pharr-san juan-alamo isd fourth year annual review 2007-2008 an ounce of prevention is worth a pound...
TRANSCRIPT
Pharr-San Juan-Alamo ISDFourth Year Annual Review2007-2008
“An ounce of prevention is worth a pound of cure.”- Benjamin Franklin
Good Health Comes First
Overview
• Utilization
• Top 5 Diagnosis
• Diagnosis Summary
• Top 5 Medications
• Top 5 Referrals
• Overall Satisfaction Survey
Results
• YTD Clinic Expense
• Total Paid Claims
• Primary Care
• Pharmacy
• 4 Year compensation
• Productivity Summary
• Employee Savings
• Overall Summary
PSJA 2008 Medical Clinic Summary
Utilization
• 2,465 Total patient records
• 3,843 Average monthly enrollment
• 64% of the population have visited the clinic at least once
PSJA 2008 Medical Clinic Summary
• Total Clinic Usage: 8,740
• Employee: 7,493
• Spouse: 717
• Dependent: 530
2006 - 2007
• Total Clinic Usage: 10,564
• Employee: 8,962
• Spouse: 820
• Dependent: 782
2007 - 2008
Top 5 Diagnosis
PSJA 2008 Medical Clinic Summary
2007-2008
High Cholesterol
22%
Bronchitis8%Diabetes
11%
High Blood Pressure
20%
Upper Respiratory
I nfection39%
2006-2007
Upper Respiratory
I nfection38%High Blood
Pressure18%
Diabetes12%
Urinary Tract I nfection
9%
High Cholesterol
23%
2005-2006
Upper Respiratory
I nfection29%
Cough6%
Diabetes14%
High Cholesterol
20%
High Blood Pressure
31%
A message from Free First Healthcare Clinic
Diagnosing and treating upper respiratory infection (URI), cough, or bronchitis quickly and effectively can prevent severe infections resulting in less time away from work. When left untreated, infection and inflammation of the larger airways of the lungs lead to chronic conditions such as asthma and bronchitis. Severe cases can eventually become pneumonia.
High Cholesterol is an excess level of fat in your blood. These fats can be triglycerides or cholesterol. Many people choose touse diet, exercise and weight loss as the initial step in treating the disorder. It does not bring the cholesterol or triglyceride
leveldown to a normal range. Medication is recommended to prevent cardiovascular damage. High cholesterol is often associatedwith increased risk of heart disease or stroke. There are genetic disorders that predispose people to high cholesterol so evenexercising and eating healthy is not preventive.
Heart disease is the leading killer of both men and women which is also your top diagnosis. Uncontrolled and/or undiagnosed
high blood pressure can lead to end stage organ damage, kidney or eye problems, early stroke and early heart attack. Diagnosing and treating high blood pressure early can prevent these problems and decrease the risk of end stage organ
damage while improving quality of life.
Diabetes, which is above normal blood glucose levels, can cause the blood to thicken and lead to end stage organ damage in
the kidneys, eyes, and circulation of the body if left untreated. Poor circulation can lead to increased risk of infections andamputation of the lower extremities.
Bronchitis is an inflammation of the mucus membrane of the bronchi. Bronchitis is usually viral in nature, but may occur from a bacterial infection. Often a person acquires Bronchitis after having a URI. Because Bronchitis is usually caused by a virus we are able to only treat the symptoms of bronchitis by drinking plenty of fluids and with cough suppressants.
Diagnosis Summary
PSJA 2008 Medical Clinic Summary
Top 5 Medications
PSJA 2008 Medical Clinic Summary
2006 - 2007
Amoxicillin 22%
Naproxen 18%
Benazepril 14%
Levothyroxine13%
Cephalexin33%
2005 - 2006
Amoxicillin29%
Ranitidine13%
Naproxen13%
Metformin HCL12%
Cephalexin33%
2007 - 2008
Amoxicillin20%
Cephalexin39%
Naproxen19%
Antipyrine/Benzocaine
11%
Metformin HCL11%
Medication TypeCephalexin AntibioticAmoxicillin AntibioticNaproxen Anti- inflammatoryAntipyrin/ Benzocain Pain relieverMetformin HCL Controls high blood sugar
Top 5 Referrals
PSJA 2008 Medical Clinic Summary
2006 - 2007
MRI16%
Mammography21%
Ultrasound27%
X-Ray34%
GI2%
2005 - 2006
EKG1%
X-Ray71%
MRI12%
Ultrasound8%
Mammography8%
2007 - 2008
X- Ray61%
Ultrasound13%
Mammography11%
MRI11%
Dermatology4%
Satisfaction Survey Results (Clinic)
Survey Questions
• Availability of Appointments?
• Wait Time?
• Physician Patient Care?
• Nurse Patient Care?
• Overall Satisfaction?
PSJA 2008 Medical Clinic Summary
Very Satisfied99%
Somewhat Satisfied
1%
604 Surveys
Satisfaction Survey Results (Medication)
Survey Questions
• Quickness of receiving medication?
• Availability of medication?
• Convenience of this program?
PSJA 2008 Medical Clinic Summary
Very Satisfied99%
Somewhat Satisfied
1%
747 Surveys
YTD Clinic Expense
PSJA 2008 Medical Clinic Summary
Clinic Services Supplies Lab ServicesStock
Pharmacy Prescriptions
Medical Assistant Fee
TOTAL
September 34,770.00$ 13,410.59$ 4,388.97$ 2,305.44$ 21,452.51$ -$ 76,327.51$ October 42,090.00$ 1,044.96$ 6,598.25$ 3,597.34$ 18,702.56$ -$ 72,033.11$ November 36,600.00$ 3,754.19$ 6,342.84$ 3,754.19$ 19,128.12$ -$ 69,579.34$ December 27,450.00$ 1,785.68$ 3,840.00$ 3,074.52$ 18,363.07$ -$ 54,513.27$ J anuary 40,260.00$ 3,792.56$ 5,809.79$ 4,328.29$ 17,815.64$ -$ 72,006.28$ February 38,430.00$ 1,028.44$ 6,720.00$ 3,948.13$ 28,795.49$ -$ 78,922.06$ March 38,430.00$ 2,464.87$ 6,240.00$ 5,541.30$ 18,761.72$ 3,378.20$ 74,816.09$ April 40,260.00$ 1,304.52$ 8,160.00$ 3,768.44$ 20,038.99$ 3,484.60$ 77,016.55$ May 38,430.00$ 814.62$ 4,380.00$ 4,796.09$ 29,805.18$ 3,378.20$ 81,604.09$ J une 38,430.00$ 3,941.17$ 6,780.00$ 4,839.68$ 24,819.30$ 3,378.20$ 82,188.35$ J uly 31,110.00$ 965.62$ 6,300.00$ 2,231.59$ 18,596.86$ 1,808.80$ 61,012.87$ August 39,345.00$ 461.44$ 5,560.91$ 799.12$ 23,109.01$ 2,234.40$ 71,509.87$
TOTAL 445,605.00$ 34,768.66$ 71,120.76$ 42,984.13$ 259,388.45$ 17,662.40$ 871,529.39$
Total Paid Claims
• $421,899.74 Annual Savings
• $23.28 Reduction in PEPM
PSJA 2008 Medical Clinic Summary
2004-2005 Trend 10% 2005-2006 Trend 10% 2006-2007 Trend 10% 2007-2008
Total less specTotal Claims
$16
,815
,332
.34
$18
,496
,865
.57
$18
,511
,490
.80
$20
,362
,639
.88
$17
,937
,987
.88
$19
,731
,786
.67
$19
,549
,886
.93
$16
,215
,332
.34
$16
,215
,332
.34
$17
,836
,865
.57
$18
,712
,639
.88
$17
,337
,987
.88
$19
,071
,786
.67
$18
,649
,886
.93
Total Plan Savings
• Primary Care Annual Savings $667,288.18
PSJA 2008 Medical Clinic Summary
2004/2005 2005/2006 2006/2007 2007/2008
Total Amount Paid
Total Paid Without Clinic
$1,7
51,33
0.20
$1,8
11,12
2.30
$2,0
99,66
4.40
$2,2
89,62
0.75
$1,5
58,32
2.41
$1,4
30,94
4.53
$1,6
20,48
4.69
$1,6
22,33
2.57
$0.00
$500,000.00
$1,000,000.00
$1,500,000.00
$2,000,000.00
$2,500,000.00
Pharmacy
• 49% Overall savings
• $239,571.36 Total cost savings
• 96% Generic utilization
PSJA 2008 Medical Clinic Summary
Clinic Cost, $248,143.62
Without Clinic Cost,
$487,675.39
$-
$50,000.00$100,000.00$150,000.00$200,000.00$250,000.00$300,000.00
$350,000.00$400,000.00$450,000.00$500,000.00
Approximate employee wage $14.50 per hourNumber of employee office visits 8960 visitsApproximate time off to see physician in traditional setting 180 minutesApproximate work value lost $42.00 per visitTotal estimated work value lost
$376,320.00
Approximate patient wait time 20 minutesApproximate patient time with physician 25 minutesTotal approximate time off to see physician 45 minutesApproximate work value lost $10.75 per visitTotal estimated work value lost $96,320.00
Average work time gained 2.25 hours
Total estimated work value gained $280,000.00
Productivity Summary
PSJA 2008 Medical Clinic Summary
Employee Savings
• Office copay:
$15.00
• Total clinic visits:
10,564
Employee Savings: $158,460.00
• *Generic copay: $9.25
• Total Generic Rx: 9,876
• *Brand copay: $20.77
• Total Brand Rx: 394
Employee Savings: $91,353.00
Employee Savings: $8,183.38
Total Savings: $257,996.38
*Prescription medication co-payments are an average of retail and mail order co-payments provided by PBM.
PSJA 2008 Medical Clinic Summary
• Primary Care Savings: $667,281.80• Total Pharmacy Savings: $239,571.36• Productivity Savings: $280,000.00• Total Savings:
$1,186,853.16
• YTD Cost: (Minus Pharmacy Cost) $612,140.94• Total Clinic Savings Minus Expenses:
$574,712.22• Clinic Savings (less productivity):
$294,712.22
Overall Summary
PSJA 2008 Medical Clinic Summary
Thank you