promoting preventive care in the workplace
DESCRIPTION
WWCMA Mtg May 15, 2012TRANSCRIPT
Agenda
• Introductions and Welcome
• WWCMA Announcements
• Program – Promoting Preventive Care in the Workplace
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Current Members
WellCert® Certification
Save the Date: June 13-14th
Larry Chapman, MHP, CWPChapman Institute
Level 1: Certified Wellness
Program Coordinator
Summer Soiree
Members, Sponsors, WellCert Participants
Poolside at the Hotel IndigoNewton, MA
Wednesday, June 13 6-8pm
WWCMA First Annual Conference
Save the Date: Wednesday, September 19th
Dee Edington, Ph.DUniversity of Michigan, Health Research CenterAuthor – “Zero Trends
John Auerbach, MBACommissioner, MA Department of Public Health
Marketing and Communications
wwcma.org
LinkedIn Group
@WorkWellMA
Promoting Preventive Care in the Workplace
Presented by:Pamela Santin, MS
Senior Wellness Consultant
Blue Cross Blue Shield of MAEleana Conway, MS, RN, CS-FNP
Manager, Health Improvement ProgramLahey Clinic Medical Center
Today’s Program
Wellness @ Lahey:Promoting Preventive Care
Eleana M. Conway, MS, RN, CS-FNP
Health Improvement Program, Manager
Wellness is a Journey; Not a Destination
Health is more that not getting sick or hurt- it is about a experiencing an overall higher quality of life.
As stewards of health, we at Lahey, have a responsibility to promote wellness, as well as, treat illness.
We are embracing the future of healthcare by taking the lead to create a culture of health for members of our community.
Promoting Preventive Care in the Workplace
In today's fast-paced, digitally driven world, and in the face of difficult economic times, individuals are not taking the time to focus upon simple preventive health principles
Our Treating you Right pledge applies to our patients, colleagues and community. We encourage all to pursue a healthy lifestyle by
providing diverse wellness programs and serving as a direct link between improved health and lifestyle changes- so that no one has to face it alone.
It’s the right thing to do- but there is also science behind it.
Reasons for Offering Health Improvement Programs
The current ROI of health and wellness initiatives is distributed fairly evenly with a median between 2:1 and 3:1.
Wellness programs: Improve the health of colleagues and reduce
absenteeism/presenteeism Improve employee morale and productivity Provide a positive example to the community
Why Wellness?
Wellness initiatives are a strategic imperative for hospitals that want to be sustainable in the new world order of healthcare. Healthy People 2020 provides a national
framework and set of important goals for the health of our nation.
The Affordable Care Act of 2010 (ACA) builds on the Healthy People framework to establish the National Prevention, Health Promotion and Public Health Council, which will coordinate and lead the activities of more than a dozen federal agencies.7
The ACA also includes various incentives to promote employee health and wellness programs.
Lahey’s Health Improvement Program Goals:
Reduce health care costs.Assess outcomes and ROI.
Engage ALL colleagues in health and wellness as well as high-risk populations and men.
Move toward a “culture of health” rather than a program-by-program approach. Offer programs and services emphasizing
awareness, prevention, and positive health behavior change.
Foster a campus environment supportive of a healthy lifestyle.
Colleague Benefits
Preventative Care Covered @ 100% No copay Earned Time for Screenings
Education Wellness Series
Earned Time For Colonoscopy During the month of March (colorectal
cancer month) to inform and educate colleagues about this cancer. Colorectal cancer is the second leading cause of
cancer deaths. By some estimates, 60 percent of those deaths
could be avoided with appropriate, early screening.
olonoscopy is considered by many physicians to be the “gold standard” screening test, because with it, doctors can remove precancerous polyps.
Weekly paid colleagues will receive four (4) hours of Earned Time when they have a medically necessary colonoscopy anytime between March 1 and May 31, 2012.
Wellness Series Topics
Time Management Oral Health Cholesterol Adult Vaccinations
Portion Control/KariotisOrganizing Your Home & Office
Physical Therapy Seasonal Emergencies
Bullying Role-playManaging Stress During Difficult Times
Gastroesophageal Reflux Disease
Mens Health
Distracted Driving & Metabolic Syndrome
Adolescence Holiday Safety Healthy Cooking
Mindfulness Meditation Power of a Smile You are what you eat Parenting
Change Management Bed BugsBlood Pressure - connection to healthy heart
Strokes
Identifying Elder Financial Abuse
ImmunizationsColorectal Cancer Awareness
Exercise, Joint Health & Back Pain
Work Space Clutter Financial PlanningFoot Health Awareness
Nutrition
Stroke Know your numbers A good night's sleep Skin Disease
DASH/Kariotis Aging ParentsMoney Harmony in Turbulant Times
Ergonomics
Food Labeling ErgonomicsEmergency Preparedness in the home
Asthma
Risk Reduction Offerings Physical Inactivity
Fitness Centers ShapeUp Walk at Work
Poor Nutrition and Obesity Cafeteria Best Practices Community Supported Agriculture Create Your Weight Weight Watchers
Tobacco Treatment Tobacco Treatment Program
Fitness Centers
Fitness club reimbursement, which provides up to $150 reimbursement per year for membership in a health club
New Colleague Fitness Center Classes: Pilates, Yoga, Zumba, Tap Dancing
ShapeUp
ShapeUp is an online platform that encourages colleagues to team up and get healthy within the framework of a fun and friendly competition.
A virtual, private social network just for Lahey. Safe and secure, HIPAA compliant, and only our
colleagues have access. Feedback has been positive.
Health Challenges Ready, Set Go!
Outcomes: Engagement: Total Registered
Employees:1,331 Percent of Eligible 21.6%
(1,331/6174) Cumulative Steps Walked
262,258,741 steps Cumulative Exercise Minutes
931,858 minutes Net Weight Change 1,614 lbs
lost Flex Your Food
A six-week nutrition challenge that helps increase nutritional knowledge and selection of healthy options at meals.
CEO and other senior leaders participated in both events.
Educational opportunities. Stretching session Dermatology ShapeUp Weight Watchers
Encouraged to bring sneakers and eco-friendly bottle of water to stay hydrated.
3rd Annual Spring Walks!
Cafeteria Best Practices “Did you Know Campaign…”
the sodium content of common foods? starting your day with breakfast helps to boot
your energy? we use reduced calorie mayonnaise? baked chips are offered at reduced price? healthy foods come in a rainbow of colors? what is a portion? how many calories….? the sugar content…?
Community Supported Agriculture at Lahey
Lahey colleagues have an opportunity to participate in a program that supports healthy eating through weekly deliveries of fruits and vegetables to the Clinic by signing up for a Community Supported Agriculture (CSA) share from the World PEAS Cooperative.
Create Your Weight
Adult weight management program offered multiple times annually. Mixed patient/colleague, as well as, colleague
exclusive groups. Payroll Deduction with full reimbursement for
“successful completion.” Deep discounts for additional participant for both
patients and colleagues.
Weight Watchers
Partnering with Weight Watchers (WW) is in line with our mission of creating a culture of health here at Lahey.
WW will offer Lahey colleagues tools to help them lose weigh in a sustainable way by promoting a healthier lifestyle and relationship with food.
Lahey will subsidize WW “Monthly Pass” to support colleagues in attending WW meetings in the workplace or in the community, as well as, access to an online platform to utilize WW solutions at home.
Tobacco Treatment
Tobacco treatment is emerging as a necessary component in health care.
Tobacco use is the single most important preventable cause of death and disability and accounts for more than 435,000 deaths each year1
Tobacco use also creates a substantial cost to Lahey Clinic, our colleagues and their family members.
More than 70% of people who smoke want to quit, however; few succeed without help. 2
Tobacco treatment Significantly increase success rates. Other than immunization, is the most cost-effective
prevention intervention for adults. Is ideally offered during hospitalization to promote the
patient’s medical recovery
1. Centers for Disease Control and Prevention. Annual smoking-attributable mortality, years of potential life lost, and economic costs—United States, 1995–1999. Morbidity and Mortality Weekly Report 2002;51(14); 300–03.
Tobacco Treatment
Developing a comprehensive Tobacco Treatment Program to reliably and consistently address this important public health issue organization wide.
Staffing 1.25 Advance Practice Nurses 1.0 Tobacco Treatment Specialist Tim Wu, MD supervising MD
Looking Ahead
1. Continue to serve as a role model of health for the community.
2. Continue to foster a Culture of Health for all members of the Lahey community.
3. Provide a variety of program offerings.4. Track participation and outcomes.5. Measure for ROI.6. Consider Positive and Negative Incentives.7. Include a health risk assessment (HRA) and
biometric screening in all hospital wellness programs
8. Implement Health Coaching
Eleana M. Conway, MS, RN, CS- FNP41 Mall Road,
Burlington, MA 01805Office:781-744-2513
Strategies to Increase Preventive Care
37Blue Cross Blue Shield of Massachusetts
Promoting Prevention
Regular Check-ups for Every Member of Your Family
•Establishing relationship with PCP•Stay well•Find problems early
38Blue Cross Blue Shield of Massachusetts
National Account Results
5 months after mailing → 750 members had PCP visit•255 had mammogram → 2 breast cancers diagnosed
•224 had colonoscopy → 7 colon cancers found
• 86 cervical cancer screenings →•362 vaccinations given →•102 had diabetes screening → 74 new diagnoses
•138 had prostate cancer screening → 4 prostate cancers diagnosed
39Blue Cross Blue Shield of Massachusetts
Measurable Outcomes
HEDIS measuresColonoscopy
Let the data be your guide!
40Blue Cross Blue Shield of Massachusetts
Know the Barriers
• Prep• Embarrassment• Cost• Fear of the unknown• I feel fine• I forgot
Is this really how I want to celebrate my birthday?
41Blue Cross Blue Shield of Massachusetts
Screening Incentive Results
Expanded program in 2011 to include spouses
90% ↑ participation63% ↑ mammogram41% ↑ colonoscopy100% ↑ health screening
Cost: .16% of total medical claims
42Blue Cross Blue Shield of Massachusetts
The Future of Incentives
•Gift Cards•Paid Day Off•FSA or HSA Dollars•Premium Contribution Differential (designed to be cost neutral)
43Blue Cross Blue Shield of Massachusetts
Incentive Strategy
Short Term Long Term
•Plan design•Access to quality care•Information & Education•Culture shift
44Blue Cross Blue Shield of Massachusetts
The Wellness Payoff
•Improved health•Improved morale•Reduced absenteeism•Reduced disability•Increased productivity•Lower workers’ comp.•Lower healthcare costs for employer and employee!