Supporting Target Team Member Mental Health at The Health & Well-being Center

Britta Reierson, MDCorporate Clinic Medical Director- Park Nicollet ClinicCarly Deer, MHAPopulation Health and Team Member Wellness-Target Corporation

Agenda

Brief Target and Park Nicollet OverviewHealthcare at Target

• Worksite Healthcare at Target• Corporate Healthcare by Park Nicollet/HealthPartners

Target’s rationale for worksite healthcare

Park Nicollet’s rationale for vendor partnership

What Target is doing in the worksite clinic space• Target’s Health & Well-being Center• Performance, Quality Measurement, Innovation• How the worksite health center integrates with other worksite programs• What makes Target’s approach unique?

Target

Target is a place where we value the individuals who come together as a team to serve our guests. We give our team members opportunities to grow professionally, take care of themselves and their families, and make an impact on our guests and our local communities.

Park Nicollet / HealthPartners

Park Nicollet Health Services is part of HealthPartners, a nonprofit, integrated health care system in Minnesota. Park Nicollet merged with HealthPartners in 2013.

MissionOur mission is to improve health and well-being in partnership with our members, patients and community.

VisionHealth as it could be, affordability as it must be, through relationships built on trust.

ValuesExcellence, Compassion, Partnership and Integrity

HealthPartners

Has been supporting health and well-being for 60 years with headquarters in Bloomington, Minnesota

• 90 + clinics and hospitals• 6 states where health insurance is offered• 25,000 dedicated employees• 1.2 million patients• 1.8 million insured members• 400 + research studies each year

HP logo? Image?

Target Health Benefits: Goals

Be a leader in employee health & well-being – develop a Culture of Health

Manage Healthcare costs for the company• Help team members be healthy and live their best lives• Programs• Incentives• Access

• Drive utilization to high quality, cost-effective providers• Cost-effective• Drive price transparency• Enable team members to make value choices

Target’s Rationale for a focus on team member worksite health

1. Increase health engagement

2. Investment in employment brand & reputation (health & wellness as a priority)

3. Healthcare Expense Savings

4. Soft Savings

Park Nicollet’s Rationale for focusing on worksite health

Partnership with community employers with the goal of improving overall health & wellness of the employee.

Downstream revenue • Approximately 15 million dollars 2013-2016• Unique patients add

Innovation / Pilot Opportunities

Test new care delivery models – Clinic Laboratory

Health & Well-being Center

Large footprint - 5,500 square feet

Health & Well-being Center

On-site EAP:• 2 office consult rooms

Multiple room-types, with space for:• Medical visits• Procedures• Lab draw & onsite processing• Physical therapy

Onsite Pharmacy

Cvs logo

Scope of services at the Health & Well-being CenterPurpose: support

team members to

get/stay healthy &

well

• A primary care

clinic at its core

• Specialty

services based

on high TM

demand

• Integrates with

other health

well-being

efforts and

specialty

programs

Current ServicesBaseline ProvidersFamily Medicine MDs and PAs

TMLR/EAP (Counselor)

Physical Therapy

Massage Therapy

Acupuncture

Chiropractor

Dermatology

Pharmacy

Telemedicine - Travel

Baseline ProgramsFlu shots and immunizations

Lab services

Future ServicesProviders

Nutritionist/Dietitian

Health Coaches

Other specialties

Virtual Care

Future ProgramsAt-Risk Mgmt. Programs

What the data tells us

EAP utilization• 11% engagement with EAP, up 1% over 2016• Top reasons: Psychological, Depression, Relationship, Anxiety

Health and Well-being Center• Prevalence of depression and anxiety diagnoses

Claims• We know our Team members with Anxiety cost the plan an additional

$11,000/year and those with Depression cost the plan an additional $13,000/year

Onsite Counseling• Onsite counselors available through our EAP provider 24 hrs/week

• 5 free counseling sessions/issue/year for all Team Members and members of their household

• Onsite EAP utilization up 141% 2014-2018

• Top encounter reasons: anxiety, stress and depression

• 72% of cases are closed within EAP 5 session allotment

Behavioral Health InnovationTarget’s Goal: reducing stigma of mental illness

Need: understand scope of depression & anxiety, identify & treat earlier.

Gap: team members weren’t open to sharing struggles.

Innovation: initiated PHQ-2 screening for every primary care patient since June 2017

Outcome: June 2017-August 2018 screened almost 5000 patients, 8.4% positive PHQ2, 21% positive PHQ9.

Results: best remission rates within HealthPartners/Park Nicollet network

Real Life Example

•Mrs. Jones presents for an office visit for a sore throat. She has no documented history of depression or anxiety.

• Universal PHQ-2 screening questionnaire is positive.• Nursing compassionately

requests Mrs. Jones to complete PHQ-9, revealing an elevated score.• Clinician shares concern and

Mrs. Jones is comfortable discussing and moving forward with a treatment plan.

Team Member Engagement Strategies

New Hires:• Health & Well-being Center is on Day 1 tour of campus• Benefits of seeking care there discussed on Day 5 Benefits presentation

Presentations:• Target & Park Nicollet partner on frequent lunch-time seminars, department presentations

Ongoing Events:• Flu Shot clinics held within the space• Mammo-a-go-go (mobile mammography) events held on site• FIT testing

Other Ongoing Engagement:• Health & Well-being Center is promoted at other onsite events – well-being seminars & screening

events• Direct communication to HQ-based health plan members includes reminders about Health & Well-

being Center (and cost-savings callout)

Working Together

• Established a governance structure

• Dashboard

• Shared strategy

• Park Nicollet directly connected to primary care leadership to help drive

innovation

• Medical home model works under primary care

• Fluidity of meeting needs

• Clinic is medical resource for Target-SMEs medical questions

• Trust.

Thank You