promoting preventive care in the workplace

Agenda

• Introductions and Welcome

• WWCMA Announcements

• Program – Promoting Preventive Care in the Workplace

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Meeting space

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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

Eleana.M.Conway@lahey.org

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!