The Business Case for Worksite Wellness The Shifting Paradigm

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The Business Case for Worksite Wellness The
Shifting Paradigm

• Deborah Deatrick, MPH
• Maine Health
• Vice President, Community Health
• Thomas Downing
• USM Lifeline Center for Wellness Health
  Promotion
• Executive Director

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Health Care Landscape

• Health care costs pose a serious threat to the
  competitiveness of US business
• Employee health benefits are the fastest
  growing cost component for US employers
• The number of employers offering health
  benefits is decreasing 69 provided health
  benefits in 2000, 60 in 2005!
• In 2003 we spent 15.3 of gross domestic
  product on health care, projected to reach 18.7
  by 2014
• Health risks and chronic illnesses associated
  with an aging workforce will increase total
  health care costs at an ever accelerating rate.
• Starbucks spends more on health insurance than
  for coffee!
• (Multiple Sources)

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Health Care Costs Drivers

• Provider Costs
• - Hospital, Physicians, Health Care Providers
• Coverage mandates
• Cost of technology
• Pharmacy costs
• Consumer need and expectation
• - Benefit design
• - The health of the population
• health status and health risks

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The Maine Picture

• 75 of Maine people die from 4 chronic mostly
  preventable diseases
• ? Heart disease/strokes
• ? Cancers
• ? Chronic Lung Disease
• ? Diabetes
• 4th highest percentage of deaths in the country
• (MCDC-2002)

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A Lifestyle We Cant Afford

• Anthem BC/BS MaineHealth supported study
• Chenoweth Associates economic cost appraisal
  2006 release
• Maine 2004 data The combined direct indirect
  costs (medical care, workers compensation, cost
  productivity) associated with physical
  inactivity, overweight obesity 2.56 billion
  a year.
• If costs continue to rise at current rates,
  that figure will reach 3.10 billion by 2009
  a 21 increase in 5 years.
• Maine residents/per capita 1,998.00

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Employee Health Risk Vs Health Cost
We now recognize a direct cause and effect
relationship between these two variables
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Health Risk and Health Costs

• Summary
• This data is from the Steelcase Corporation and
  involves approximately 4,000 employees examined
  over a 5-year period. 12 risk factors including
  smoking, inactivity, obesity etc. were included.
  The data is clear in its significance that health
  risks contribute to substantially higher health
  costs. Those employers who do not aggressively
  reduce risk prevalence in their populations will
  pay substantially higher costs for health care
  utilization for their population. This applies
  to all employees regardless of age or gender
• (University of Michigan Health Management
  Research Center)

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2006 Health Care Cost Survey Towers Perrin HR
Services

• Low cost companies/lowest premium/employee
  6,888
• High cost companies/highest premium/employee
  9,972

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Low Cost Characteristics

• Active management/vendor relationship
• pay for performance
• Employee accountability/consumerism
• brand vs. generic drugs, cost transparency
• Financial initiatives to adopt healthy lifestyles
• Provision of support tools/wellness resources for
  employer to understand manage health risks

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HEALTH MANAGEMENT IN THE WORKPLACE
Gains for the Organization
Healthier Person
Productive Employee

• Health Status
• Life Expectancy
• Health Care Costs
• Workers Compensation
• Workers Disability
• Absenteeism
• Turnover
• Productivity
• Company Visibility
• Social Responsibility

Lifestyle Choices
Job Performance

• Individual attitudes
• Group attitudes
• Energy levels
• Vitality
• Empowerment

Health Management Programs
1995 D.W. Edington, Scott Publishing 2003
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A new One-Stop Shop to Improve Employee Health
Productivity
Physicians and Hospitals Partnering for
Excellence in Cardiac Care
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Vision Statement

• To improve the health and productivity of the
  Maine workforce by providing coordinated
  evidence-based, high quality health and wellness
  services.

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Primary Goal

• Support the shift in employer health strategy to
  a new reality recognition.
• Employee health is a performance driver.
  Investing in employee health not only controls
  expenses, but also protects, supports and
  enhances your human capital. Optimal employee
  health is fundamental to a healthier bottomline.
• Partnership for Prevention Leading by Example,
  2005

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A New Regional Partnership

• Partners
• University of Southern Maine Lifeline Center for
  Wellness and Health Promotion
• Maine Heart Centers Take Charge! Program
• MaineHealth Center for Tobacco Independence
• MaineHealth Learning Resource Centers

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University of Southern Maine Lifeline Center
for Wellness and Health Promotion

• Originated 1976, non-credit/non-profit department
  within USMs Division of University Outreach. An
  extension of USMs public service mission.
• Multi-dimensional center serving the needs
  health/fitness needs of both internal and
  external constituents. 80 of individual members
  are from the general public. Employing some 50
  part and full time instructors, medical
  personnel, support staff and administrators
• Institute for Workplace Health Promotion created
  to support the health promotion/wellness needs of
  employers of all shapes and sizes. So. Maine
  Wellness Council component has some 65
  organizational members representing over 75,000
  employees.
• BIW management contract in place since 2001. 2006
  2007 Gold Award winner, National Business Group
  on Health. Current management contracts with
  Mercy Hospital and Hannaford Brothers Co. to
  support wellness programming. Management
  oversight of Healthy USM employee wellness model.

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Maine Heart CenterPartnering for Excellence in
Cardiac Care

• A nonprofit organization, part of the Maine
  Health family, with hospitals and physicians
  throughout Southern and Central Maine dedicated
  to delivering the same high-quality cardiac care
  no matter where in the network the care is
  received
• Over 100 physicians and 6 hospitals participate
  in the network
• Medical services include open heart surgery,
  cardiac catheterization and angioplasty
• Community-based activities include lectures on
  promoting better heart health and recognizing the
  signs of a heart attack and the development and
  implementation of Take Charge! a cardiovascular
  risk screening program for employers and
  communities. Over 1500 Take Charge screenings
  have been done since late 2005.

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• The Center for Tobacco Independence (CTI) brings
  together a highly skilled clinical and
  educational team to provide best in class, state
  of the art tobacco treatment services
• Telephonic tobacco treatment services to over
  50,000 Maine residents through the Maine Tobacco
  HelpLine, achieving over 25 quitting after six
  months (national benchmark).
• Training for over 2,000 healthcare professionals
  to effectively assess and treat tobacco
  dependence.
• Treatment services for over 1,500 individual and
  group face to face sessions.
• Consultation and TA for employer and non-profit
  sector.

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MaineHealth Learning Resource Centers

• More than 100 classes/programs offered annually
  to thousands of participants
• Virtual and on-site access to quality health
  information and educational resources to maximize
  the health and well-being of employees and
  consumers.
• Assist employees/families in developing
  strategies to
• Make better, more informed health care choices
• Develop self-management skills to manage chronic
  conditions
• Identify at-risk health behaviors to manage
  personal wellness.
• Menu of programs and services that can be
  tailored to fit individual needs.

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Features/Benefits

• Single marketing delivery system
• Systems/best practice approach
• Regional excellence expertise
• Collaborative partnership
• Data driven/outcome oriented
• Commitment to sustainable change
• Geographic Reach

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What differentiates HealthWoRx?

• Face-to-face offerings
• Real-time assistance
• Track record of partners
• Proven leadership
• Coordinated menu of services and programs
• Tailored to your employers specific needs
• Local providers
• 50 years of H.P wellness services

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A SYSTEMS APPROACH

• Awareness
• Education
• Behavior modification
• Policy/culture

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Sample Client Listing

• Bath Iron Works
• University of Southern Maine
• Hannaford Brothers
• Nichols Portland
• Verrill Dana
• Barber Foods
• Emery Waterhouse
• Maine Turnpike Authority
• Senior Spectrum
• Portland Newspapers
• Prime Tanning

• Bowdoin College
• Fairchild
• Maine Credit Union League
• Maine Medical Center
• Maine Center for Disease Control/ DHHS
• Downeast Energy Building Supply
• Martins Point Healthcare
• Mid Coast Hospital

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USM Lifeline Center for Wellness and Health
Promotion
Service Offerings
Institute For Workplace Health Promotion

• Workplace Wellness Solutions
• Biometric screenings/health risk appraisals
  (paper/online)
• Consulting/project management
• Fitness stretching classes
• CPR/First Aid courses
• Physical fitness evaluation
• Corporate fitness memberships
• Health care claims assessment/analysis
• Qualitative/quantitative research evaluation

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USM Lifeline Center for Wellness and Health
Promotion

• Southern Maine Wellness Council
• Networking
• Resource development/access
• Continuing education
• 60 organizations representing 75,000 employees

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Take Charge! at the Maine Heart Center

• Service Offerings
• Cardiovascular health assessments
• Biometric testing
• blood pressure
• total cholesterol
• blood glucose
• LDL HDL
• One-on-one health counseling
• Primary care physician follow-up
• Employer aggregate reports

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MaineHealth Center for Tobacco Independence

• Service Offerings
• Training and education
• Geared toward employees, management, or
  executives to develop strategies and skills
  that effectively address tobacco use.
• Tobacco treatment
• Onsite or individual group counseling.
• Workplace solutions
• Assessment and consultation including but not
  limited to tobacco policy, environmental policy,
  and treatment benefit design.

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MaineHealth Learning Resource Centers

• Service Offerings
• Living Well self management program
• Lunch n Learns (prevention, health, wellness and
  disease management)
• Multi-session health education programs
• Assistance with support groups
• Bulletin boards
• Educational materials
• Community resources referrals
• Special events (health fairs, health days)
• Technical assistance (email, newsletters)
• Health Coaching

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Contact Information

• Thomas Downing
• HealthWoRx Account Manager
• Phone [phone]
• Fax [phone]
• email downing_at_usm.maine.edu

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A new One-Stop Shop to Improve Employee Health
Productivity
Physicians and Hospitals Partnering for
Excellence in Cardiac Care