wellness roi - hbch · 2015. 5. 20. · levels of prevention 5 primary prevention focuses on...

Wellness ROIThrough Prevention

Scott Conard, MD, DABFM, FAAFPDara Kuykendall, EFH

What we are up against

Video Clip - “This Won’t Hurt a Bit” https://wetheeconomy.com/films/this-wont-hurt-a-bit/ (from wetheeconomy.com – used by permission)

1© 2014 by Scott Conard, MD. No use without written permission. All Rights Reserved.

The Corporate Conundrum

2

2%

8%

20%

20%

50%

Percent of Population

High RiskMultiple Chronic Conditions (MCC)At Risk for MCC'sStableHealthy

32%

28%

24%

10%6%

Percent of Cost

High RiskMultiple Chronic Conditions (MCC)At Risk for MCC'sStableHealthy

Highest Illness BurdenExtremely heavy healthcare use.

Likely in care management.

High Illness BurdenHeavy use of healthcare system.

Costs well above average and likelyextreme future costs if not managed

closely.

Moderate Illness BurdenFairly heavy users of healthcaresystem, conditions becoming

severe. At risk for becoming highcost if not managed properly.

Mild Illness BurdenGenerally healthy, light use of

healthcare services. Relatively lowcost short term. Not likely to

become high cost, but beneficial tomonitor long term.

Low Illness BurdenGenerallyhealthy, often not usingthe health system. Interventionsshould ensure preventative care

guideline adherence.© 2014 by Scott Conard, MD. No use without written permission. All Rights Reserved.

What is “Wellness?”


What is “prevention?”


Levels of Prevention

5

Primary prevention focuses on enhancing health promotion.2 Secondary prevention involves the detection or diagnosis of disease in the early stages before it

becomes symptomatic or debilitating.2 Tertiary prevention attempts to avoid or delay the complications of disease after it has developed.2

Tertiary Prevention1Secondary Prevention1Primary Prevention1

Health promotion Early detection/diagnosis

Early treatment/intervention

• Health education• Lifestyle management• Safety engineering• Job ergonomics• Nutrition• Prenatal care• Vaccinations

• Overcoming “I Feel Fine”• Screening• Early detection programs• Health coaching• Biometric testing

• Disease management• Quality-care management• Return-to-work programs• Disability management• Vocational rehabilitation

1. Loeppke R. Int J Workplace Health Manag. 2008;1:95–108.2.Woolf SH et al. The economic argument for disease prevention.prevent.org/data/files/initiatives/economicargumentfordiseaseprevention.pdf. Accessed January 18, 2012.

© 2014 by Scott Conard, MD. No use without written permission. All Rights Reserved.

Initiatives Over the Past 10 Years

7

CLINICALPROGRAMS

Mobile DocDisease Management

Best Doctors

WELLNESSPROGRAMS

Weight ManagementTobacco Cessation

Point Tracker

INCENTIVES$100 Annual Physical$50 Biometric Screening

PLAN DESIGNCHANGES

100% Account-Based Plans

WELLNESSMESSAGING

Newsletters,Intranet, etc.

Energy Future Holdings

2012 - 2013

8

costs 7.4%17%

20%

20%

11%

0% 5% 10% 15% 20%

12-Month Preventive Screening Baseline

Colonoscopy Screen

Annual Preventive Exam

Breast Cancer Screening

Cervical Cancer Screening

Herein lies the problem …

9

When faced with this dilemma as it relates to lifestyle, 90%of cardiac patients do not change. “Facts and fear (alone),no matter how soundly-based, don’t work.”*

*Courtesy of Alan Deutschman (Regan, 2007), Dr. Edward Miller, Johns Hopkins University


Change Fundamentals

10

CHANGEEducation

&Information

Education&

InformationIncentivesIncentives

IndividualizedSupport

IndividualizedSupport


The Biggest Challenge –Connecting the Disengaged

Overcoming−The momentum of life (I feel fine)−Communication overload−Vendors and programs overloadCreating easy access to efficient pathways of careFinding the connection “catalysts”

−Compass Professional Health Services−Make it personal!


Health Activation.The Turning Point.

Healthcare Redefined. 12

13

CULTURE

CONVENIENCECASHMyHealth Plan Incentive

$1,125-$2,425(depending on tier)

CONSUMERISM

How?

14

Partnered with Compass for thefollowing turnkey solutions:

• TRANSPARENCY – Simplifiedemployee health decisions withCompass tools and personalizedHealth Pro support

• ACCOUNTABILITY – Creatingaccountability with Compass HealthPrompt, compliance requirements

• ELITE PHYSICIAN STEERAGE –Connecting employees with bestphysicians through Health Prorecommendations

“Thank you so much forhelping my husbandwith everything relatedto his current situation.You can’t imagine whata load it is off my mindthat you and your teamare here to assist him! Ican’t begin to tell youhow much it’s allappreciated!”

“Thank you for thiswonderful service thatyou provide. I am not asavvy person when itcomes to medicalinsurance, so thankyou for helping mechose and make thebest use of my plans.”

What employees are saying:


How?

15

• Compass Health Pro – specific resource toanswer questions on medical, dental, Rx,vision, compliance requirements andincentives – KEEP IT SIMPLE!

• 2014 incentives to drive activation!– Preventive exam with biometrics

• $477 annual premium reduction in 2014 (singlecoverage)

• 45% premium reduction for family tiers (spouse mustcomply)

– $525 to $650 increased funding opportunity depending on tier

• Health Track reports e-mailed to employees• Results of a trusting relationship:

– 65% of employees interacting with Health Pro– Average 5.25 solutions per utilizer


Making it Personal through Compass

http://www.wfaa.com/story/news/health/2015/03/30/health-care-costs/70694576/


CLINICS - Enhancing the Strategy


Clinical Oversight Committee Meetings


Regularly meetingKey members attendingReporting metrics

Monthly Metrics


Monthly Clinic Reporting


Are We Movingthe Needle?

Healthcare Redefined. 22

Biometric Risk Factor Reduction

Metabolic Syndrome %2013: 67% 2014: 34% 2015:30%

Note: 2014 and 2015 data will continue to change throughout the 2015 compliance period (1/1/14 –10/31/15) as we continue to process biometric data for these dates of service

3298 records 3699 records 939 records

8%

12%

13%

9%11%

47%

2013 Biometrics

0 Risk Factors 1 Risk Factors 2 Risk Factors


18%

25%

24%

16%

10%8%

2014 Biometrics



17%

28%

24%

16%

11%3%

2015 Biometrics



PreventionCompliance with Preventive Screenings ↑ 3 to 5 fold

17%

20%

20%

11%

62%

76%

70%

60%

0% 20% 40% 60% 80%

12-Month Baseline2014 Plan Results

Annual Preventive Exam

Breast Cancer Screening

Cervical Cancer Screening

Colonoscopy Screening

COST SAVINGS

LIVES SAVED

25

8

10

18

4

0 5 10 15 20

2011

2012

2013

2014

Deaths

$855

$862

$990

$750

$800

$850

$900

$950

$1,000

Jan-13 Dec-13 Nov-14

MEDICAL ALLOWED AMOUNT (PEPM)

Green line indicates actual spend (12 Month Rolling Average), while red dashes indicate normal cost trend ascalculated by: Baseline spend x (1.08^(Number of Months/12)) . Includes Medical Allowed Amount Only.

ACTUAL

Jan-2014 Dec-2014Jan-2013

What’s Next?

26

Change Management – switch

27

1. Identify SuccessfulPast Efforts –Benchmark

2. Script Critical Moves3. Point to the

Destination

1. Appeal to the Heart2. Create Baby Steps3. Cultivate a Learners

Mindset

1. Environment MustChange

2. Build New Habits3. Manage the Pack


Making it Contagious

Six “STEPPS”− Social currency− Triggers− Emotion− Public− Practical Value− Stories


The Seven Keys

1. Focus on action = prevention2. Be Bold, Be Decisive3. Make it about the individual and keep simple4. Don’t be afraid to stop a program5. Use incentives that create accountability6. Set goals, know the data, aim to beat market trend7. Make your plan contagious

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Questions?

30

The Friedkin Group

Leadership Philosophy

◦More than fitness – All facets of our

associates’ well-being–physical, mental, social and financial

health–are important

◦We value our associates – Our #1 core value sets

the standard by which we evaluate and select health and

wellness benefit options

Highlights

70% participation in preventive care programs

3,400 pounds lost Over 250 associates participated in our most

recent weight loss challenge

Highlights

Free instructor-led fitness classes

Freshness counts Partnerships with ADA, AHA and other health organizations

to bring fresh, new perspectives to wellness; plus, company-

subsidized, onsite café offers and promotes healthy options

Big Challenges, Bigger Solutions

◦ Plan design – Focus on making better

healthcare decisions while maintaining transparency

◦ Unique populations – Auto transport company (90%

mobile workforce) focuses on its driver population

◦ Robust, creative communications – Electronic,

print and “wellness champions;” tailored to each company

Ted Barrall ◦ Director, Benefits and Compensation

◦ [email protected]

◦ 713.580.3427

Sheri Gutzmer ◦ Sr. Benefits Administrator

◦ [email protected]

◦ 713.580.3552

mailto:[email protected]

mailto:[email protected]

ONS SUPERVISORIT SOLUTIONS PART TIME ANALYST

May 2015

HCSS

WELLNESS STRATEGY& INITIATIVE

Summary of HCSS Wellness Strategy

• Top Down Support• Facilities Conducive to Wellness• Innovative Health Plan• On-Going Wellness Events• Periodic Wellness Events• Wellness Artifacts• Financial Incentives• Peer encouragement

The Drivers

Innovative healthplan

Wellness amenities& equipment

Wellness activities& challenges

Cost Plus Conduciveenvironment

Exercise classesEducational classes

ELAP Health snacks Team sports, relayteams

One Call Medical Varidesk, treadmillwork station

Qtr Wellnesschallenges

Redi MD, SnaphealthFree biometricscreening withHRA contributions

Annual wellnessfund $1,000/emp

Walking meetingsWalk with executives

Results

Biometric Measurements Medical Claims 2014

Annual biometric screening 2013 – 14(100% participation) High risk reduction

Total Medical Claims Savings -$363,300-36.2% to US benchmarkCholesterol 4.5% Glucose 0.4%

BP 5% Pharmacy Savings - $151,500

Q1 BP Challenge2015

High risk 4 - 1 Disease Managementcompletion rate – 100%Mod risk 47 - 27

Low risk 65% - 80%

Contact Information

• Sophie Rydin – [email protected]• 713-980-2706

HCWG OverviewJesse Gavin

Wellness Coordinator – Baylor College of MedicineHCWG 2015 Co-chair

SJJ1

SJJ1 Sneed, Jenna J., 2/27/2015

Overview

Introduction

2015 HCWG Goals

Best Practice Sharing Virtual Infrastructure

HCWG Culture

Upcoming Meeting Topics

Enrollment and Questions

Introduction

Corporate health and wellness in the Houston Metropolitan area is anexpanding market full of opportunities and resources for businesses andhealthcare practitioners alike. The Houston Corporate Wellness Group(HCWG) provides a platform for professionals focused on improving thehealth and well-being of Houston’s workforce while managing the healthcare spending of our 100,000+ businesses. The HCWG is a way for us toshare ideas, new innovations, support, network, and assist with each of ourpersonal and well-being development. Members of the HCWG will be ableto interact with practitioners just starting out in corporate health andwellness, as well as those who have many years of experience andknowledge. We share the same goal and together, we can make adifference.

Leadership Introductions Jenna Sneed, MPH – Chair (Focus: Member Communication & Meeting Facilitation)

Jenna Sneed received her MPH from the University of Texas School of Public Health in Health Promotion Behavioral Science; is currentlythe Wellness Coordinator at Texas Children’s Hospital; and Ph.D. Candidate at the University of Texas Health Science Centerenthusiastically exploring the combined use of learning-based virtual ecosystems to promote organizational culture, leadershipdevelopment and personal well-being. She is also a certified yoga instructor and health coach. Professionally, Jenna is passionateabout helping employees thrive personally and professionally through constructing programs, virtual/physical environments, andlearning opportunities based in positive psychology. Personally, Jenna is passionate about digital photography; world travel; hostingdinner parties; and setting up active dates with friends at local parks, and yoga and fitness studios.

Jesse Gavin – Co-Chair (Focus: Best Practice Sharing Virtual Infrastructure)Jesse Gavin is the Wellness Coordinator for Baylor College of Medicine (BCM). He has been involved in the corporate wellness industryfor over 8 years. He has worked with a variety of companies to improve the health and well-being of their employees while developingstrategies to reduce chronic conditions that can lead to high cost claims. Jesse is passionate about improving the culture of health forBCM and the city of Houston.

Sarah Green, MA – Committee Chair (Focus: Member Events)Sarah is a graduate of Texas Christian University with a Bachelor’s of Science in Fitness Promotion and Kinesiology. Her health andwellness experiences have included internships at Cooper Aerobics Center in Dallas, TX, Hilton Head Health Institute in Hilton HeadIsland, SC and working as a personal trainer in southern California for nearly five years. Sarah continued her education and completedher Master of Arts degree in Wellness Management at Ball State University. She has enjoyed working in Houston for three years withDevon Energy Wellness Center & Chevron Fitness Center, Program Manager. Sarah’s ambition in life is to be a positive influence inothers’ lives by helping them reach a heightened state of health and well-being.

This is our time…

https://www.youtube.com/watch?v=wzF23qI3Djw

2015 HCWG Goals

1. Create a best practice sharing virtual infrastructureallowing members to easily request, update and accesspurposeful information

2. Foster a cohesive culture promoting positive professionalrelationships, personal/professional enrichment andwellness role modeling

Best Practice Sharing Virtual Infrastructure

Roster LinkedIn Group Newsletter Connect

• Pictorial Roster ofmembers to put a faceto a name

• Provide high levelinformation aboutmember interests,background andcompetencies

• Discussion- Postquestions or usefulinformation

• Promotions- Event youthink group would findbeneficial

• Jobs- Post candidateand open jobinformation

Monthly newsletter sent outthe first week of everymonth with updates, eventreminders, and links toHCWG LinkedIn Group.

*Please submit informationfor newsletter via email toJenna Sneed by the 25th ofprevious month.

Connect with each otherthrough HCWG memberevents, social media, bringbusiness cards to meetingsand be prompt aboutreturning each other’scorrespondence

EtiquetteThese channels are meant to share information among local wellness practitioners. Out of respect to HCWGmembers, these channels should not be used to sell products, services or events especially if there is a conflict ofinterest. If you have questions, please email Jesse Gavin for clarification prior to posting.

Goal: Create a best practice sharing virtual infrastructure allowing members to easily request, update and accesspurposeful information

Ideas?

Email Jesse

LinkedIn Group

Posting ContentWho Section Reason

HCWG Leadership Team – To post regularlyJesse Gavin Discussions Follow up questions from

quarterly meetings & driveimpactful memberdiscussion threads

Sarah Green Promotions Social & Sweat EventReminders

Jenna Sneed Promotions Quarterly MeetingReminders

Jenna Sneed Jobs Job & Candidate Posting

HCWG All As desired

Access Instructions: To join the Houston Corporate Wellness Group LinkedInpage visit www.linkedin.com and search “Houston Corporate WellnessGroup” in the search bar. Click “Join” in the upper right corner.

Ideas?

Email Jesse

Culture

Socials Sweat DatesPromotes Positive professional relationships through

quarterly socials held the Friday after quarterlyHCWG meetings

Wellness role modeling and personal enrichment throughmonthly sweat dates at various locations held the firstTuesday of every month

2015 Dates Q1: Friday, March 13Q2: Friday, June 12Q3: Friday, September 18Q4: Friday, December 11

Monday, April 6Tuesday, May 5Tuesday, June 2Tuesday, July 7

Tuesday, August 4

Tuesday, September 1Tuesday, October 6

Tuesday, November 3Tuesday, December 8

Next Event Q2 Social: TBDFriday, June 12 from 7-9 p.m.Address TBD*Family and close friends are also invited.

June Sweat Date: Revolution Studio – River OaksHeated Vinyasa YogaTuesday, June 2 at 6:30 p.m.2800 Kirby Drive, Suite A220, Houston, Texas 77098*Family and close friends are also invited.

Ideas? It is our desire to:• Provide social and sweat dates that reflect member preference• Promote personal enrichment through trying something new• Provide monthly opportunity for members to reignite personal physical activity regimen• Promote wellness role modeling in our community• Support member teachers

Goal: Foster a cohesive culture promoting positive professional relationships, personal/professional enrichment and wellnessrole modeling

Ideas?

Email Sarah

Upcoming Meetings & Topics Q1: March 11 from 3-5 p.m. at Texas Children’s Hospital

Best Practice Supporting Infrastructure

Q2: June 10 from 3-5 p.m. at Baylor College of MedicineCorporate Wellness Barriers: Problems & Solutions

Q3: September 16 from 3-5 p.m. at TBDBuilding a Culture of Health: Discussion of Theory in Practice

*Pre-Work: Read “How To Build a Thriving Culture at Work”

Q4: December 9 from 3-5 p.m. at TBDFuture of Well-Being: Technology & Analytics

Ideas?

Email Jenna

Enrollment and QuestionsTo enroll in the Houston Corporate Wellness Group please email JennaSneed at [email protected].

wellness roi - hbch · 2015. 5. 20. · levels of prevention 5 primary prevention focuses on...

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