed
employees in utility and non-utility subsidiaries involved in a
wide range of energy-related businesses.
75%
25 6
Long, Healthy History
Opportunities Abound!
$-
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
$8,000
E - 439 S - 109 E - 1384 S - 626 E - 1225 S - 733 E - 2777 S - 2192
High Risk Moderate Risk Low Risk Non-Participants
Total Medical and Drug Costs per Enrollee by HRA Risk 2009 (annualized)
Engagement Matters
DTE Energy Purpose
EYL Purpose
Highly Engaged Employees
We serve with our energy, the lifeblood of communities and the engine of progress.
Empower all individuals to live with high energy, good health and passion for life.
Ensure that DTE has an extremely engaged, high quality
workforce where each employee willingly brings their energy and focus to their job
every day.
Energize Your Life Mission
Empower all individuals to live with high energy,
good health and passion for life.
In support of this mission, the following is our True North:
• 100% of employees, retirees and their spouses are compliant on age-
appropriate recommended preventive screening
• 100% of employees, retirees and their spouses participate in one or more
Health and Wellness programs each year
• 100% of our employee and spouse population is considered low-risk for
chronic health conditions that can be avoided through good health practices
• 100% of our employee and spouse population falls within the normal range
for key biometrics (blood pressure, glucose, cholesterol, BMI)
Priority: Connect and communicate with
employees, retirees and their families
7
• IN Charge newsletter
– Nuts & Bolts of Health Care
• Updated EYL Website
• Lunch and Learns
• Webinars
• EYL Take Charge Blog
• Asset Health
Priority: Develop a Healthy Culture
• POWER PICK
• Cafes
• Power Plate
• C-Store
• Vending Machines
• High Energy Health • EYL Ambassador Program
• EYL Expedition
• Fitness and physical activity
resources
– Two Exercise Physiologists
– Walking Paths
– Move Well
– WTI
8
Priority: Encourage Personal Accountability
• Healthy Living Program
• See a physician for an annual
physical
• Complete the RedBrick Health
Assessment
• Participate in a RedBrick Health
phone coaching program or
track physical activity if
recommended
• Evive Preventive Screening &
Condition Management
Reminders
• Tailored programs to fit the
needs of the business units
and populations
9
Priority: Provide Support and Guidance
• Subsidize access to Weight
Watchers® programs 50%
• Corporate Discount Program
• RedBrick Health
• Support Groups
10
How do we measure the impact of the programs?
Pulling it all together…
• Health Plans
• RedBrick Health
• Evive Health
• Asset Health
• EYL Onsite
• DCM
• Requisite Communications
• Weight Watchers
• Truven
Measurement Opportunities
Process Measures
Leading Indicators
Impact / Outcome Measures
Lagging Indicators
•Participation
•Satisfaction
•Engagement
•Response Rates
•Completions
•Utilization
•Costs
•Biometric measures
Why Create a Dashboard?
Wanted to answer the following:
– Where are the opportunities?
• What are our major health issues?
• Who has these issues, how are they unique and how do we find
them?
• What health issues are contributing most to our health care costs?
• What are our cost trends overall and based on risk status?
• How does our self-insured population differ from fully-insured?
– Who are the audiences?
• Benefits Leaders
• Wellness and Health Promotion team
• Senior Leaders
• Employees
Health & Productivity Management Dashboard
Health & Productivity Management Dashboard
• Enrollment Overview
• Cost Overview
• Age Cost Distribution
• Health Assessment Population Overview
• Health Coaching Population Overview
• Screening and Compliance Rates
• Top Ten Conditions by Total Cost
• High Cost Patients
• Participation Rates
• Continuum of Care
• Chronic Episodes
• Factors Contributing to Trend
• Cost and Use Comparison
• Absenteeism for HA Participants (self-report)
• Biometric Comparisons
• HA and Coaching Participation
• Cost by Health Assessment Risk
Top Ten Conditions
High Cost Patients
High Cost Patients (HCP) Active and Pre65
Incurred in 12 months ending: Oct '10 Oct '11 % Change
High Cost Patients 639 658 -3%
Net Pay Med and Rx $36.9 $36.4 1%
% of Total Population 4% 3% 0%
% of Total Net Pay 44% 42% 1%
Net Pay Per Employee per Year with HCP $12,729 $12,125 5%
Net Pay Per Employee per Year excl HCP $7,576 $7,353 3%
% of Total Population % of Total Net Payment
42
%58%
3%
97%
$0 - $24,999.99
over $24,999.99
How do we know if we are WINNING?
Health and Wellness Scorecard
• Health Assessment Completion
• Health Screening Completion
• Completion of Onsite Education Activities
• Biometric Comparison to Norms
• Screening Compliance Rates
• Utilization Trend
• DTE Specific Gallup Question
Health & Wellness Scorecard Active Employees & Spouses
Health Screening Completion
Health & Wellness Scorecard Biometric Comparison to Norms
• Biometrics we monitor:
– BMI
– Cholesterol
– Glucose
– Blood pressure
2012 Target: ≥ 1% Positive Annual Migration
Health & Wellness Scorecard Screening Compliance Rates
• Rates we monitor:
– Asthma medication management
– Diabetes HbA1c testing
– Colon cancer screening
– Cholesterol screening after CAD event
– General cholesterol screening
– Mammogram
Health & Wellness Scorecard Healthcare Utilization Trend
Paid Claims Through June 2012
Health & Wellness Scorecard Additional Metrics
Director Level Reports
Developing A Winning Scorecard
• Aligned with program goals / objectives
• Actionable
• Important and interesting to stakeholders
• Supportive of our Core Values
